Overview
Yellow warts are a type of yellow warts, which are soft, yellowish, flat, warty bumps on the skin of the eyelid, and often occur symmetrically in the medial canthus bilaterally. A single or several small yellow spots gradually become larger, bulging and fusion, round or oval, can be formed around the inner canthus horseshoe or irregular shape, but not beyond the circumference of the orbit, generally for the size of a grain of rice to a broad bean, no conscious symptoms, the development of slow, can not be self-canceling. It is believed that the occurrence of this disease, the formation of lipid-containing tissue cells within the skin, but sometimes accompanied by increased lipids, lipoproteinemia, atherosclerosis, etc., so it is also believed that it is the system of lipid metabolism disorders of the external skin manifestations.
Nowadays, the most ideal treatment is erbium laser (Erbiun Laser) treatment, of course, super-pulsed carbon dioxide laser (Altro Palse) is also a good method. However, Erbium laser treatment is very popular among doctors and patients because of its advantages of clear and easy to distinguish between lesions and normal tissues, good control of the depth of treatment, less bleeding during the operation, less pain, and less obvious scars after the operation, etc.
The most ideal treatment method now is Erbiun Laser (Erbiun Laser) treatment.
Disease introduction
The eyelid yellow warts, also known as eyelid yellow tumor, is the common type of yellow tumor, one of the lipid metabolism disorders. Because of the prevalence in the eyelids, it can affect the aesthetic appearance.
Yellow eyelid warts are mostly found in middle-aged women, especially before and after menopause, and can occur in people with liver and gallbladder diseases, such as cirrhosis, or in people with cardiovascular disease (coronary heart disease, etc.) or hyperlipidemia, but more patients do not have obvious positive signs of the above diseases and laboratory results.
The rash of eyelid warts is a soft, orange-colored papule or plaque, which can be corn-like to the size of a dime, single or multiple, or fused into a raised, flat plaque. These warts are found on the upper and lower eyelids, especially on the inner canthus of the upper eyelid. Sometimes the damage covers half of the eyelid, and even develops on the outer side of the upper and lower eyelids and spreads into a horseshoe shape, which seriously affects the facial aesthetics.
Equipment introduction
The current application of the MCL29 erbium laser cosmetic resurfacing machine developed by the German company Aslepine-Meditec. Erbium laser is a wavelength of 294nm solid-state pulsed laser, its energy can be rapidly absorbed by the tissue, so that the skin tissue is instantly vaporized and separated and precision peeling, precise and complete removal of skin pigmented tissue, safe, fast recovery, and is not easy to leave behind pigmentation.
American Asclepion's Multipulse ultra-pulse CO2 laser instrument is a laser with a wavelength of 10600nm, which provides a high-energy CO2 laser (infrared beam) and a low-energy semiconductor laser (visible red light). Its treatment damage is small, avoiding the previous ordinary continuous CO2 laser damage to the surrounding normal tissues, produce scabs and wounds are not easy to heal and other shortcomings, fast recovery, work and life has little impact, more easily accepted by patients.
Therapeutic principle
Erbium laser is a solid-state pulsed laser with a wavelength of 2.94 microns, which is in the infrared region of the spectrum invisible to the human eye. When the erbium laser pulse acts on the skin, the energy is rapidly absorbed by the tissue, causing a rapid warming of the superficial skin, resulting in instant vaporization of the tissue and precise peeling, which is most suitable for darker skin and Asian skin types due to its shallow action and faster wound healing.
CO2 laser dispersion angle is extremely small, high energy density, after focusing, up to a few kilowatts of power per square centimeter, medical treatment can be used for the vaporization of the focal tissues, cauterize or cut the focal tissues, so the CO2 laser therapy instrument is also known as laser knife. The unfocused original beam irradiation of the focal tissue, can produce coagulation.CO2 laser is a wavelength of 10.6nM infrared light, penetrate the tissue deeper, by expanding the beam after irradiation, can be on the deep tissue heating physiotherapy.
Applications
Xanthelasma, also known as eyelid warts, is the most common form of xanthelasma and is a metabolic disorder of the skin. Once appeared, it mostly occurs in the bilateral medial canthus near, belongs to the human face in the middle part, often symmetrical distribution, the rash is more persistent, progressive multiple, and can be united with each other. So it seriously affects the cosmetic effect of the human face, from the cosmetic point of view, it is very necessary to remove these two pieces of maculae that are particularly eye-catching. Our clinic has a large number of such patients to come to the clinic, and most of them are over-nourished, better-off rich people, so people say, this is also a modern rich people's disease.
Contraindications
(1) It is contraindicated in patients with cardiac pacemakers, cardiac electrodes, or other metals in their bodies.
(2) Women during pregnancy.
(3) Contraindicated in persons with immunodeficiency, hypertension, and coronary heart disease.
(4) Keloid and patients with skin infection at the site to be treated.
(5) Patients suspected of having skin cancer.
(6) Patients with unrealistic expectations.
Method Steps
First, the treatment area is scrubbed with Neosporin and disinfected, and then the laser is applied to the diseased skin, and the energy transmitted back to the tissue instantly vaporizes the moisture in the tissue and takes away the aged and diseased skin tissue without hurting the surrounding healthy tissues. It stimulates the production of new collagen layers while treating, restoring the skin's elasticity. For individuals who are sensitive to pain, a topical anesthetic may be used. After the topical anesthetic is applied and the skin is treated again, there is no pain. After the treatment, when the anesthetic effect wears off, there is also no significant pain as the topical laser is no longer stimulating. Clean skin tissue is visible after laser vaporization. There is no bleeding during the treatment and healthy normal tissues are preserved. Anti-inflammatory ointment is applied to the skin at the treatment site after treatment, and follow-up is done after three months.
Precautions
(1) Prevention of hyperpigmentation: the main thing is to try to avoid the light, you can choose to do the treatment in the winter; in addition, for the just-healed wounds, can be used to cover a period of time gauze, which helps to reduce hyperpigmentation.
(2) 7 to 14 days after the operation, scab removal, the affected area of the temporary skin erythema or hyperpigmentation, 1 month after the erythema and hyperpigmentation gradually subside, to 3 months after the pigmentation is basically back to normal. Avoiding light exposure within 3 months after treatment is the key to preventing the aggravation of hyperpigmentation.
(3) Post-operative care: patients should be advised to keep the wound away from water to prevent infection, and to avoid sunlight and radiation to effectively reduce the hyperpigmentation. Patients with chloasma and freckled nevus will have a longer recovery period for hyperpigmentation, and they should be informed of this beforehand in order to seek understanding and cooperation with the treatment.
Frequently Asked Questions
1. Q: Is it safe to treat warts with laser?
Answer: Once the eyelid warts appear, because it occurs in the bilateral inner canthus near, belongs to the middle part of the human face, so it seriously affects the beauty of the human face, from the cosmetic point of view to remove these two pieces of special eye-catching yellow spot is very necessary. Our clinic has a large number of such patients to come to the clinic, and most of them are some over-nourished, better-off rich people, so people say, this is also a kind of modern rich people's disease. Nowadays, the most appropriate treatment is Erbium laser (Erbiun Laser), and of course, the Ultra Pulsed Carbon Dioxide Laser (Altro Palse) is also a good method. However, due to the advantages of Erbium laser treatment, the lesion localized lesion tissue and normal demarcation is very clear and easy to distinguish, the depth of treatment is very good to grasp, intraoperative bleeding is less, the pain is light, and postoperative scars are not obvious, etc., and doubly operated by the specific operation of the doctor and the patient's **** with the popularity.
2, Q: eyelid warts in which people?
Answer: The yellow warts are more likely to occur in middle-aged obese women, and are less common in men. This rash is only in this particular part of the eyelid, yellowish rash began in the upper eyelid of the inner, at first like a grain of rice, the development of slow, slightly higher than the skin surface, and the normal skin is clearly separated, but the border is irregular, as if a small piece of butter paste on the surface. When the rash develops to its maximum, it can occupy the entire upper eyelid, which is very eye-catching and easy to find at an early stage. The presence of eyelid warts should not only think of treating it, but should consider the systemic condition it indicates, and the cardiovascular system should be examined to identify the root cause and provide symptomatic treatment.
/laser/unimp/jhy.html