Xanthelasma Removal (Plexr)

Service Description

WHAT IT IS Xanthelasma are soft yellowish cholesterol deposits that form in the skin of the eyelids, most often at the inner corners. Plexr is a plasma device. It ionises the gas in the air just above the skin to create a tiny plasma arc, which sublimates a microscopic point of the surface tissue without ever touching the skin and without transmitting heat to the surrounding area. The treated points contract immediately, tightening the skin between them, and healing over the following days produces further collagen. Applied to a xanthelasma, it removes the plaque without cutting the eyelid. WHY PEOPLE CHOOSE IT Xanthelasma are harmless but conspicuous, and they sit in one of the most visible places on the face. Surgical excision on the eyelid risks scarring and lid distortion; plasma removal avoids an incision in a very delicate area. WHAT WE AIM FOR Removal of the visible plaque with the eyelid skin healing cleanly and without a surgical scar. WHO IT SUITS · Yellowish plaques on the eyelids · Wanting removal without eyelid surgery · Recurrence after previous removal · Being self-conscious about their appearance TREATMENT DETAILS Appointment: 30–45 minutes plus numbing Discomfort: Well tolerated with numbing cream Downtime: Crusting 5–7 days; eyelid swelling 2–3 days Sessions: 1–2 depending on size and thickness First results: Once crusts fall Important: Cholesterol testing is advised — see FAQ FREQUENTLY ASKED QUESTIONS Should I have my cholesterol checked? Yes, and Dr Selvi will raise this with you. Xanthelasma can be associated with raised blood lipids and, in some people, with wider cardiovascular risk. Removing the plaque treats the appearance; it does not address anything underlying. If you have not had a recent lipid profile, arrange one with your GP. Will they come back? They can, particularly if the underlying lipid abnormality is not addressed. Recurrence rates are meaningful with every removal method, including surgery. This is another reason to have the blood test. Is treating so close to the eye safe? Eye protection is used throughout and the treatment is delivered precisely, without contact. It requires an experienced practitioner, and Dr Selvi will assess the position and size before agreeing to treat. What does the healing actually look like? Small dark carbon crusts form at each treated point within minutes. They stay for five to seven days and then fall away on their own. They must not be picked, scratched or covered with make-up — picking is the main cause of marking and it is entirely avoidable. How much swelling should I expect? Around the eyes, considerable. Swelling typically peaks on day two or three and can be enough that you would not want to be seen. It settles from day four. Plan a week away from anything social. Is it painful? Strong numbing cream is applied for around 30 to 45 minutes beforehand and most patients tolerate the treatment well. Afterwards it feels like mild sunburn for a day. Will it leave a mark? Uncommon when aftercare is followed properly. There may be temporary pinkness for a few weeks after the crusts fall. Post-inflammatory pigmentation is a genuine risk in richly pigmented skin — Dr Selvi will assess your skin type and advise honestly whether Plexr is appropriate for you. What is the aftercare? Keep the area clean and dry, do not pick the crusts, use only the products Dr Selvi provides or recommends, no make-up until the crusts have gone, and strict SPF 50 for at least three months afterwards. The sun protection is not optional. Who should not have Plexr? It is not suitable during pregnancy or breastfeeding, in active infection or inflammation of the area, for those prone to keloid scarring, or where there is a tendency to post-inflammatory pigmentation. Recent isotretinoin use is also a contraindication. Dr Selvi will confirm your suitability. Who will treat me? All treatments at Dr Selvi Clinic are carried out by a doctor, following a face-to-face consultation and an assessment of your suitability. BOOKING Book online, or start with the free 15-minute initial consultation if you are unsure which treatment is right for you. Prices are a guide and may vary according to your personalised treatment plan.