Xanthelasma removal, whether by surgical excision or other methods, is usually done under local anaesthetic. The procedure itself should not be painful once the area is numb.
During treatment
Numbing injections or cream are applied around the cholesterol deposits. After this, you may feel pressure but not cutting or burning.
- Brief stinging occurs as anaesthetic is injected
- Techniques include excision, laser, or chemical cautery
- Any discomfort can be reported so more anaesthetic is given
- The procedure is usually short and done as a day case
Aftercare and discomfort
Following removal, the area may feel sore, tender, or slightly itchy as it heals. Pain is generally mild.
- Simple painkillers and cold compresses manage most discomfort
- Ointments or dressings protect the healing skin
- Intense pain, spreading redness, or discharge should be reviewed
- Scarring and recurrence are discussed beforehand to set expectations
