- Medically Reviewed by Mr Mfazo Hove Consultant Ophthalmologist
- Author: Chris Dunnington
- Published: April 27, 2025
If you have noticed soft, yellowish patches around your eyes, you may be wondering: what is xanthelasma? At Blue Fin Vision® Eye Clinic, with locations in London, Chelmsford, and Hatfield, we specialise in diagnosing and treating this common yet often misunderstood condition. Our expert team combines advanced technology with compassionate, personalised care to deliver outstanding results for every patient.
Understanding, Treating, and Removing Xanthelasma at Blue Fin Vision® Eye Clinic
Xanthelasma refers to the appearance of yellowish, flat or slightly raised plaques on or around the eyelids. These deposits are composed primarily of cholesterol and are typically found near the inner corners of the upper and lower eyelids. While xanthelasma itself is benign and does not affect vision, it can be a source of cosmetic concern and, in some cases, may signal underlying health issues.
The term xanthelasma eye is often used to describe these distinctive lesions, which are among the most common types of xanthomas – fatty deposits that can appear elsewhere on the body but are most frequently seen around the eyes.
Xanthelasma Causes
The exact cause of xanthelasma is not always clear, but several risk factors are well established:
- High cholesterol levels: Many patients with xanthelasma have elevated LDL (bad cholesterol) or low HDL (good cholesterol), leading to cholesterol deposits under the skin.
- Genetic predisposition: Some individuals develop xanthelasma even with normal cholesterol levels, suggesting a hereditary component.
- Metabolic conditions: Diabetes, obesity, and liver disease can increase the risk.
- Age and gender: Xanthelasma is more common in people over 40 and is slightly more prevalent in women.
- Other factors: Smoking, high blood pressure, and certain ethnic backgrounds (such as Asian or Mediterranean descent) may also contribute.
It is important to note that not everyone with xanthelasma has abnormal cholesterol, but its presence should prompt a thorough health assessment.
Xanthelasma Symptoms
Xanthelasma symptoms are usually easy to recognise:
- Yellowish, flat or slightly raised plaques on the eyelids, often near the inner corners.
- Soft or slightly firm texture – the patches are not painful or itchy.
- Symmetrical appearance – lesions often develop on both eyes.
- Gradual growth – xanthelasma tends to expand slowly over time and does not resolve on its own.
- No impact on vision – the condition is purely cosmetic, though it can affect self-confidence.
While xanthelasma is harmless, its visible location can cause significant distress and self-consciousness, especially as the plaques become more prominent.
Why Seek Xanthelasma Treatment?
Although xanthelasma does not pose a direct threat to your health, there are compelling reasons to seek professional xanthelasma treatment:
- Cosmetic improvement: The most common reason for xanthelasma removal is to restore a natural, healthy appearance to the eyelids.
- Underlying health assessment: Xanthelasma may be a sign of high cholesterol or other metabolic issues, so a full evaluation is essential.
- Prevention of progression: Left untreated, xanthelasma can grow larger and become more difficult to remove.
- Boost in confidence: Many patients report a significant improvement in self-esteem following successful treatment.
Xanthelasma Treatment Options
At Blue Fin Vision® Eye Clinic, we offer a comprehensive range of xanthelasma treatment options, tailored to the size, depth, and location of your lesions, as well as your personal preferences.
- Surgical Excision (Xanthelasma Surgery)
- Gold standard for xanthelasma removal, especially for larger or deeper plaques.
- Performed under local anaesthetic for maximum comfort.
- The lesion is carefully excised, and the skin is closed with fine sutures to minimise scarring.
- Outpatient procedure—most patients return to normal activities within a few days.
- Offers the highest chance of complete removal with minimal recurrence when performed by an experienced ophthalmic surgeon.
- Laser Therapy
- Utilises advanced lasers (such as CO₂ or argon lasers) to precisely ablate the xanthelasma.
- Particularly effective for smaller or superficial lesions.
- Minimal downtime and scarring.
- May require more than one session for optimal results.
- Chemical Peels
- Application of trichloroacetic acid (TCA) to dissolve the fatty deposits.
- Suitable for small, superficial plaques.
- Risk of skin irritation or pigmentation changes.
- Cryotherapy
- Freezing the lesion with liquid nitrogen.
- Less commonly used due to the risk of scarring and pigment changes.
- Medical Management
- Addressing underlying cholesterol or metabolic issues with medication and lifestyle changes.
- May help prevent recurrence but does not remove existing plaques.
Why Choose Blue Fin Vision® Eye Clinic for Xanthelasma Removal?
At Blue Fin Vision®, we understand that xanthelasma is more than a cosmetic issue – it can affect your confidence and may signal underlying health concerns. Here’s why patients across London, Chelmsford, and Hatfield trust us for their xanthelasma surgery:
- Expertise: Our team is led by Mr Mfazo Hove, one of the UK’s top-rated ophthalmic surgeons, supported by highly qualified consultant ophthalmologists.
- Advanced technology: We employ the latest surgical and laser techniques for precise, effective, and safe xanthelasma removal.
- Personalised care: Every patient receives a thorough assessment, clear explanation of options, and a bespoke treatment plan.
- Outstanding outcomes: We prioritise natural-looking results, rapid recovery, and minimal risk of recurrence.
- Comprehensive support: From initial consultation to post-operative care, our team is with you every step of the way.
Your Journey to Clearer, Healthier Skin Starts Here
If you are concerned about xanthelasma eye lesions, don’t let them affect your confidence or quality of life. At Blue Fin Vision® Eye Clinic, we combine medical excellence with compassionate care to deliver the best possible outcomes for every patient.
Take the first step towards clearer, healthier skin and peace of mind. Book your xanthelasma consultation at our Harley Street, London, Chelmsford, or Hatfield clinics today. Trust your vision – and your appearance – to the experts at Blue Fin Vision®.
