---
title: What is xanthelasma?
description: "Xanthelasma are yellowish cholesterol-rich plaques that appear on or near the eyelids, most commonly close to the inner corners. They are benign but can be cosmetically concerning. ## Causes Some people with xanthelasma have underlying lipid abnormalities, while others have…"
url: "https://bluefinvision.com/knowledge-base/topics/conditions-diseases/what-is-xanthelasma/"
updated: "2025-12-16"
category: "Conditions & Diseases"
---

# What is xanthelasma?

Xanthelasma are yellowish cholesterol-rich plaques that appear on or near the eyelids, most commonly close to the inner corners. They are benign but can be cosmetically concerning.

## Causes

Some people with xanthelasma have underlying lipid abnormalities, while others have normal blood cholesterol. There is often a familial tendency.

- Lesions are usually soft, flat or slightly raised
- May gradually enlarge or multiply over time
- Do not affect vision directly

## Management

Blood lipid testing is often recommended through the patient's GP. When removal is desired, options include precise surgical excision or other specialist techniques; see the [xanthelasma removal](https://bluefinvision.com/xanthelasma-removal/) page and associated Blue Fin Vision® educational material.

## Recurrence

Lesions can recur, especially if underlying lipid issues persist, so long-term cardiovascular risk management is important.