Xanthelasma are soft, yellowish patches that appear on the eyelids, usually near the inner corners. They are harmless growths of cholesterol-rich material but can be a cosmetic concern or hint at raised blood fats.
Why xanthelasma forms
Fatty deposits build up in small areas of skin around the eyelids. Some people have normal cholesterol, while others have underlying lipid problems.
- Patches may grow slowly and can be present on one or both eyelids.
- They are usually painless but may feel slightly raised to the touch.
- Family history and high cholesterol increase the likelihood.
- Xanthelasma does not affect vision directly.
- Blood tests can check cholesterol and other risk factors.
Treatment choices
Treatment is not medically essential but may be chosen for cosmetic reasons. Options aim to remove the deposits with minimal scarring.
- Diet changes and medication may control underlying cholesterol levels.
- Removal methods include surgical excision, laser, or chemical cautery.
- Some lesions recur over time, even after successful treatment.
- Careful planning reduces the risk of eyelid shape changes.
- Discuss expectations clearly with your eye or skin specialist.
