NHS waiting times for xanthelasma removal are often long, and in many areas this procedure may not be routinely funded because it is usually considered cosmetic.
Why access can be limited
Xanthelasma plaques are harmless cholesterol rich deposits on the lids that rarely affect vision or eye health. NHS resources are focused on treatments that preserve sight or relieve significant functional problems.
- Funding policies differ between regions and change over time
- Applications may be considered if lesions are very large or deforming
- Your GP or specialist can advise whether referral is possible locally
- Blood tests to check cholesterol and general health are still important
Considering private treatment
Because access on the NHS is restricted, many patients choose private removal with surgery, chemical cautery, or other techniques. When comparing options, focus on surgeon experience around the delicate eyelid area.
- Ask about expected downtime, scarring, and recurrence risk
- Confirm total costs, including follow up visits or potential touch ups
- Continue managing cholesterol and lifestyle to reduce new lesions
- NHS eye services remain available for separate medical eye problems
