Xanthelasma removal treats yellowish cholesterol rich plaques on or near the eyelids that, while harmless, can be cosmetically troubling and may slowly enlarge.
Understanding xanthelasma
These soft, flat or slightly raised patches often appear near the inner corners of the upper or lower lids. Some people have high blood cholesterol, so your doctor may suggest a general health and lipid check.
- Plaques may occur even when blood tests are normal
- They rarely cause pain but can affect confidence and make make up difficult
- Multiple patches may be present on both sides
- Discussing expectations is important, as removal does not prevent new plaques elsewhere
Removal options and healing
Treatment can involve precise surgical excision, chemical cautery, or other specialist techniques depending on size and site. The aim is to clear the lesion while preserving natural eyelid shape and closure.
- Usually done under local anaesthetic in the clinic or day theatre
- Redness, swelling, and mild crusting are common for one to two weeks
- Scarring is minimised by careful technique but a faint mark may remain
- Healthy lifestyle and cholesterol control may reduce future risk
