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Xanthelasma

Published on 23 Jun 2026
Xanthelasma

What is xanthelasma?

Xanthelasma are soft, yellowish patches of cholesterol-rich material that form on or around the eyelids, most often near the inner corners. They are harmless, but many people choose to have them removed because of their appearance.

When treatment may be considered

Removal is usually considered for cosmetic reasons or if the patches are enlarging. Because xanthelasma can sometimes be associated with cholesterol levels, a blood test to check your lipids may be advised.

Your consultation

Miss Paul examines the patches and surrounding skin, discusses the removal options suitable for their size and location, and explains realistic outcomes — including the possibility that xanthelasma can recur.

Your treatment

Depending on the size and position of the patches, treatment may involve careful surgical removal or another appropriate technique, usually under local anaesthetic.

Recovery

There may be some bruising and swelling that settles over days to weeks, and you will be given aftercare advice. Recovery varies between individuals.

Risks and complications

Risks can include scarring, changes in skin colour, recurrence or, rarely, other issues. Miss Paul will discuss these with you before treatment.

Why choose Miss Anita Paul

Miss Anita Paul combines specialist eyelid expertise with attention to a natural cosmetic result, and can advise on the underlying health considerations linked to xanthelasma.

Frequently Asked Questions

The patches themselves are harmless. However, because they can be associated with cholesterol levels, a check of your blood lipids may be recommended.
It can be, in some people. For this reason a blood test to check cholesterol and related levels is sometimes advised as part of your care.
Xanthelasma can recur after removal in some people. Your consultation will discuss the likelihood and how to reduce contributing factors.
Treatment is planned to minimise scarring, and incisions are placed as discreetly as possible. Any scar usually fades over time.
Yes, xanthelasma removal is usually carried out under local anaesthetic, so the area is numbed and you remain comfortable.

Considering Xanthelasma?

Book a consultation with Miss Anita Paul to discuss your options.

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