Xanthelasma Treatment

Xanthelasma Treatment

Xanthelasma Treatment

Xanthelasma Palpebrarum is a condition of bumpy yellow patches around the eyes or insider eyelid corners. It is sharply demarcated cholesterol and it occurs around or over the eyelids. These cholesterol deposits are neither painful nor harmful to the skin and it is possible to remove them. It is because they can be severe cosmetic issue, but not functional impediment, for patients. However, there is chance of them becoming nodular and larger and may look like timorous, in its proportion.


The underlying disorder can be occurred, with the similar family history.

Risk Factors

Risk of developing deeper and intense Xanthelasma is more in the following cases

  • You are obese
  • Habit of smoking
  • Age ranging between 30 and 50
  • Condition of diabetes
  • Resident of Mediterranean or Asian or Descent from the same
  • High blood pressure conditions
  • Abnormally higher lipid levels


Xanthelasma is diagnosed through clinical impression and prior to that it is important to perform differential diagnosis to distinguish from other possible conditions. It is because the conditios of syringoma, necrobiotic xanthogranuloma, Erdheim-Chester disese, palpebral sarcoidosis, lipoid proteinosis or AAPOX syndrome also have similar skin conditions. This differential diagnosis is performed through microscopic examination after surgical excision and should be done by pathologist only. The exact condition of diagnosis for Xanthelesma treatment is soft and yellowish papules, nodues or plaques, distributed over the upper eyelids’ medial side, symmetrically and even possible at lower eyelids also.


Xanthelasma is treated to remove, in different ways, like cryotheraphy, lasers, surgery or trichloroacetic acid peel. Some of the patients may need to go for hyperlipidemia. The treatment is performed practically for electrodessication, eelctrofulguration and electrocoagulation, using hyfrecator, which is a electrosurgical device. It is highly cautioned to perform with an utmost care to prevent any damage happening to the eyes, while treating hypertrichosis around the eyelids. Multiple superficial lesions, like verruca, cherry angiomas and venous lakes can also be treated through high frequency and powered current. Utmost care is again mandatory to prevent damage to the nearby structures. Electrodessication is a potential method to treat, while maintaining good balance of availability, safety, usage and cost. Compared to the laser treatments, surgical excision, scarring as well as patient down time can be well minimized.

Traditional and Regular Treatments

  1. Chemical Peels – This is a common treatment for the Xanthelasma conditions in the initial stages and more than 90% of these patients expressed satisfaction and results are optimal.
  2. Cryotherapy – This treatment attempts to freeze Xanthelesma with certain chemicals, such as liquid nitrogen.
  3. Traditional Surgery – Xanthelesma would be removed by using knife by the surgeons.
  4. Laser Surgery – Fractional CO2 surgery and other types of laser surgeries are found to be effective and useful.
  5. RAF (Radiofrequency Advanced Elecrrolysis) – This treatment method is effective and potential in terms of reducing or eliminating the conditions of Xanthelasma and recurrence cases are hardly a few.

Practically, controlling and managing cholesterol also can reduce the effect of Xanthelasma. It needs to ensure avoiding smoking, maintaining healthy wait, daily physical exercises and limited saturated fats consumption.

Side Effects To Treatment

The treatment procedures hardly result any side-effects, except very rare pigment changes and scarring. Recurrence of Xanthelasma is possible and hence, the treatment should be done complete and clearly by an expert dermatologist.