Xanthelasma

Diagnosis

A healthcare professional can usually diagnose xanthelasma by visually examining the characteristic yellowish plaques around the eyelids. These lesions are typically soft, flat, and located on or near the upper or lower eyelids. To identify possible underlying causes, your doctor may recommend blood tests to check lipid levels, including cholesterol and triglycerides. In rare cases, a skin biopsy may be done to confirm the diagnosis and rule out other conditions that mimic xanthelasma.

Treatment

Treatment for xanthelasma aims to remove the lesions and address any underlying lipid disorders. If the condition is linked to high cholesterol, lifestyle changes and lipid-lowering medications may help prevent recurrence. For cosmetic removal, several options are available:

• Laser therapy using carbon dioxide or erbium lasers

• Surgical excision for larger plaques

• Chemical peels or cryotherapy in selected cases

Although removal is usually effective, xanthelasma can return, especially if cholesterol levels remain elevated.