Xanthelasma are yellow plaques that occur most commonly near the inner canthus of the eyelid, more often on the upper lid than the lower lid.
Xanthelasma are yellow plaques that occur most commonly near the inner canthus of the eyelid, more often on the upper lid than the lower lid. They result from deposition of cholesterol lipids in the skin. Frequently, they are symmetrical; often, 4 lids are involved. They have a tendency to progress, coalesce, and become permanent. They can occur at any age though they are most common in the 4th an 5th decade of life. They are more common in women. About half of these lesions are associated with elevated plasma lipid levels (raised cholesterol). The remaining have no obvious cause. The risk of recurrence is high in the presence of elevated cholesterol.
Various treatments are described for the treatment of Xanthelasmas. The two more commonly used are chemical peel and surgical removal. The chemical peel may have to be repeated several times to achieve the desired effect. Surgical removal offers excellent results but in a minority of patients the xanthelasma may recur, especially in the presence of elevated cholesterol
You are suitable for Xanthelasma treatment if you have the following:
• Yellow plaques or blemishes on the eyelids
• Unhappy with the way the eye lids look
• Normal or controlled cholesterol
Before any treatment is undertaken your blood lipid / cholesterol levels will to be checked to make sure they are not elevated. The risk of recurrence is quite high in the presence of elevated cholesterol.
Risks of surgery
Although xanthelasma removal is a relatively small a straightforward procedure, all surgery carries some uncertainty and risk. When eyelid surgery is performed by a qualified oculoplastic surgeon, complications are infrequent and usually minor. Nevertheless, there is always a possibility of complications, including infection, scarring etc. You can reduce your risks by closely following your surgeon's instructions both before and after surgery.
Your surgeon will provide you more detailed information based on your specific requirements.
Preparing for surgery
Your surgeon will give you specific instructions on how to prepare for surgery, including guidelines on eating and drinking, smoking, and taking or avoiding certain vitamins and medications. Carefully following these instructions will help your surgery go more smoothly.
Types of anaesthesia
The majority of procedures in this field are performed under local anaesthesia.
Your surgeon will draw a line around the blemish and then remove the lesion. The incision is then closed with very fine stitches. The time taken for surgery will depend on how many eyelids are involved and can be between 15 - 60 minutes.
Following surgery the amount of swelling and bruising will depend on the size and number of lesions. We would recommend you take 2 - 3 days off work to aid your speedy recovery. The stitches are removed after one week
Getting back to normal
In most cases the skin will heal completely within a week to 10 days. You can apply makeup after the stitches are removed
The new look
Healing is a gradual process, and your scars may remain slightly pink for six months or more after surgery. Eventually, though, they should fade to a thin, nearly invisible white line.