Xanthelasma is a deposit of cholesterol in the eyelid skin, forming painless yellowish plaques, most often near the inner corner of the eye. It is perfectly benign, but does not disappear spontaneously.
Recognising it
Yellow plaques, flat or slightly raised, often symmetrical, spreading slowly. They cause neither pain nor visual disturbance, but their aesthetic impact is frequent.
The work-up
A lipid panel is recommended: xanthelasma can be associated with a cholesterol abnormality, particularly in younger patients — although it often occurs with normal results.
The treatment
Surgical removal under local anaesthesia is the reference treatment, with a scar hidden in the natural folds — sometimes combined with an upper blepharoplasty. Recurrences are possible.
Frequently asked questions
Does xanthelasma come back after surgery?
Recurrences are possible, especially if a lipid abnormality persists — hence the value of the work-up and, where appropriate, its treatment.
Book an appointment
Consultations in Boulogne-Billancourt (Ophtalife) and Saint-Maur-des-Fossés (Beaurepaire).