How to get rid of xanthelasma

Xanthelasma are soft yellow or yellow-white plaques, usually near the inner eyelids. They are generally not an emergency, but a new eyelid lump should be examined because other lesions can look similar. A clinician may ask about health history and arrange a cholesterol check or other evaluation when appropriate. Treating an underlying lipid problem supports general health but may not remove an existing plaque.

Do not squeeze, scrape, or apply household acids near the eye. After confirming the diagnosis, a specialist may consider CO2 Laser Resurfacing or Surgical Excision. Choice depends on plaque depth, eyelid position, skin characteristics, recurrence concerns, and the need to protect the eye. Discuss wound care, pigment change, scarring, and the possibility that a plaque may return.

Arrange assessment for any new, enlarging, bleeding, painful, ulcerated, or one-sided eyelid lesion. Seek urgent care for sudden vision change, severe eye pain, marked swelling, or trouble moving the eye.

How certain is the diagnosis? Should I check cholesterol or other health factors? Which method best protects eyelid function? What recovery and pigment changes should I expect? How would you manage a recurrence?