Xanthelesma Excision


Xanthelasma palpebrarum (XP) is a benign disorder manifesting as yellowish cholesterol-laden plaques on the eyelids. Xanthelasma palpabrarum is the most common cutaneous xanthoma. Histologically, xanthelasmas are composed of xanthoma cells, or foam cells, which are typically found in the middle and superficial layers of the dermis in perivascular and periadnexal locations, with evidence of concurring fibrosis and inflammation.

It develops most frequently around the eyelid area.

An Example of Xanthelesma


About half of people with xanthelasma have high cholesterol. You’re more likely to get these growths if you have:

  • High LDL (“bad”) cholesterol or low HDL (“good”) cholesterol
  • Inherited high cholesterol (familial hypercholesterolemia)
  • Liver disease called primary biliary cirrhosis, which can raise cholesterol levels

Xanthelasma is most common in people whose families are from Asia or the Mediterranean. Research suggests that xanthelasma may be an early warning sign that cholesterol is building up in your blood vessels. Over time, cholesterol deposits can form hard, sticky plaques in your arteries. This buildup is called atherosclerosis, and it can lead to heart disease, heart attack, or stroke.

Xanthelasma may also be linked to other heart disease risks, such as:

  • Diabetes
  • High blood pressure
  • Obesity
  • Smoking


Will I be left with scars after being treated for Xanthelasma removal with surgical excision?
Our Korean Trained Plastic Surgeon is able to extract the fat pad in the skin with minimal scarring. The manual excision, using a conventianal scalpel is the procedure that enables the yellowish cholesterol deposit to be 100% removed. The small incision point with be lightened and eventually heal to a natural skin colour over time.

If I decide to have my Xanthelasmas surgically excised, will I need anaesthetic?
This procedure can be done under local anesthesia. It is safely carried out in a MOH licensed day surgery centre.

Is Xanthelasma treatment covered by insurance?
If this is a medical condition and caused visual impaired around the eyes area, this procedure could be claimed under your insurance plan. Otherwise, this is considered a cosmetic procedure.

Will my Xanthelasma come back after treatment?

Sometimes Xanthelasma do return after surgical removal. However, the percentage is significantly lower than those who use the laser removal method. This is because the cholesterol fat cells are dissected away from the skin. If this were to reoccur, *it would take a longer time to develop again comparatively to the cases of dissolvable fat.

If I decide to have my Xanthelasmas surgically excised, how many treatments should I undergo?
Notwithstanding the size and thickness of the Xanthelasmas, one treatment will be usually enough to get rid of these unwanted lesions. in certain cases of deep rooted Xanthelasma the treatment should be split into two sessions,

During the first session the main bulk of the Xanthelasma is removed. Usually the deep rooted residues of the Xanthelasma should be left untreated during the first session to avoid potential damage to the dermis.

One month later, the deep-rooted Xanthelasma residues left untreated will have shifted to the superficial layers of the epidermis. Therefore during the second session it will be easy to remove all the remaining Xanthelasma residues leaving the dermis unaffected and therefore minimizing the risks of scarring.

Recovery Time

  • *Average downtime is 7-10 days.
  • Post-treatment, the patient experiences bruising and swelling with minimal discomfort.
  • Painkillers will be provided to ease the discomfort.
  • *Results appear immediately and on average, the final desired result is seen in roughly 1 month.

* Disclaimer: results vary according to individual