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Xanthelasma/ Cholesterol Eyelid Deposits

Xanthelasma (also known as xanthelasma palpebarum) represent fatty infiltration deposits of the skin leading to the formation of yellow plaques affecting the skin of the sides of the nose. They may develop spontaneously in some patients but in some patients may occur in connection with hypercholesterolaemia or hyperlipidaemia (high cholesterol/serum lipid levels). All patients who develop xanthelasma must therefore have their serum cholesterol levels measured by their GP to exclude these conditions. Patients with untreated hypercholesterolaemia/hyperlipidaemia are at a higher risk of suffering strokes and heart attacks. Xanthelasma can be removed when they prove to be a cosmetic issue for the patient. This can be done with laser treatment and chemical peels for small xanthelasma but may often surgery for larger xanthelasma plaques. Although the vast majority of medium sized xanthelasma plaques may be treated with simple excision, larger xanthelasma plaques sometimes require eyelid reconstruction using skin flaps to avoid eyelid malposition

Upper Lid Xanthelasma. Pre and post op photos. Both cases removed with surgery.

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