Xanthelasma Removal
How is xanthelasma treated?
The removal of xanthelasma can be performed in a number of ways :

• Surgical excision – direct surgical excision is a viable method of removal, however, it tends to leave scars. Furthermore, due to the recurrent nature of xanthelasma, further surgical resections may be required. As there is a finite amount of skin that can be excised without causing problems, the number of surgeries performed may be limited.

• Resurfacing with an Erbium or Carbon dioxide laser – these lasers can be used to ablate (vapourise) xanthelasma.

• Removal of xanthelasma with radiofrequency – radiofrequency devices can cut and coagulate tissue simultaneously without causing much heat energy transfer to the surrounding skin. This is more suitable for larger xanthelasma lesions.

Most people with xanthelasma have high cholesterol or lipid problems, which could put you at risk for scary health conditions like heart attack or stroke, so set up an appointment with your primary care doctor if you notice them. (Don’t miss these other silent signs of heart problems.) Still, some people with low or healthy cholesterol levels can still develop xanthelasma, so lowering your cholesterol might not be necessary—or at all useful. If you do need to lower your “bad” LDL, avoid these eating habits that are bad for cholesterol. 

Surgery 
The thing is, lasers might not work for thicker cholesterol deposits. In that case, you could get surgery to remove the xanthelasma instead. But that treatment could leave a scar, or even change your eyelid “As you pull the skin together or as the wound heals, it can distort the shape of the tissue around it and distort the eyelid or cause an unusual fold,” he says. But the healing process is quicker with surgery, which would be ideal if you don’t want to wait for recovery
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