XANTHELASMA

Xanthelasma are yellowish deposits seen just under the skin surface in the inner corners of the upper and lower eyelids. These cholesterol deposits are located in the superficial dermis and subdermal tissues. Occasionally, xanthelasma can become larger, nodular and extend into the underlying orbicularis muscle. Xanthelasma are diagnosed most frequently in 40 to 50-year-olds. They usually occur in patients with normal serum cholesterol levels.

Precise excision closure are performed to allow proper lid position and blink dynamics post operatively.

Unfortunately, xanthelasma can recur. It is reported that 40% of patients with one excision/removal had a recurrence. If the xanthelasma return and repeat excision is required, a skin graft may be necessary if there is not sufficient tissue to close the wounds.