Dr. Hina Altaf Dermatologist

Xanthelasma Palpebrarum

Xanthelasma Palpebrarum

Xanthelasma Palpebrarum is a skin condition characterized by the development of yellowish, cholesterol-filled growths on or around the eyelids. These growths typically appear as small, soft, and slightly raised plaques. Xanthelasma is usually painless but can be cosmetically concerning to individuals, as they often appear in a noticeable area of the face.

While Xanthelasma itself is generally considered a benign condition, it can sometimes indicate underlying health issues, particularly related to elevated cholesterol levels and an increased risk of cardiovascular disease.

Treatment options

Treatment options for xanthelasma palpebrarum include:

Surgical Removal: In some cases, a dermatologist or plastic surgeon may recommend the surgical removal of xanthelasma growths, particularly if they are causing cosmetic concerns or discomfort. The procedure usually takes around 30 minutes to an hour, depending on the number and size of xanthelasma growths.
Local anesthesia is typically used, so patients may feel only minimal discomfort during the procedure. Surgical removal may leave small, faint scars, but their visibility can diminish over time.

Laser Therapy: Laser treatment can be used to target and remove Xanthelasma growths. Laser treatment is relatively quick, often taking 15 to 30 minutes, depending on the extent of the Xanthelasma. Patients may experience a mild to moderate burning or stinging sensation during the procedure. Local anesthesia or topical numbing agents can be used to minimize discomfort. Scarring, if present, is often minimal.

Cryotherapy: Cryotherapy involves freezing the growths with liquid nitrogen to remove them. It is a brief procedure that usually lasts a few minutes. Patients may experience a burning or stinging sensation during and after the procedure, but it is generally manageable. Cryotherapy may lead to some scarring especially in dark-skinned individuals , which can vary in visibility depending on individual healing processes.
Topical Medications:

Treatment with topical medications is a long-term approach, often spanning several weeks to months. It is generally painless, but the results might be inconsistent.
The specific experience of pain, procedure duration, and scarring can also vary depending on individual factors, such as skin type, the extent of xanthelasma, and the expertise of the healthcare professional performing the treatment. It’s essential to discuss these aspects with a qualified healthcare provider to determine the most suitable treatment option for your unique case and to manage expectations regarding pain, duration, and scarring.
It’s important to note that xanthelasma can sometimes occur in individuals with normal cholesterol levels and the exact cause is not always clear. Therefore even with preventive measures (healthy diet, cholesterol monitoring, smoking cessation, alcohol moderation) it may not be entirely avoidable. However, addressing the risk factors mentioned can significantly reduce the likelihood of developing xanthelasma palpebrarum and promote overall cardiovascular health. If you notice any changes around your eyelids or have concerns, consult a healthcare professional for an evaluation and personalized guidance.

Presents As

Yellowish, cholesterol-filled growths on or around the eyelids

Underlying Health Issues

Elevated cholesterol levels and an increased risk of cardiovascular disease

Minimal Downtime

You can return to your daily routine immediately after

Preventive Measures

Preventive measures: healthy diet, cholesterol monitoring, smoking cessation, alcohol moderation

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Dr. Hinah Altaf’s clinic is currently at Gargash Hospital, 145 Umm Suqeim Street – Umm Al Sheif -Dubai.