Xanthelasma are soft, yellowish cholesterol deposits that commonly develop on the inner corners of the upper or lower eyelids. While benign, these lesions often become more prominent over time and can draw unwanted attention to the eyes. Many patients seek removal not only for aesthetic improvement but also to restore a smooth, even eyelid contour. Because the eyelid skin is among the thinnest on the body, xanthelasma excision requires delicate surgical technique to achieve natural results without distorting eyelid shape. Dr. Fereshteh Azad, oculoplastic surgeon at Austin Face & Body, specializes in cosmetic eyelid procedures that balance precision with artistry, ensuring refined results with minimal downtime.
How Xanthelasma Develops
Xanthelasma typically appears as flat or slightly raised yellow plaques near the inner corners of the eyelids. They are composed of cholesterol-rich deposits that accumulate within the skin. Although they can occur in individuals with normal cholesterol levels, they are sometimes associated with high lipid levels or metabolic factors. While these lesions are harmless, they can enlarge over time or spread to adjacent eyelid areas, creating contour irregularities or textural changes.
The Importance of Choosing an Oculoplastic Surgeon
Eyelid surgery demands a combination of precision and aesthetic understanding. The skin around the eyes is thin, mobile, and functionally essential for blinking and tear protection. Oculoplastic surgeons, with advanced training in ophthalmology and facial plastic surgery, are uniquely equipped to remove eyelid lesions safely while preserving eyelid function and maintaining symmetry. Dr. Azad’s approach emphasizes minimal trauma to surrounding tissues and careful closure techniques that blend seamlessly with the natural eyelid fold. This subspecialized expertise helps reduce the risk of visible scarring or lid contour changes.
Treatment Options for Xanthelasma
The gold standard for definitive treatment of xanthelasma is surgical excision. The lesion is removed under local anesthesia through a precise, superficial dissection that spares deeper eyelid structures. Dr. Azad typically performs this procedure in the office, allowing patients to return home the same day. Alternative treatments such as chemical cauterization, radiofrequency ablation, or laser therapy can be used in select cases, particularly for very superficial or early lesions. However, these options may require multiple sessions and carry a higher risk of incomplete removal or pigment change. For established lesions, surgical excision provides the most reliable, lasting cosmetic result.
Recovery After Xanthelasma Removal
Xanthelasma excision is performed with local anesthesia and usually takes less than thirty minutes. Patients may experience mild swelling or redness for several days, which can be covered with makeup once healing begins. Sutures, if placed, are typically removed after five to seven days. Because the skin in this region heals exceptionally well, postoperative marks fade quickly. Within two to three weeks, the incision line blends naturally into the surrounding skin.
Preventing Recurrence
Although complete removal is highly effective, xanthelasma can occasionally recur, especially if cholesterol levels remain elevated. Dr. Azad often recommends coordination with a primary care physician or lipid specialist to evaluate and manage underlying cholesterol imbalances. Maintaining a healthy diet, avoiding smoking, and managing lipid levels may help reduce the risk of recurrence. For most patients, however, recurrence is uncommon when the lesion is fully excised.
Combining Xanthelasma Removal with Eyelid Rejuvenation
For patients who also have signs of eyelid aging, such as skin redundancy or puffiness, xanthelasma removal can be combined with upper or lower blepharoplasty. Performing both procedures together can rejuvenate the entire periocular region, enhancing smoothness and contour while avoiding multiple recovery periods.
Experience Refined Results with Dr. Fereshteh Azad
Xanthelasma excision is a simple yet transformative procedure when performed by a skilled eyelid specialist. With her background in ophthalmology and facial plastic surgery, Dr. Fereshteh Azad provides patients with safe, elegant outcomes that restore both confidence and eyelid aesthetics.
If you’re ready to restore your confidence and rejuvenate your eyes, contact Austin Face & Body today to schedule a consultation with Dr. Fereshteh Azad.