Different terms for Xanthelasma = Xanthoma = Cholesterol on eyelid = Fatty Deposit Eyelid = Fatty Lump around the eye = White Spot around the eye = Eye Cysts = Yellow marks on eyelid = Yellow eyelids = Yellow eyelid marks = Yellow Eyelid Bump
What Is A Xanthelasma?
The appearance is of yellow or white flat plaque or spot over the upper or lower eyelids, most often near the iside of the eye. They are made up of cells, that have eaten up blood fats. A Xanthelasma is therefore essentially a fatty cholesterol deposit around the eye. They do occur in other parts of the body, but they would then be called Xanthoma.
How Can I Self Diagnose A Xanthelasma?
The appearance is usually beyond doubt, because there are not many other known conditions causing yellow plaques in the same areas. Another small tumour of the tear duct called Syringoma can sometimes be confused with it. Sometimes there can also be cysts which look similar although they tend to be bulkier.
Who gets Xanthelasma?
They occur a little more often in women than in men and the peak incidence is in the fourth to fifth decades. There have been some publications about Xanthelasma running in families and being related to high blood fats, but there is no conclusive evidence.
How can I prevent Xanthelasma growing bigger or re-forming after removal?
The answer is we don’t know. There is some evidence that lowering your blood fats by loosing weight, taking cholesterol lowering tablets or changing your diet would directly affect the Xanthelasma, but as it makes good common sense to do so anyway you may wish to consider this.
Do they get bigger?
Once the Xanthelasma is established, it tends to remain the same size or grow slowly; it definitely does not go away by itself. Your eyelid function will generally not be affected and drooping of the eyelid is rare. Because of their tendency to grow it is better to treat them early if you are concerned about your appearance.
Anything else I need to look out for?
Yes, you need to get your blood fats checked by your doctor and do a risk assessment for your heart and blood vessels.
What Can Thames Valley Surgical Services Do For Me?
Option 1: Microcautery = Electrodessication (recommended option)
For most Xanthelasmas we use Electrodessication (Microcautery). This treatment causes less scarring than cryotherapy (freezing) and is less dangerous than chemical treatments to the eye. Most patients find that the resulting scar looks significantly better than the yellow plaques. You will experience an 80-90% improvement. And treatment is quick and requires no suture removal.
Option 2: Full surgical removal of Xanthelasma
This option is limited to patients with smaller Xanthelasmas because removing too much of the eyelid tissue may leave the skin too tight. It is also usually limited to older patients because young patients with taut skin could experience problems after the surgery.There needs to be enough excess / redundant skin for this option.
Prior to surgery we will give you a local anaesthetic, usually via injection.
Cost of Xanthelasma Removal: from £250*
Electrodessication = Microcautery of Xanthelasma
The cost of removal for Fatty Cholesterol Deposits around the eye (Xanthelasma) starts at £250* for one eyelid and £50 for every further eyelid, regardless of the size of the Xanthelasma. This does not include the consultation. For further price guidance click here
Furthermore, if you need a second or third treatment within 3 months of the first treatment we will provide this at 50% of the initial cost (i.e. say you had 2 Xanthelasmas for £300, you will pay £150 for a second treatment)
Full surgical removal of Xanthelasma:
Full cutouts are priced at £330* for the first Xanthelasma and £190 for every further Xanthelasma up to 3cm. More extensive Xanthelasmas are more expensive. There are no discounts for further procedures because any further procedure is due to the natural re-occurence of Cholesterol in a new different area (which was not cut out).
* consultation discount of £60 has been applied in this price
Make an appointment
To make an appointment you can contact us or book a clinic appointment online. Alternatively you can ask for a telephone appointment. If you do so, please read the section “How TVVS works”, thoroughly. In case you are worried about pain, please click here to see how we provide painfree surgery.
More Information: For a glossary on minor surgery terms, click here
For more infomation about Lipomas look at patient.info
Accessibility Information: Locations Appropriate for Referral or Treatment:
We provide Minor Surgery / Skin Surgery for Lipomas, Cysts, Warts, Moles, Skin Tags, Xanthelasmas and Split Earlobes in Maidenhead, Berkshire, which is near Windsor and Ascot and Heathrow Airport and close to London, South Buckinghamshire, South Oxfordshire, Hampshire and Surrey. TVSS are adjacent to Henley-On-Thames, Marlow, and Twyford. Also, we are close to Slough, Bracknell, Basingstoke, Egham and Gerrards Cross. Chalfont St Peter, Northolt, Harrow and Wembley. Rickmansworth, Richmond, Twickenham, Staines and Virginia Water. Sunningdale and Sunninghill, Ruislip, Reading, Wokingham and West Drayton. Uxbridge, Farnborough, Woking, Guildford. Oxford, Banbury, Milton Keynes and Coventry. Essex, Sussex, Kent, Swindon, Portsmouth and Bristol, Bath, Brighton, Eastborne and Southhampton are all no more than an 45 minutes to 2 hours away. Via the M4 we are also accessible to certain locations in South Wales