Xanthelasma is a ‘small fat deposit’ that appears on the eyelids. The upper and/or lower eyelid may be affected. This subcutaneous lipid deposit is not dangerous to health but requires screening for possible abnormalities in the lipid profile.
The appearance of xanthelasma may be :
In both cases, macrophages (cells that eliminate foreign bodies) absorb the foreign molecules present in the body and become surrounded by lipid particles. This complex is deposited in the eyelid area.
The treatment of xanthelasma addresses an aesthetic concern. These lesions are not harmful to health.
A lipid profile test is mandatory and should be managed if cholesterol levels are elevated.
Doctor Romano uses exclusively an electric scalpel for the removal of these lesions, which is much less traumatic than an ablative laser.
It is a kind of pen with a needle at the tip that selectively vaporizes the lesion.
Local anesthesia is performed, and the treatment lasts about ten minutes.
For one week, the continuous application of a healing cream is recommended on the treated area.
In the first few days, significant swelling may occur, depending on the skin’s tone and the number and extent of the lesions.
The removal of xanthelasma exposes the underlying tissue, leaving a small open wound that heals within a week. Once healed, the skin will have a pink tone for about two months.
The full healing process takes around six months.
A common side effect is a lighter or darker discoloration of the skin in the treated area.
Recurrences are frequent, and no factor can predict the timing of recurrence.
Xanthelasma treatment is performed by Dr. Romano using an electric scalpel. The price starts at 300 CHF per session, with adjustments based on the number and size of the lesions to be treated. In most cases, a single procedure is sufficient. If needed, a touch-up can be performed free of charge two months after the initial treatment. A personalized quote is provided during the preliminary consultation, based on the clinical assessment.
Xanthoma is generally not serious, but it can be a sign of excess lipids in the blood (hyperlipidemia) or other metabolic disorders. Although it is benign, it is important to consult a healthcare professional to identify the cause and assess the associated cardiovascular risk.
For a xanthelasma, it is recommended to consult a dermatologist, a specialist in skin conditions. A general practitioner can also make an initial diagnosis and refer you to a specialist if necessary.
Some creams containing trichloroacetic acid or retinoids may help reduce the size of xanthelasmas, but their effectiveness remains limited. These products should be used under medical supervision. However, the most effective treatments are usually dermatological procedures such as laser, cryotherapy or electrocoagulation.
Yes, makeup can temporarily conceal a xanthelasma. Using a high-coverage concealer and a suitable foundation helps visually reduce the appearance of the spots. It is recommended to choose non-comedogenic and hypoallergenic products to avoid irritating the skin.
No, xanthelasma is painless. It appears as yellowish plaques on the eyelids, without causing pain. However, some patients may experience cosmetic discomfort.
Xanthelasma does not directly affect vision. However, if it becomes large, it may cause cosmetic discomfort and, in rare cases, slightly hinder the opening or closing of the eyelids. Early treatment helps prevent any complications.
