Cholesterol Deposits

Understanding Xanthelasma


Xanthelasma, also known as cholesterol deposits, are fatty cholesterol deposits that typically form around the eyes. If you notice yellow patches on the inner corners of your eyelids, you might have xanthelasma. These patches are composed of cholesterol under your skin and, while not harmful, they can be unsightly and cause distress.


Characteristics and Occurrence


Xanthelasma manifests as yellow spots or plaques over the upper and lower eyelids and at the corners of the eyes. This condition is slightly more common in women than in men, with peak incidence occurring between ages 40 and 50. It can also be hereditary. Xanthelasma can indicate high blood cholesterol levels, so it's advisable to have your cholesterol levels checked by your GP. However, they can also occur in individuals with healthy cholesterol levels.


Nature and Progression


These patches typically do not disappear on their own. They tend to remain the same size or grow over time, with additional patches potentially appearing. Unfortunately, there is no proven method to prevent xanthelasma. Like any surgical procedure, treatment carries a small risk of bleeding, infection, scaring and wound healing issues. Patients can usually resume normal activities within 1-7 days but should avoid strenuous exercise for two weeks.


Appearance and Distribution


Xanthelasma can appear anywhere on the body but are most commonly found around the eyes. They range in size from tiny spots to about three inches across. These deposits are typically flat, soft, and have well-defined edges with colours varying from flesh-coloured to yellow, pink, or slightly reddish. While they are not usually painful, they can be frustrating due to their appearance.


Treatment Options: Thermology, Radio Frequency, and Mycrolysis


  • Thermology, Radio Frequency, and Mycrolysis: These treatments are used to dry out and cauterise the deposits. While effective, there is a small risk of scarring and more than one procedure may be required.


Recovery and Aftercare


Most areas of the body require minimal recovery time, but the eyes can swell significantly. Patients can return to work and normal activities immediately after treatment unless there is significant swelling. Post-treatment discomfort and scabbing are expected as the area heals.


  • Precautions: If the treated area is on the face, you may want to plan treatments around social events. Generally, healthy patients without skin diseases or active infections are suitable candidates for this treatment.


Important Considerations Include (but not limited to):


Medical Evaluation: If any abnormalities are present, treatment will be deferred, and further evaluation by a GP, dermatologist, or skin specialist may be required, especially in cases of suspected malignancies or skin cancers.

Pregnancy: While there is no evidence that these treatments are harmful during pregnancy, it is often recommended to wait until after childbirth.


Aftercare Instructions:


  • The treated area will be sore, swollen, possibly bruised, scabbed, and sensitive.
  • Avoid using perfumed products, swimming, makeup, saunas, steam rooms, sunbeds, Jacuzzis, or fake tan applications until the area has completely healed.
  • Refrain from using AHA and glycolic acid facials, eye creams, or treatments on the area for up to three months post-treatment.


Pre-Treatment Consultation: A full consultation is provided before any treatment. Avoid alcohol 72 hours before and after surgery, and do not take blood-thinning medications like paracetamol or aspirin. Rest the area for a minimum of 72 hours post-treatment. Antibiotics may also be needed from your GP.


For professional and effective treatment of xanthelasma, consider thermology, radio frequency, or microlysis as advanced and reliable solutions.