Xanthelasma

Xanthelasma are soft, yellowish cholesterol deposits that form on or around the eyelids. While harmless, they can still affect how you feel about your appearance. Surgical removal by an experienced oculoplastic surgeon offers the most effective, lasting solution.

What Is Xanthelasma?

Xanthelasma appears as flat or slightly raised yellow plaques on the eyelids, most often near the inner corners. While painless, the deposits can gradually enlarge, sometimes affecting the full length of the eyelid and becoming difficult to conceal with makeup. Though benign, xanthelasma is often associated with elevated cholesterol or lipid levels—about half of patients have high cholesterol. Because the condition does not resolve on its own, surgical removal is the most effective solution and is best performed when the lesions are still small.

What Are the Benefits of Xanthelasma Removal?

Restores a clearer, more even eyelid appearance
Minimally invasive, in-office procedure
Effective for all skin tones and types
Results are long-lasting with proper care
May improve vision if the lesions are obstructive
Boosts confidence in professional and social settings
Low risk of scarring when performed by a skilled oculoplastic surgeon

Who Is a Good Candidate for Treatment?

You may be a candidate for xanthelasma removal if you:

Have visible yellow deposits on your upper or lower eyelids
Feel self-conscious about the appearance of your eyelids
Have not seen improvement through lifestyle changes
Are in overall good health and have realistic expectations
Prefer a surgical approach over laser or chemical peels
Have received clearance from your primary physician for cholesterol-related concerns

You'll meet with Dr. Michael Connor for a thorough consultation to discuss the safest and most effective plan for your care.

Schedule a Consultation

How Is Xanthelasma Treated?

While some may consider laser therapy or chemical peels, these options often fall short. Surgical excision remains the gold standard for xanthelasma removal. The procedure is typically performed in our office using local anesthesia.

During the treatment, Dr. Connor precisely removes the cholesterol plaques and carefully closes the incision with dissolvable sutures. Any scarring is typically hidden within the eyelid’s natural crease and tends to fade over time. In cases where the xanthelasma is extensive, a combination procedure with blepharoplasty may be recommended to restore both form and function.

What to Expect During Recovery

Recovery from xanthelasma removal is generally brief and well tolerated:

Mild swelling and bruising may last for several days.
Cold compresses are recommended for the first 48 hours.
Topical antibiotic ointment or drops may be prescribed.
Avoid strenuous activity for at least one week.
You’ll return for a follow-up appointment approximately three weeks after treatment.

Most patients experience only minimal discomfort and are able to return to their usual activities within a few days. Makeup and eye products should be avoided until cleared by Dr. Connor.

“First of all, the office staff are exceptional professionals who get back to you in a timely manner.”

"Everyone was so pleasant while answering every silly question that came to mind. Prior to my surgery, Dr. Connor explained every detail... I had no pain after the surgery; it's now 4 weeks post-surgery. I'm thrilled. I will be sending all my friends and family to feel refreshed and happy!”

- Marcie

Why Choose Dr. Michael Connor for Xanthelasma Removal?

Dr. Michael Connor is a board-certified oculoplastic surgeon with fellowship training in eyelid and facial procedures. He is known throughout South Florida for his precision, transparency, and patient-first philosophy. Dr. Connor is often the first choice for other physicians and surgeons seeking care for themselves or their patients.

He performs each treatment with a focus on safety, subtlety, and long-term results. Patients appreciate his calm, approachable manner and the thorough attention he gives before, during, and after every procedure. Whether your concerns are cosmetic, functional, or both, Dr. Connor will tailor your care with compassion, expertise, and attention to detail.

Frequently Asked Question Xanthelasma

What causes xanthelasma?

Xanthelasma is often linked to high cholesterol or lipid levels, but it can also occur in patients with no underlying medical conditions.

Who is most likely to get xanthelasma?

It is most common in middle-aged adults, with a slightly higher prevalence in women.

What is the cost of treatment?

Costs vary based on lesion size, complexity, and whether additional procedures are combined. Dr. Connor will provide a personalized quote during your consultation.

Will the results last?

If the underlying cholesterol imbalance is addressed, results are usually long-lasting. However, recurrence is possible in some cases.

Is the procedure painful?

Local anesthesia ensures a comfortable, pain-free procedure, which typically takes less than 30 minutes. After treatment, cold compresses help with swelling, and over-the-counter Tylenol is usually sufficient for any mild tenderness.

Can xanthelasma go away without treatment?

Unfortunately, xanthelasma doesn't resolve itself. Surgical removal is usually needed for lasting improvement.

How should I prepare for surgery?

Plan to avoid smoking for several weeks before your procedure.
Limit alcohol intake.
Remove all eye makeup on the day of treatment.
Arrange for transportation if sedation is planned.

Schedule a Consultation for Xanthelasma Removal Serving West Palm Beach and Palm Beach Gardens, FL

If you’re ready to explore a personalized solution for visible eyelid plaques, Dr. Michael Connor is here to help. During your consultation, he’ll walk you through the procedure, recovery, risks, and expected results so you can make confident, informed decisions. Call (561) 845-6500 or fill out the form below to schedule your visit at our Palm Beach Gardens office.