38, what can I do for xanthelasma recurrence under eyes? (Photo)

I have had xanthelasma under my eyes removed by surgical excision twice in the last year and a half and both times it comes back within months around the scar. I feel like the surgeries made them angry and they grew. They are flat but make my eye look wrinkled and old (I’m only 38.) I have also lipids and a whole lot of other stuff checked. My ldl was a little high but cardiologist said not numbers he sees xanthelasma in. What can I do? My self esteem is tanking.