What is the best way to remove xanthelesma in the upper eyelid? (photo)

Thank you for your question.   I would recommend to start using triluma morning and night six weeks prior to laser treatment. Fractional treatment is very effective for suppressing discoloration and evening out skintone.  Skinpen which is a microneedling device that would also be beneficial for getting rid of melasma.  The microneedling treatment helps to wake up your natural growth factors, shrink your pores, fade discoloration and acne scars, and help increase collagen and elastin production. You would do a treatment every 4 weeks and stay out of the sun as much as possible and always wear spf 50 broad sprectrum.  Always consult with your physician first before starting a treatment

i don't believe that xanthelasma can be properly treated by anything other than surgical excision. see a board certified plastic surgeon.david berman md

A clinical examination will be needed to determine what is best, laser, excision or focal TCA. Up to 50% of cases can be associated with high cholesterol and blood TG, so please get this checked by your local doctor. All the best, Dr Davin Lim. Laser dermatologist, Brisbane. Australia.