Best method for removing flat xanthelasma under the eyes? (Photo)

Thank you for sharing your question. There is no one best method for removing xanthalasmas from the eyelids. I prefer excision with a scalpel. See an experienced Oculoplastic Surgeon for evaluation and discussion of potential treatment options.Good luck,

Before doing anything you should have your blood cholesterol and lipid levels checked and normalized as need be because you do not want recurrences. The best treatment is direct excision but sometimes that is not doable because the size of excision or the number of excisions distorts the eyelid. In that case serial excisions giving the skin time to stretch and accommodate between smaller excisions is the best option. The deposits are deep to and in the skin so skin surface only treatments do not work. Removal attempted through small skin incisions are usually non-productive as well.

The only effective method to remove eyelid xanthalasma is to excise them. Laser or peel do not work. See an oculoplastic surgeon.