What do you think the best way to have this xanthelasma removed? Better to cut it or laser it (least scarring)? Thank you.

This lesion can be easily excised with minimal scarring.  No reason to overthink it, good luck, Jane. 

I use a precise Co2 ablative laser for removal of xanthelasma. This allows precise removal of these lesions.  The recovery is minimal.  Healing occurs within weeks. 

This is a very small xanthelasma and the easiest way to remove it would be by excision. It should heal fine with the least chance of recurrence.

Hello and thank you for your picture. Such a small lesion. Cutting it out seems like the best way to deal with this concern.If you have a recurrence, the a laser resurfacing may be a better option.Sincerely,Dr K

For multiple large lesions, I prefer the CO 2 laser.  However, yours appears small, so I would surgically remove it.

Every area of the face scars differently.  Sometimes, it is best to remove a lesion and suture it closed; other times it is acceptable to let it heal on its own.  The medial canthal area is such an area.  Lasers are wonderful, but would not be necessary for removal of this lesion, and would not make it heal better.

That lesion is so small, I would just cut it out and place a couple of sutures. Most likely, it will heal so well you won't be able to see the scar.Andrew Campbell, M.D.Facial Rejuvenation SpecialistQuintessa Aesthetic Centers

If the lesion is as small as it looks in the photo, I would recommend just cutting it out. There is some anecdotal evidence that the recurrence rate is lower if you dont suture the wound closed, so I would just let it heal on its own. Lesions this small usually heal very well with a minimum of scaring.

Xanthelasma can be burned off with a laser, but the scarring can be unpredictableExcison and fine suturing can leave an optimal result under local anesthetisa.High cholesterol can lead to this problem so have it checked by your primary physician..