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

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.