Are these Syringomas? How can I remove them? (Photo)

Question

I have had these for a few years. It was suggested by a doctor that it could be due to cholesterol, i had my cholesterol checked and it was fine. They just get bigger and new ones keep appearing. Stared under the eye then upper eye lid and now spreading to my cheek bone area. How can I prevent these and remove them.

Douglas McGeorge, FRCS(Plast) · Answer

You look to have fatty deposits in your lids - xanthalasma.
These also occur in people with normal cholesterol.
They can be excised under local anaesthetic as a simple out-patient procedure.  Unfortunately you may develop further deposits in the future.
A local plastic surgeon should be able to help you.

John McCann, MD, PhD · Answer

Hi snappydragon, Thanks for your question and excellent photos. I am sorry to hear you've been struggling with these eyelid lesions. The lesions in your photo have some characteristics of both syringomas and xanthelasma (cholesterol deposits in the skin around the eyes). So I think an in-person evaluation is important.  Xanthelasma can be seen even in patients with normal cholesterol levels.  Either way, these spots can be treated with simple excision but there is a risk of recurrence.I would recommend a consultation with a skilled oculoplastic surgeon in your area. Good luck!

Are these Syringomas? How can I remove them? (Photo)

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