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Removal of the xanthomas can be incorporated into an upper lid lift. My fee is about $2500. I think you'll find that price pretty average.
The cost to remove xanthomas and excess skin on the upper eyelids will vary by surgeon and the type of anesthesia used. I would recommend getting estimates from several surgeons so that you get a variety of options.
There is no problem having the procedures simultaneously and many patients choose to do this to reduce down time. The important thing is to make sure that your surgeon is an expert in treating all these areas. Blepharoplasty, specifically, requires artistry and finesse and revision...
Under eye hyper-pigmentation can often be improved with IPL (intense pulse light) laser or q-switched laser (see below). IPL works nicely for this and is often combined with steroid cream to prevent further inflammatory hyper-pigmentation during the healing phase. Avoiding the sun is...
It does appear that you have congenital bulgy eyes that can benefit from cosmetic orbital decompression. Orbital decompression is not only for patient with thyroid eye disease.
