Possibilities of removing xanthelasma
Since xanthelasma is primarily a cosmetic and not a medical problem, it is usually not necessary to have it removed. However, if they disturb the patient too much or even obstruct the closure of the eyelid, the doctor has various treatment approaches at his disposal. However, before the decision is made to remove the xanthelasma, it is essential to clarify whether the patient’s blood lipid values are within the normal range and whether the metabolism functions without any restrictions.
If this is not the case, the physician will first take therapeutic action and only then be able to treat the xanthelasma. Surgical excision, electrocautery, various types of lasers, cryosurgery and trichloroacetic acid treatment are available as options. However, after surgical removal of xanthelasma, recurrence occurs in 40% of cases, i.e. the xanthelasma reappears in the same place.
There is also the danger that the cutting out of the xanthelasma and the subsequent necessary tightening of the eyelid may result in incomplete closure of the eyelid, which leads to permanent drying of the eyes. This is why laser treatment is the first choice in most cases today. and Operation of Xanthelasma
