The NHS policy on treating xanthelasma is that the lesions can usually be left alone. They are unlikely to offer removal due to them being classified as cosmetic, and as such ineligible for treatment.

However, it is available privately at Cosmedics Skin Clinics with highly proficient Plastic Surgeons and doctors.

The Procedure/Treatment

The method of removal is straightforward and takes about 15-20 mins per eyelid. It is pain-free thanks to use of numbing and local anaesthetic (so you stay completely awake throughout)

  1. Special cream applied to numb the area
  2. Tiny amount of local anaesthetic injected
  3. The xanthelasma are removed using tiny and precise surgical excision
  4. The skin is either stitched or left to heal like a graze


Due to the nature of the procedure, you will not be able to drive home. Please arrange to use public transport, taxi or bring someone to drive you home.

Xanthelasma can be removed in a minor surgical procedure. This needs to be done carefully by a skilled and trained surgeon who understands the condition and how to work with delicate eyelid skin.