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.
- Simply apply antibiotic ointment 4 times a day and otherwise leave alone.
- Any stitches (where used) would need to be removed at around 5-7 days later.
- Sometimes the wound is left to heal as a graze rather than using stitches, in which case there is no further appointment required.
- Eyelid skin heals very well and healing is normally complete in about 2 weeks
- Eyes will be swollen / mild puffiness for 2-3 days after
- There may be some bruising or even a black eye.
- Your vision would be unaffected, but we strongly recommend that you don’t drive home on the day of the procedure
- You will be able to resume most normal daily activities the next day, but it’s best to avoid swimming for 2 weeks while the wound heals
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)
- Special cream applied to numb the area
- Tiny amount of local anaesthetic injected
- The xanthelasma are removed using tiny and precise surgical excision
- 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.