Xanthelasma are yellow plaques of cholesterol that appear mainly in the upper/inner areas of the skin on the eyelids.
They often grow slowly with time rather than just disappearing and patients can find them unsightly and affect their confidence.
Xanthelasma are completely benign and completely harmless lesions themselves however xanthelasma can be associated with high cholesterol, so it is worth seeing your GP to check your cholesterol level just in case it is raised.
The NHS policy on treating xanthelasma is that the lesions can usually be left alone and are unlikely to offer removal due to them being classified as cosmetic, and as such ineligible for treatment.
Various treatment options that have been offered to patients include laser, skin peels and even freezing or cryotherapy. In our opinion these offer inferior results, incomplete removal and a high risk of recurrence.
At Cosmedics Skin Clinics, selected doctors and surgeons offer surgical excision that is done with minimal excision of skin and just aims to remove the affected area so scarring is minimal.
Xanthelasma Removal costs from £850
- Treatment may be carried out at the consultation if agreed or arranged at a later date
- Surgery is quick and painless with use of local anaesthetic
- In-clinic procedure
- No bandages required, minimal dressings
The starting point in xanthelasma treatment is to get a proper diagnosis. Before booking an appointment, we invite patients to send in a photo of their eyelid and description of the issue. This does not replace a face-to-face consultation, but can usually help to confirm what the problem is likely to be, as xanthelasma can be easily confused with other eyelid lesions. A photo examination will help us to advise you on whether or not we will be able to treat it. If we’re unable to help, we’ll advise your next steps (usually an eye specialist).
Xanthelasma Removal Costs
Removal of xanthelasma via surgery
|Eyelid Cholesterol Spots||Cost|
|First eyelid||From £850|
|Two eyelids treated in same session||From £1,350-£1,950|
Free Email Assessment
Xanthelasma can be tricky to diagnose, so we offer FREE initial advice by email. This doesn’t replace a consultation, but it can be helpful for both doctor and patient if we view the nature of the problem and give any appropriate advice before booking an appointment. Please send a photo of your eyelid to email@example.com.
We charge £50 for a consultation with one of our experienced doctors.
Prices for treatments carried out in the same appointment as the consultation will include the £50 consultation fee (note: same day procedures are only undertaken where the procedure is deemed appropriate to do so AND the patient understands the full extent of the costs, risks and potential side effects and is consenting to proceed on that knowledge).
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.
What to Expect
- 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
- 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