Eye & Oculoplastic Surgery
Xanthelasma
Treatment of xanthelasma, the yellowish patches that form on the eyelids.
Consult Dr. Raman Mittal ↗
View before & after photos
Illustrative image · not a patient resultOverview
About Xanthelasma
Xanthelasma are yellowish patches on or around the eyelids. The consultation looks at their size and position and discusses treatment options, including the chance that they come back.
When to see a specialist
- 01Yellowish patches around the eyelids
- 02A change in an existing patch
- 03Questions about treatment and recurrence
Whether treatment is suitable can only be decided after a consultation and examination.
Your doctor
Dr. Raman Mittal
Ophthalmology • Oculoplastic Surgery
- MBBS
- DNB – Ophthalmology
- Fellowship in Oculoplasty
Ophthalmologist and oculoplastic surgeon. He treats problems of the eyelids, tear ducts, orbit and eye socket, including cosmetic and reconstructive surgery around the eye.
Your consultation
What happens at the consultation.
At the first visit the doctor listens to your concern, takes a medical history and examines you. Not everyone who comes for a consultation needs a procedure.
Treatment planning
How the plan is decided.
Treatment depends on the size and position of the patches and the eyelid anatomy.
- 01
Your anatomy
- 02
Examination findings
- 03
What you want to change
- 04
General health
In detail
Xanthelasma: what to know.
What xanthelasma is
Xanthelasma are soft, yellowish patches of cholesterol deposits under the skin, usually near the inner corners of the eyelids.
- They are harmless in themselves and do not go away on their own.
- About half of people with xanthelasma have raised cholesterol. They can also be a sign of a higher risk of heart disease and stroke, so a blood test is advised.
Assessment
- The patches are recognised on examination.
- Blood tests usually include cholesterol and lipid levels, and sometimes thyroid, liver and blood sugar tests.
- Any raised cholesterol is managed with your physician, through diet and, if needed, medicine.
Treatment options
- Surgical removal, with the skin closed directly or, for larger patches, with a small graft or flap.
- Laser treatment, chemical peel, freezing or radiofrequency treatment, which may need several sessions.
- The choice depends on the size, depth and position of the patches and on the eyelid skin available.
Risks
Every operation carries some risk. Your doctor will go through the risks that apply to you before you decide.
- Xanthelasma can come back after any treatment.
- Scarring or changes in skin colour.
- If a lot of skin is removed, the lower lid can be pulled down or out.
General information, checked against published guidance (September 2026). It does not replace an individual consultation; your doctor will advise on your own case.
Sources: AAO: Xanthelasma · EyeWiki (AAO): Xanthelasma
Before & After
Xanthelasma Results
Photographs of patients treated at I·PLAST, published with their consent. Results vary from patient to patient.
Xanthelasma
Before and after removal of xanthelasma.
Specialist: Dr. Raman Mittal
About this treatmentBefore
After
Results vary between patients. These photographs show individual cases and cannot predict the result for anyone else.
Considering this treatment?
Book a consultation to find out whether it is suitable for you.
What to expect
From first visit to follow-up.
- 01
Consultation
Tell the doctor what concerns you and ask your questions.
- 02
Examination & Planning
The doctor examines you and explains the options, including their limits.
- 03
Treatment
Carried out only if it is suitable for you and you decide to go ahead.
- 04
Follow-Up
Check-ups after treatment to review healing and any next steps.
FAQs
Common questions.
This can only be decided after a consultation and examination. The doctor will go through your concern, your medical history and the options available.
The doctor asks about your concern and medical history, examines you, and discusses what you hope to change and whether treatment is advisable.
Dr. Raman Mittal sees patients for this treatment at I·PLAST.
Yes. If treatment is planned, the doctor will explain aftercare, any activity restrictions and the follow-up visits you will need.
Not necessarily. Results depend on your anatomy, the examination findings, your general health and the procedure. Photographs of other patients show their results only.