What causes xanthelasma and how is it treated?

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Xanthelasmas of the eyelids look like small single or multiple flat yellowish plaques located at the inner corner of the upper (usually) or lower eyelid. Xanthelasmas are benign formations that are not prone to malignancy; their appearance is associated with general disorders of lipid metabolism.


Xanthelasmas of the eyelids are rounded plaques slightly protruding above the surface of the skin, pale yellow in color, and their consistency is soft. The size of such formations can vary from several millimeters to 1.5 cm; the elements themselves can be either single or multiple. In some patients, xanthelasmas may appear as a solid yellowish stripe extending onto the bridge of the nose.

Xanthelasmas in the lower eyelid area (xanthomas) are rarely isolated; they usually occur in addition to the same formations located on the upper eyelid and are a manifestation of xanthomatosis. Patients with xanthelasmas of the eyelids do not present any complaints; the formations are painless and represent mainly a cosmetic defect. Once occurring, xanthomas and xanthelasmas remain for life, very slowly increasing in size.


Xanthelasma of the eyelids: treatment with folk remedies can be carried out using butter (60 g) and freshly squeezed watercress juice (3 tablespoons). The oil is pre-softened and juice is added to it, mixed thoroughly. Apply the composition to the growth daily until it disappears.

You can use vegetable oil, which is heated in a steam bath and salt is added to it. After this, the growth is cauterized with a cotton swab dipped in oil. The procedure should be carried out until a crust appears. After this, you should wait until it disappears along with the xanthelasma.

Good reviews for the following recipe:

  • lard (100 g);
  • chopped garlic (50 g).

The lard is melted in a water bath, garlic is added and heated for 3 minutes. After this, the composition is cooled. Every day the mass is applied to the growth and covered with a cabbage leaf, fixed.

Treatment with folk remedies for xanthelasma of the eyelids without surgery can be carried out with a mixture of wheat grains and vegetable oil. The composition requires half a teaspoon of ground wheat grains. They are filled with vegetable oil. You can use olive or sea buckthorn. You will need so much oil until you get a mixture that has a consistency similar to thick sour cream. The composition is applied to the damaged area of ​​skin for 10 minutes daily. Lotions should be applied until the growth opens.

The remedy can be prepared from badger fat. 20 grams of fat is dissolved in a water bath until it melts. Apply to plaques while hot, but not scalding. The product can even be rubbed in for several minutes.


Patients with xanthelasma of the eyelids need to consult not only an ophthalmologist, but also an endocrinologist and a dermatologist. The examination must include a general blood test, a study of lipid metabolism (level of lipoproteins and cholesterol in the blood serum).

The characteristic appearance of the formations usually does not pose any difficulties in making a diagnosis. In addition to xanthelasmas and xanthomas, the patient is often diagnosed with obesity, hypertension, metabolic syndrome or diabetes mellitus. Xanthelasma of the eyelids must be differentiated from other similar skin diseases (syringoma, pseudoxanthoma), incl. malignant tumors.

Why does xanthelasma form on the eyelids?

Doctors have not yet come to a consensus on the exact causes of this skin defect. However, it is believed that in most cases this is facilitated by a violation of fat metabolism - the accumulation of excess fat molecules and a failure of metabolic metabolism in various diseases:

  • diabetes;
  • disturbances in the functioning of the pancreas;
  • diffuse toxic goiter;
  • renal tissue dystrophy;
  • hypertension;
  • obesity.

Most often, xanthelasma occurs in middle-aged and elderly women.

An interesting study by scientists at the University of Copenhagen was recently published. They found that almost 50% of patients with this benign formation have blood cholesterol levels that are within normal limits. Fat deposition on the eyelids in this case can serve as an indicator of developing diseases of the cardiac and vascular systems.

The appearance of xanthelasma on the eyelids indicates the risk of a heart attack or coronary artery disease. The findings of Danish researchers were adopted by doctors. If xanthelasma is detected on the eyelids of patients with normal cholesterol levels, they will be advised to pay special attention to the functioning of the heart and blood vessels.

Treatment of xanthelasma of the eyelids

Since xanthelasmas and xanthelomas in most cases accompany lipid metabolism disorders, liver disease, etc., it is imperative to treat the underlying disease. It is recommended to follow a diet limiting the consumption of animal fats and replacing them with vegetable fats. If hypercholesterolemia is detected, drugs that normalize lipid metabolism (statins, lipoic acid, berlition) are prescribed. The use of drugs that normalize liver function (choleretic agents, Essentiale, multivitamins) is indicated.

There is no drug treatment for xanthelasma of the eyelid; the formation (at the request of the patient) is removed using a laser, electrocoagulation or surgery. The intervention is performed under local infiltration anesthesia. During removal, a specialist uses tweezers and miniature scissors to separate the base of the plaque, then treats the skin in the wound area with an antiseptic. If the size of the lesion to be removed is not large, the edges of the wound are treated with a solution of iron albuminate, which promotes effective healing. In the case of a more extensive wound surface, its edges are treated with electric current (diathermy) or cosmetic sutures are applied.

Traditional treatment

As stated above, to eliminate a certain cosmetic defect, specialists remove xanthelasma within the walls of a medical institution.

But there are several methods for treating xanthelasma of the eyelids with folk remedies that may help you overcome this type of tumor. But it must be taken into account that this type of therapy is not suitable for everyone. Actually, that’s why before starting self-medication you need to seek qualified medical advice from a specialist.

Thus, we have selected for your case several effective methods of treating xanthelasma of the eyelids without removing it using surgical methods that have collected the largest number of positive reviews.

Egg-based external compress

To get the maximum effect, you need to mix a tablespoon of flour, a teaspoon of honey, preferably linden, and one egg white. Then you need to thoroughly mix all the ingredients.

The resulting mushy mixture must be applied to the affected areas and left for 7 to 10 minutes. After time, the mixture is washed off with cool water. This course of treatment is carried out approximately 1 - 2 times a day and promises a cure for xanthelasma in 14 days.

aloe leaf

To use this method of therapy, it is necessary to cut a freshly cut aloe leaf into two parts and apply it to the affected area for three hours until the juice dries completely, after securing it on the eyelid with a plaster or bandage.

Kalanchoe juice

This method is prepared very simply and quickly: you should moisten a piece of bandage or gauze in the juice of this plant and apply it as a compress to the desired area. Therapy with this method lasts, on average, 7–10 days, of course, depending on the patient’s feelings.

Birch buds

This type of therapy has anti-inflammatory properties, helping to improve the underlying negative processes in the human body and stimulating the proper functioning of the pancreas. Thus, you need to pour 70 grams of dried birch buds with a glass of boiling water and let it brew for 1.5 - 2 hours in a dark place. The resulting infusion should be consumed before meals three times a day, one tablespoon.

Advantages of xanthelasma treatment and prices at MGK

By contacting the Moscow Eye Clinic, you can be assured of a quick and reliable diagnosis of xanthelasma of the eyelid and its effective treatment. Removal of xanthelasma of the eyelid can only be performed by a specialist with appropriate professional skills. To avoid possible complications, this procedure should be entrusted to an experienced doctor. At the Moscow Eye Clinic you will be able to undergo all the necessary tests, based on the results of which the attending physician will recommend you the most effective treatment methods. The Clinic employs specialists with extensive professional experience who enjoy well-deserved respect both among colleagues and among patients.

Removal of xanthelasma of the eyelid is performed on an outpatient basis under local anesthesia. During the operation, sterile instruments and disposable consumables are used, which eliminates the risk of infectious complications.

Prices for treatment for xanthelasma

The cost of surgical treatment of xanthelasma starts from 2000 rubles. (in the presence of a single formation up to 5 mm). The final cost of removal will depend on the number and size of formations, as well as the volume of therapeutic and diagnostic procedures performed.

You can find out the cost of a particular procedure by calling (499) 322-36-36 or online using the appropriate form on the website; you can also read the “Prices” section.

Go to the "Prices" section

Yakovleva Yulia Valerievna

How to prevent xanthelasma from appearing

A study of the contents of the plaques showed that they contained phospholipids and cholesterol. The same compounds are found in increased quantities in the blood of patients with xanthelasma of the eyelids. To prevent the formation of new lesions, even after surgery, you need to follow a diet low in fat and carbohydrates, avoid high-calorie foods, and monitor blood cholesterol levels. This is especially important in the presence of diseases that are risk factors for the formation of xanthelasmas (we listed them above). Lipotropic drugs may be prescribed as prescribed by a doctor based on a complete clinical examination. The schedule for their intake is also determined by the doctor.

Remember that your health depends on paying close attention to your body.

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