These are Cholesterol deposits under the skin of the eyelid.

Only 1 in 2 patients with xanthelasma will have high serum cholesterol.

Treatment of xanthelasma include TCA (trichloroacetic acid), carbon dioxide laser and curettage or excision or removal of skin bearing xanthelasma- this is preferable when the skin is lax such as on the upper eyelid.

Whilst treatments are effective, there is a likelihood of recurrence and multiple sessions of treatment are required.