Xanthélasma is a common condition that causes aesthetic discomfort and does not decrease with age. It is a xanthome plan palpébral (an infiltrate of histiocytic or macrophage cells filled with lipids – esterified cholesterol) that forms a yellowish plaque which gradually extends and darkens over the years on the upper or lower eyelid.
The best treatment is surgical, performed by an ophthalmologist, or if the lesions are small, they can be removed with a laser by a dermatologist.
However, recurrences are common, around 50%, which necessitates further treatments.
The major issue is the risk of ectropion due to skin retraction after multiple treatments.