This month’s case is a patient we saw recently with xanthelasma, fatty yellow deposits that form on the eyelids or around the eyes. 

They are located under the skin, are not harmful ,and are seen mostly in people over 40. However, the lesions can be a sign of abnormally high lipid (fats like cholesterol) levels. We would be more concerned about cholesterol levels if we saw xanthelasma in a young person then in an elderly person where it is often simply age-related.

 The condition can be unsightly where the patient may want to have the deposits removed. Treatment options include cryotherapy (freezing with liquid oxygen), laser surgery, chemical peels or traditional surgery with a scalpel. 

Again, if cholesterol levels are not a concern or are being treated with medication, xanthelasma can be left alone.