Xanthelasma Treatment
At DRS Skincare Hamilton, ON
| Treatment | Xanthelasma Treatment |
| Indications | Xanthelasma |
| Treatment Recovery | ~ 4 weeks after each session |
| # Of Treatments Required | Depends on the method of removal |
| Best Results Seen | At least three months after the last treatment |
*estimate of sessions to be determined in consultation
What is xanthelasma, and what treatment options might be available to me?
Our dermatologists at DRS Skincare understand that new changes or growths on the skin can be a cause for concern. When patients come into our office with yellow eyelid growths and discoloration, they may be diagnosed with a condition called xanthelasma. Our Hamilton, Ontario, team can provide a diagnosis and treatment plan for those with this or other skin care needs.
What is xanthelasma?
Our team at DRS Skincare describes xanthelasma, sometimes called xanthelasma palpebrarum, as eyelid growths that appear as yellowish, raised plaques. These can range dramatically in size from a few millimetres to several centimetres. They are usually found on both the upper and lower eyelids near the inner areas of the eyes. Cholesterol is typically the cause of these bumps on the eyelids that can result in patients feeling self-conscious about their appearance. Patients worried about the development of these yellow spots often visit a dermatologist for further evaluation and care.
How is xanthelasma diagnosed?
Typically, xanthelasma is diagnosed clinically by a physical exam.
While xanthelasma does not cause symptoms such as pain or discomfort, it is essential to seek medical advice since it may indicate other health problems such as high cholesterol or diabetes. Screening bloodwork via your family physician is often recommended to screen for potential associations.
Treatment of Xanthelasma
A variety of options are available for treating xanthelasma, including the following:
- Electrocautery + Light Curettage
- A fine-tipped electric needle is placed on the lesion, melting away the lesion while light curette helps further remove the lesion
- Trichloroacetic Acid (TCA)
- TCA has many applications in dermatology, including treating acne scarring in a method called “TCA cross” and skin resurfacing with chemical peels
- TCA at various concentrations can be used to remove xanthelasma
- Excision
- Excising can be done, and when it is too challenging for our team, we will refer patients to our colleagues in facial plastic surgery and/or oculoplastic surgery
- Laser therapy
- The Fractional CO2 laser is commonly employed in our office, where laser energy is used to remove xanthelasma
Regardless of the modality used to remove xanthelasma, lesions can recur, and there is a risk of permanent scarring. A consultation is best to see if there is a treatment that best suits you.
How do I learn more about this condition?
If you suspect that you have xanthelasma and want to speak to an experienced team of dermatologists about treatment options for these eyelid growths, call (905) 524-1712 to request an appointment at our facility in Hamilton, ON.
The team at DRS Skincare welcomes new and current patients in and around the community looking for quality, comprehensive skin care solutions.
This is fractional CO2 laser being used to treat cholesterol deposits known as xanthelasma around the eye. As you can see, this is an extensive case, and she’s improved very nicely over time over a series of treatments. Importantly, if you have this, get your cholesterol checked, it can be high. Other treatment options are listed below in the caption.
Treatment options: CO₂ laser, cautery, chemical peels, or excision
In the above case, I am using a fractional CO2 laser to help improve this condition. A series of treatments is often required for the best results
These are xanthelasma, yellowish spots we find under the eye, and can be a marker of high cholesterol. If you notice these, please get your cholesterol checked. Although you do not need to do anything about these, they are benign, many people don’t like them. In this case, we’re using a fractional CO2 laser followed by a light curette coming up here to help remove these spots. I find this method to be effective. There are other options. We will see in a minute her results. She did amazing. This was right before a wedding for her. It’s important to plan this out. It does take time to heal, and responses will vary.
Frequently Asked Questions About Xanthelasma Treatment
Looking for safe and effective xanthelasma removal in Hamilton, Ontario?
At DRS Skincare, Dr. Rahul Shukla offers expert diagnosis and advanced treatment options to restore a natural, refreshed eyelid appearance.
What Is Xanthelasma?
Yellowish cholesterol deposits on or around the eyelids are a typical symptom of xanthelasma. These soft plaques often start as small bumps and can gradually enlarge over time.
While xanthelasma is benign (non-cancerous) and painless, it can be cosmetically concerning—especially when it becomes more visible.
Who Gets Xanthelasma?
Xanthelasma can affect adults of any age, but it is more commonly seen in individuals with:
- High cholesterol (hyperlipidemia)
- Diabetes or insulin resistance
- Metabolic syndrome
- Family history of lipid disorders
In some cases, xanthelasma may occur even when cholesterol levels are normal.
Why You Should Seek Professional Evaluation?
Although xanthelasma is often cosmetic, it can sometimes be a marker of underlying cardiovascular risk or abnormal lipid levels.
We provide:
- Accurate diagnosis
- Assessment of potential metabolic causes
- Guidance on cholesterol management if needed
Early evaluation ensures safe treatment and optimal overall health.
Xanthelasma Treatment Options in Hamilton
The goal of treatment is to remove xanthelasma while preserving the delicate eyelid skin and achieving natural results.
At our office, we offer:
1. Chemical Cauterization
A specialized solution is applied to dissolve the cholesterol deposits.
- Best for smaller lesions
- Minimally invasive
- May require multiple sessions
2. Laser Xanthelasma Removal via CO2 laser
Laser technology precisely removes the xanthelasma layer by layer.
- Highly precise and controlled
- Minimal bleeding
- Faster healing compared to surgery
- Excellent cosmetic outcomes
3. Surgical Excision
A minor in-office procedure where the lesion is carefully removed.
- Ideal for larger or thicker plaques
- Immediate removal
- Performed with precision to minimize scarring
Is Xanthelasma Removal Painful?
Most xanthelasma treatments are performed under local anesthesia, making the procedure well-tolerated.
- Minimal discomfort during treatment
- Mild swelling or tenderness afterward
- Recovery typically occurs within a few days
Aftercare Following Xanthelasma Removal
Proper aftercare is essential for optimal healing and cosmetic outcomes:
- Keep the treated area clean and dry
- Avoid rubbing or touching the eyelids
- Use prescribed ointments if recommended
- Attend follow-up visits to monitor healing
Can Xanthelasma Come Back?
Yes, xanthelasma recurrence is possible, especially if underlying cholesterol levels remain elevated.
To reduce recurrence risk:
- Maintain healthy cholesterol levels
- Follow medical advice from your physician
- Schedule regular skin and health checkups
Is Xanthelasma Removal Covered by Insurance?
In most cases, xanthelasma removal is considered cosmetic and is not covered by insurance in Hamilton, Ontario.
However, coverage may be possible if:
- There is a documented medical indication
- The lesions interfere with eyelid function
Our team can help review your options and discuss financing if needed.
Why Choose DRS Skincare for Xanthelasma Removal?
- Board-certified dermatologist-led care
- Advanced laser and surgical techniques
- Focus on both cosmetic results and underlying health
Trusted clinic serving Hamilton, Burlington, Oakville, and surrounding areas.
Xanthelasma Treatment Near Me in Hamilton, ON
If you’re searching for xanthelasma treatment near you in Hamilton, our office offers expert care with advanced techniques.
Dr. Rahul Shukla and his dermatology team focus on:
- Precise, minimally invasive removal
- Natural-looking results
- Personalized treatment plans
Call (905) 524-1712 to book your consultation today.
