Home Dermatology Treatments Skin Benign Growths Xanthelasma

Xanthelasma

Xanthelasma appears as soft, yellowish cholesterol deposits on the eyelids or under the eyes. While harmless, these plaques can become more noticeable over time and affect confidence.

At rtwskin in Tunbridge Wells, we provide precise xanthelasma removal using advanced laser technology, helping restore clear, natural-looking skin with minimal downtime.

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Treatment Pricing

Procedure

Intitial Consultation over 18
£175

Intitial Consultation under 18
£120

Majority of patients only require one session. For those patients with large lesions covering almost the whole of the eyelids, more than one laser session may be recommended for safety and best results.
Treatable Areas

Upper Eyelids - the most common area for xanthelasma. Cholesterol deposits typically form near the inner corner of the eye and may extend across the eyelid. Lower Eyelids - less common but often described as cholesterol deposits under the eyes, appearing as small yellowish plaques.

About the Treatment

Condition Treated:

Xanthelasma

Laser Used:

Erbium:YAG & CO₂

Anaesthetic:

Local

Duration:

15–30 minutes

Downtime:

7–10 days average

Risks:

Minimal when performed by trained professionals

Results:

Visible after crusting heals

Number of Sessions:

Usually 1, occasionally 2–3

Pain Level:

Mild discomfort, well tolerated

Aftercare:

Keep clean, optional topical antibiotic

Which Areas Can It Treat?

Upper Eyelids

The most common location for cholesterol deposit around eyes, xanthelasma here can stretch toward the inner canthus and may appear symmetrical.
Lower Eyelids

While less frequent, eye cholesterol deposits on eyelids can also present on the lower lid, often described as spots under eyes cholesterol.
Eyelid Creases and Outer Eye Corners

Occasionally, xanthelasma plaques extend toward the lateral canthus or into the fine folds around the eye, which can complicate makeup application or lead to concerns about appearance.
Cheek-Eye Junction

In rare instances, deposits may migrate slightly toward the upper cheek, creating a smudged or patchy look.

Xanthelasma

What is xanthelasma?

Xanthelasma is a form of localised lipid (fat) accumulation within the skin, most commonly affecting the eyelids. It develops when cholesterol deposits collect beneath the surface, forming flat or slightly raised plaques.

Although xanthelasma is not harmful, it can sometimes be linked to underlying lipid imbalances or metabolic factors. These deposits do not resolve on their own and may gradually increase in size without treatment..

How it works

How Does Xanthelasma Treatment Work?

At rtwskin clinic, we offer laser xanthelasma removal using advanced Erbium:YAG and CO₂ lasers. The goal is to gently ablate the affected skin layers where the fatty deposit on eyelid sits, without damaging surrounding tissue. This laser treatment for xanthelasma is performed under local anaesthetic, making the procedure comfortable while ensuring precision.

Xanthelasma laser treatment is safe, quick and particularly beneficial for those who want to avoid surgical excision or cryotherapy. It allows for accurate removal of lipid plaques with minimal trauma to surrounding skin, making it ideal for the delicate eye area. Our clinicians are highly experienced in performing xanthelasma removal laser procedures safely and with lasting results.

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Benefits

What Problems Does It Solve?

The removal of xanthelasma improves not just physical appearance but often confidence and emotional comfort. Whether it’s removing cholesterol lumps under eyes or addressing the cosmetic concerns linked to eye cholesterol deposits on eyelids, our treatments help clients feel more like themselves again.
While these lesions aren’t harmful, some people feel they draw unwanted attention or lead to questions about health. Our approach addresses both medical clarity and visual results.

Long-Lasting and Effective Results

Most patients see significant improvement after just one session of laser removal of xanthelasma. However, recurrence is possible if underlying cholesterol levels remain high. Maintenance care may be discussed with your practitioner.

We provide realistic outcomes based on each client’s skin type and lesion size. Before initiating treatment, we explain the full xanthelasma removal cost (UK) and what to expect both during and after the session.

In cases where removing cholesterol deposits is part of managing an underlying condition, we also refer patients for medical lipid management. This holistic approach ensures long-term aesthetic and health benefits for our clients.

How to recognise xanthelasma

Yellow or cream-coloured patches
Flat or slightly raised plaques
Located on upper or lower eyelids
Often appears near inner eye corners
Painless and slow-growing

Do I need a medical assessment?

Although xanthelasma itself is harmless, it can sometimes be associated with underlying cholesterol imbalance or metabolic conditions. In some cases, these deposits may be an early visible sign of elevated lipid levels.

At rtwskin, your consultation includes a detailed assessment of your skin, medical history, and risk factors to determine whether further investigation is recommended. Where appropriate, we may advise checking your cholesterol levels or liaising with your GP to ensure a comprehensive approach to your health.

For many patients, xanthelasma is purely cosmetic. However, identifying any underlying causes can help reduce the risk of recurrence and support long-term results after treatment.

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Laser vs Surgical Removal

Xanthelasma treatment options — laser vs surgery

reatment for xanthelasma depends on the size, depth, and location of the deposits and may include:
Laser removal — a precise, minimally invasive method that removes the affected tissue layer by layer
Surgical excision — typically used for larger or deeper lesions
Chemical cautery — less commonly used for small or superficial deposits
At rtwskin, we treat xanthelasma using advanced Erbium:YAG and CO₂ laser technology, allowing for controlled and targeted removal without damaging surrounding skin.

Laser treatment is often preferred due to its high precision, reduced risk of scarring, and shorter recovery time. This makes it particularly suitable for the delicate eye area, where achieving a smooth and natural-looking result is essential.

Surgical removal may be recommended in more advanced cases but can involve longer healing and a higher likelihood of visible scarring.

Treatment Process

Initial Consultation
Skin Assessment
Test Patch (if needed)
Laser Treatment Session
Post-Treatment Care & Instructions
Follow-Up (if required)

Post-Treatment Care

Avoid touching or picking the area
Let crusts fall off naturally
Avoid make-up until healed
Use SPF daily
Avoid heat for 24–48 hours
Contact the clinic if concerned

Key Advantages of Treating Xanthelasma

Non-surgical & minimally invasive
Quick recovery (usually under 10 days)
Minimal risk of scarring
Suitable for sensitive eye-area skin
Can improve symmetry and aesthetic clarity
Safe for all skin types
Performed with precise laser systems
Long-term results with proper maintenance

Why Choose Xanthelasma Removal at rtwskin?

With over 15 years of experience in laser surgery for xanthelasma, our clinicians at rtwskin are trusted for their skill in removing cholesterol deposit around eyes with precision and care.

“We always prioritise the safety of the eye area while achieving excellent cosmetic outcomes,” – Dr Fatima Ahmed, Consultant Dermatologist.

We’re also experts in treating related skin conditions like Milia and other Skin Benign Growths, giving patients peace of mind through continuity of care and expertise.

Repeat Laser Treatments Are Safe

One of the key advantages of laser xanthelasma removal is that it typically causes minimal long-term scarring or structural skin damage.

This means:

Repeat treatments are usually possible if xanthelasma returns
Follow-up laser sessions can be performed safely
The skin generally remains suitable for additional precise laser work
Cumulative scarring is significantly lower compared to repeated surgical excision.

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See what our clients say

Don’t take our word for it… read some of the feedback received from clients

across the UK

Dr. Fatima made sure I felt comfortable and calmed my nerves when I went for a mole check and removal. Dr. Fatima provided an easy, pleasant experience and was lovely – I would recommend her to everyone! Thank you!

Anca
Dr Fatima has been fantastic and her care has been better than expected from consultation right through to treatment. The results from the treatment that Dr Fatima recommended were far better than I could’ve imaged, which has been a real bonus. Thank you!

gf
The staff here are warm and freindly , the doctors are very in the know and felt completely at ease the after care is fantastic can not fault them thank you rtw skin and a special thank you to Fatima x

Tanya Hammond

Read our reviews

Before / after

Xanthelasma treatment in action

Before After

Financing your purchase

We’ve got you covered, as we have finance options available for people with varying circumstances. rtwskin believes that you shouldn’t have to pinch your pockets to be able to purchase our products. You can pay in affordable monthly instalments to better suit your needs and budget.

To help you purchase from rtwskin, we have partnered with Kandoo, a regulated credit broker to offer all our customers a range of highly flexible finance options. Kandoo is a comparison service that searches to find you the best Personal Loan option that’s right for you.

How it works Learn more

Trusted Skin Specialists in the South East

If you’re searching for xanthelasma removal near me or simply want the most advanced and discreet treatment available, rtwskin clinic is here to help.
Our experts are also trusted for safe, long-lasting xanthelasma treatment near me — using precision lasers to restore clarity and confidence without surgery.

We proudly serve clients across Brighton, Eastbourne, Maidstone, Hastings, Surrey, East Grinstead, Uckfield, Crowborough, Tunbridge Wells, Kent, and London.
Start your journey today — book your consultation and rediscover clear, confident skin with the specialists in xanthelasma removal UK at rtwskin clinic.

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Trusted Skin Specialists in the South East

Video

Learn more about Xanthelasma treatment

Frequently Asked Questions

Can Xanthelasma return post treatment?

There is a very small chance Xanthelasma will return in the same area or another area even after treatment. This is one of the main reasons why we do not advise surgical removal of Xanthelasma as it can leave a scar and further surgical excisions may end up in excess skin removal. Erbium or CO2 Laser removal offers accuracy and removes the lesion with little or no scarring and little or no resulting pigmentation both which occur at higher rates with other forms of removal.

How many Xanthelasma treatments will I need?

Just the one! Naturally, the area will be sensitive to sun for a few months, and you should use a sunscreen of SPF at least 30 for about 6 months.

How much will the removal of Xanthelasma cost me?

Take a look at our price list and you’ll get an idea of the range. Prices start from £450. Don’t forget you can join our loyalty scheme and save money on regular treatments, so that’s a lovely bonus. We will be open and honest about prices when we meet for a chat at the very first consultation, so that you can make your decision in your own time.

Will the removal of Xanthelasma hurt?

We’re not into pain at rtwskin! Our medical professionals are trained to minimise any discomfort. A scab will soon form where the little white spots once were, and you can be confident that this will disappear within 7 -10 days.

Can xanthelasma go away on its own?

No, these cholesterol deposits do not typically disappear without treatment.

What causes xanthelasma?

It is caused by a build-up of cholesterol under the skin, often linked to lipid levels.

Is xanthelasma dangerous?

No, but it may be associated with underlying cholesterol conditions.

Are cholesterol deposits under the eyes the same as xanthelasma?

Yes, xanthelasma is a type of cholesterol deposit that appears on or around the eyelids.

Can high cholesterol cause xanthelasma?

Yes, in some cases xanthelasma is linked to elevated cholesterol or lipid levels.

What is the best treatment for xanthelasma?

Laser removal is one of the most precise and effective treatment options.