Your treatment options include medical and surgical remedies.Medical Care includes
dietary restriction and pharmacologic reduction of serum lipids to prevent recurrence.
Surgical Care gives you a lot of options.
Numerous options are available for the removal of xanthelasma palpebrarum including surgical excision, argon and carbon dioxide laser ablation, chemical cauterization, electrodesiccation, and cryotherapy.
For small linear lesions, excision is recommended, as scarring should blend in with the surrounding eyelid tissue. Smaller bulging lesions can be "uncapped" and removed; then, the flap can be replaced and sutured.
Xanthelasma removal has been incorporated into cosmetic surgery;
Chemical cauterization: The use of chlorinated acetic acids has been found to be effective in the removal of xanthelasma. These agents precipitate and coagulate proteins and dissolve lipids.
Electrodesiccation and cryotherapy can destroy xanthelasmas when they are superficial but may require repeated treatments. Cryotherapy may cause scarring and hypopigmentation.
You could discus treatment options with a dermatologist/cosmetic surgeon.
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