The term xanthelasma refers to white spots or darker, yellowish lumps around the eyes. This is caused by fatty deposits mostly comprised of cholesterol, and can be an indication that the patient is suffering from excessive cholesterol, liver issues, heart disease, or other more serious concerns. Whilst xanthelasma itself is harmless, patients should always consult with a GP to rule out any underlying problems that may be causing it. Xanthelasma can be unsightly, particularly as it occurs in an area that is difficult to conceal, causing embarrassment and self-consciousness to the patient.
Patient Before and After Images



What does the treatment do?
Xanthelasma will not disappear on its own, and intervention by a professional dermatologist is required in order to fully address the problem. In most cases, xanthelasma removal in London using surgical excision for swift and effective treatment. Though sometimes, lasers may be more appropriate and so it’s important to have a thorough examination before proceeding with any treatment option.
All treatments can be performed in-house at Dermasurge’s Harley Street Clinic by Dr Hiba Injibar, our consultant dermatologist.
At Dermasurge, we require all patients to attend a consultation with Dr Injibar prior to beginning their course of treatment. This allows Dr Injibar to address any concerns or queries the patient may have, as well as explain the benefits and drawbacks of each treatment clearly so that patients can understand exactly what to expect. Have a look at the patient journey here at the clinic and also do check our patient’s reviews.

What are the treatment steps?
One of the best treatment options is surgical excision of the xanthelasma from the eyelids. I perform this surgical procedure quite frequently.
- An examination is the starting point to determine the suitability of the patient’s eyelid skin for this procedure.
- The surgical procedure is performed in the clinic using local injection anaesthesia only.
- The xanthelasma is excised completely and I close the wound with a few small stitches that are removed one week later.
- The wound usually heals very well and scarring is minimal.



Frequently Asked Questions
Treatment may take around 2 weeks to fully heal, though this is usually quicker with surgery than with laser treatment. During your consultation, Dr Injibar can advise you on how much downtime will be necessary, dependant on your unique needs, though most patients can return to their usual routine the day after treatment. If stitches are required, these can be removed after one week.
In some cases, the excision of xanthelasma may produce permanent results. However, it is possible for xanthelasma to return, either in the same spot or in a different position. If this occurs, it is vital that the returning xanthelasma is treated early in order to reduce the risk of scarring.
During the procedure, numbing medication is administered, during which patients may experience an uncomfortable, stinging sensation. Once adequately numbed, the patient may feel a slight pulling sensation, but this should not hurt. After treatment, patients can experience swelling, bruising, and tenderness in the area.
Patient Reviews
“Dr Hiba is fantastic, right from my first consultation she put me at ease and was helpful when suggesting treatment for my skin concerns. The results are amazing and I would highly recommend!”
“I got the results which were promised. Dr Hiba is very professional and knowledgeable.”
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Get in touch if you have any skin related questions that you would like to discuss in confidence.