Xantholesma : Fat over eyelids is treatable

XANTHOLESMA : FAT ON EYELIDS

Eyes  are gateway to one’s inner self.  It better be beautiful. Fat deposits around eyes may spoil their beauty . Lets  know everything about them .

WHAT IS XANTHOLESMA?

Deposition of fat on eyelids skin, both upper and lower is called Xantholesma.

HOW DOES IT HAPPEN?

There is no reason behind it. Many may be having high cholesterol levels in blood. But the deposition in skin can happen with or without high cholesterol deposition.

HOW CAN IT BE REMOVED?

There are multiple ways to remove a Xantholesma.

Best modality in my last 10 years of experience has been surgical excise and suturing. Under local anesthesia the skin containing fat is removed and sutured. Sutures are removed after 7 days. It’s safe since surgery is just limited to skin.

Laser ablation or ablation with radiofrequency or chemical ablation with 70% TCA are other modalities. These later modalities may not treat every time and run the risk of leaving a fibrotic scar. Also chances of recurrences on the same place are very high.

Advantages  with surgical excision is, recurrence never happens on the same place. And for sure the lesion would be gone.

Xantholesma : Sutures are hardly visible after the treatment.

HOW MUCH TIME DOES SURGICAL EXCISTION TAKE?

Depending upon the number of xantholesma lesions and their width, it can take anywhere between half an hour to an hour.

WHAT IS THE DOWNTIME OR AFTER CARE POST SURGICAL REMOVAL OF XANTHOLESMA?

Slight pain and swelling may or may not be there for next few days. A course of anti inflammatory and antibiotics is prescribed by the doctor. Person can return to work, the next day. There is no rest period involved.

IS THE SURGICAL EXCISION FO XANTHOLESMA SAFE AROUND EYES?

Yes, absolutely. Since treatment involves only skin. We are not going deeper than that. Surgery is rendered very safe. It doesn’t have any long term after effects.

WILL XANTHOLESMA REMOVAL HURT?

No, since done under local anesthesia, procedure is rendered comfortable. 

WILL  PILLS OR CREAMS NOT WORK FOR XANTHOLESMA REMOVAL?

No, no oral pills or creams would work to remove Xantholesma.

CONCLUSION :  Fat deposits on eyelids is calledXantholesma. They may appear without any cause or due to high bloodcholesterol. Surgical excision done under local anesthesia is the best cure.Laser or chemical ablation can be done but are not very successful.

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