Xanthelasma is a skin condition characterised by yellow growths that typically appear around the corners of the eyelids. It’s considered to be a medically harmless condition in itself, but it can be a sign of an underlying health problem such as high cholesterol or diabetes. However it can also have a psychological impact, affecting self-esteem and confidence.
Here’s a closer look at the causes, effects and treatments of xanthelasma, including options for clinical removal.
What are the symptoms of xanthelasma?
Xanthelasmas are areas of yellow skin around the eyelids or bridge of the nose. The skin can be raised or flat, and it can feel hard or soft to the touch and may continue to expand over time. The condition does not usually cause physical discomfort, but it can lead to self-consciousness and invite unwanted attention and insensitive comments.
What causes xanthelasma?
Xanthelasma has a range of potential causes, but around half of all people with the condition have high levels of cholesterol. This can be an inherited condition, or it could be caused by weight gain; diabetes; thyroid problems; inflammation; or excessive alcohol consumption. The condition will not clear up without treatment.
What are the potential emotional effects of xanthelasma?
The condition can alter the appearance of a person by changing the colour and texture of the skin around the eyes, which are one of our main tools of communication. Many women also enjoy emphasising this feature for aesthetic reasons, and xanthelasma can spoil the effect of eye makeup.
This can eat away the self-confidence of an individual, causing them to feel more anxious in social situations and worry about intrusive or negative remarks from others. People in public or customer-facing job roles may find that the condition impacts their professional performance, and may deter them from seeking new opportunities or promotions.
In the worst case scenario, an individual may start to withdraw and become socially isolated, which puts them at greater risk of mental health problems such as anxiety and depression.
How can xanthelasma be treated?
It is not possible to safely remove xanthelasma at home, so professional treatment at a skin clinic is recommended. The most common forms of treatment include liquid nitrogen cryotherapy and chemical peels.
Your healthcare provider may also recommend lifestyle changes to address the underlying causes of the condition. It’s important to remember that this won’t have any effect on the existing skin condition, apart from possibly preventing it from getting worse or recurring after treatment.
To reduce your risk of recurring xanthelasma, eat a healthy diet with a good balance of fresh vegetables and lean proteins; manage your weight to within reasonable limits; avoid smoking and restrict your alcohol consumption.
Treatment is unlikely to be offered on the NHS because xanthelasma is regarded as a cosmetic issue, but it’s also important to consider the emotional toll that the condition can have. If you feel as though it is affecting your personal or professional life, then it is well worth exploring private treatment options.
