What Does Xanthelasma Look Like?

Xanthelasma Palpebrarum, often referred to as cholesterol deposits on the eyelids, has a distinct and recognizable appearance. These are benign skin plaques characterized by several key features:

Shape and Size: The shape is often irregular, starting as a small spot and potentially growing over time. The size can range from a tiny, pinhead-sized blemish to larger patches that may even merge.

Color: The plaques are typically a pale yellow, whitish, or sometimes even a brownish color. This can vary depending on an individual’s skin tone and the age of the plaque.

Texture: They are generally soft or semi-firm to the touch and are embedded within the skin, not sitting on top of it. They can be flat (planar) or slightly raised.

These deposits are accumulations of lipid-laden cells within the dermis, the skin layer beneath the surface. This is why they cannot be “popped” or scraped away like a pimple. For a clinical overview of their appearance, the Mayo Clinic provides a clear description of this condition. While they can remain small and stable for years, they may also gradually expand, which is why many individuals seek cosmetic improvement before the plaques become more prominent.

Wondering What Xanthelasma Looks Like?

It can be easy to mistake one type of skin blemish for another, especially around the delicate eye area. To accurately identify what you are seeing, it’s helpful to compare xanthelasma to other common skin findings:

• Syringomas: These are small, firm bumps that are typically skin-colored or slightly yellowish. Unlike the soft plaques of eyelid xantomas, syringomas originate from sweat ducts and are hard to the touch. The StatPearls offers detailed information on how to identify these distinct growths.
• Milia: These are very small, hard, pearly-white cysts that look like tiny whiteheads. They are caused by trapped keratin and are much smaller and harder than the soft, broad plaques of xanthelasma.

While our website’s image gallery provides an excellent visual reference, the best way to confirm any skin condition is by consulting a dermatologist or qualified healthcare professional. They can provide a definitive identification and peace of mind.

Where Does Xanthelasma Commonly Appear?

Xanthelasma Palpebrarum appears almost exclusively on or around the eyelids. The most common locations are:

Symmetrically on both sides, which is known as bilateral xanthelasma.

The upper eyelids, often near the inner corner (medial canthus).

The lower eyelids, also frequently appearing near the nose.

The yellow plaques are most visible on the thin, delicate skin of the eyelids. Their presence is a cosmetic concern for many, altering the smooth, even tone of the skin. Studies in dermatology, like those published by the National Institutes of Health, provide detailed information on the typical presentation and cosmetic management of these plaques.

For those who wish to address the cosmetic appearance of these plaques, Xanthel ® offers a professional and targeted solution. It is a dedicated cosmetic gel specifically formulated to work on the unique appearance of xanthelasma, helping you restore clarity and tone to your eyelid skin effectively and conveniently at home.

Legal: This product is for cosmetic use only. This product is not intended to diagnose, treat, cure, or prevent any medical condition. Consult a healthcare professional regarding any skin condition.