Xanthelasma are soft, yellowish cholesterol deposits in the skin of the eyelids, usually near the inner corner. They are harmless but tend to enlarge slowly. Surgical correction cuts them out, and is the most dependable treatment for thicker or deeper plaques.
Removal clears the visible patches in one step. It does not treat the tendency behind them: up to about 4 in 10 return over the years, more often when all four lids are involved or cholesterol is high. About half of people with xanthelasma have abnormal blood lipids, so a blood test is part of proper care.
What Surgical Correction of Xanthelasma involves
You are marked sitting up, and the surgeon pinches the lid skin to check how much can be removed without pulling the lid. Under local anaesthetic, each plaque is excised as a thin ellipse of skin, staying above the muscle where possible, and closed with very fine stitches. On the upper lid the excision can be designed as part of a blepharoplasty so that the scar falls in the lid crease. Large plaques on the lower lid or inner corner may need a small local flap or skin graft, or staged removal, to avoid dragging the lid down.
Who is a good candidate for Surgical Correction of Xanthelasma?
It suits adults with established plaques who want them gone.
- Your plaques are raised, thick or growing
- Laser, peel or other surface treatment has failed or they have come back
- You also have excess upper eyelid skin, so removal can be combined with blepharoplasty
- You have had your cholesterol checked
Es ist normalerweise nicht die richtige Wahl, wenn:
- Plaques are very extensive on the lower lids, where excision risks pulling the lid away from the eye (ectropion)
- You have not had lipid tests; treat the cause alongside the patch
- You have an active eye or eyelid infection
- You form keloid scars or have had poor eyelid healing before
Technikoptionen
- Simple excision: Small to medium plaques with enough spare lid skin.
- Excision within upper blepharoplasty: Upper lid plaques in people with hooded lids.
- Staged excision or local flap: Large plaques near the inner corner.
- CO2 or erbium laser ablation: Thin, superficial plaques; no stitches, but risk of pigment change and recurrence.
- Trichloroacetic acid peel: A non-surgical option for small flat lesions, often needing repeats.
Was passiert während Ihrer Behandlung
It takes 20 to 45 minutes under local anaesthetic, as a day case. The injection stings for a few seconds. You go home with thin tapes or ointment on the lids, and can see normally.
Vorbereitung auf Ihre Reise
Planen Sie 5 bis 7 Tage in Istanbul. Ihr Chirurg überprüft Fotos und Ihre Krankengeschichte, bevor Sie buchen, und Sie treffen sich persönlich am Tag vor der Operation zur Untersuchung, Markierung und Zustimmung mit einem professionellen Dolmetscher.
- Stoppen Sie das Rauchen und Nikotin mindestens vier Wochen vor und nach der Operation; es ist die größte vermeidbare Ursache von Wundproblemen
- Erzählen Sie dem Team von allen Medikamenten und Ergänzungen, die Sie einnehmen; Blutverdünner, einige Kräuterprodukte und Hormonbehandlungen müssen möglicherweise auf Anraten Ihres Arztes unterbrochen werden
- Vereinbaren Sie, dass jemand mit Ihnen reist oder erreichbar ist, und halten Sie die ersten Tage zu Hause frei von Arbeit und Heben
- Buchen Sie einen veränderlichen Rückflug; Ihr Chirurg bestätigt, wenn Sie fit sind
Genesung und Ergebnisse
Bruising and puffiness last 7 to 10 days; cold compresses and sleeping with your head raised help. Stitches come out at 5 to 7 days. Avoid contact lenses and eye make-up for about 10 days. Eyelid scars usually fade well within 2 to 3 months. Have your lipids managed by your own doctor to reduce the chance of new plaques.
- Back to everyday activity: 7 to 10 days
- When results show: Once bruising clears at 2 weeks
- How long they last: Often permanent; recurrence is common
Sicherheit, Risiken und Revisionspolitik
Eyelid skin heals well, but there is little to spare.
- Recurrence, the most common problem
- Lower lid retraction or ectropion if too much skin is removed
- Visible scar or pale patch
- Asymmetry between the eyes
- Bruising, infection or delayed healing
- Dry or watery eye for a few weeks
Jeder schriftliche Vorschlag wird durch Clinic-Y gibt an, was die Klinik abdeckt, wenn eine Korrektur erforderlich ist. Fragen Sie danach, bevor Sie buchen, nicht danach.
Cost of Surgical Correction of Xanthelasma in Türkiye
Clinic-Y does not publish a single price for Surgical Correction of Xanthelasma, because the honest figure depends on your case. What moves it:
- Number and size of plaques
- Simple excision versus flap, graft or combined blepharoplasty
- Surgery versus laser
- Surgeon's oculoplastic experience
Senden Sie Ihre Fotos oder Berichte und Sie erhalten geschrieben, All-inclusive Vorschläge von geeigneten Teams, Seite an Seite. Die Überprüfung Ihres Falls ist kostenlos.
Häufig gestellte Fragen
Do xanthelasma mean I have heart disease?
Not necessarily, but they are linked with raised cholesterol and cardiovascular risk. Have a lipid profile and blood pressure check.
Will lowering my cholesterol make them disappear?
Rarely. It may slow new ones forming.
Surgery or laser?
Laser suits thin, flat patches. Surgery is more reliable for thick or deep ones and when there is spare lid skin.