Hi, Xanthelasma palpebrarum (also known as xanthelasma) is a skin condition. However, females seem to be more frequently affected than males. Most individuals develop the condition in middle age. Xanthelasma are flat yellow growths on the eyelids usually not itchy or tender. Individuals with xanthelasma are usually most concerned with their cosmetic appearance. Approximately one half of patients with xanthelasma have high amounts of fats (lipids) in their blood, such as high cholesterol or high triglycerides. The most common locations for xanthelasma include: •     Upper eyelids, especially near the nose •     Lower eyelids Once the diagnosis of xanthelasma is confirmed, the physician will likely check cholesterol levels in your blood (a lipid panel). If you have a lipid abnormality, exercise and dietary modifications will likely be recommended. Many people also require an oral medication to lower their lipids. Treatment of underlying lipid abnormalities does not cure every xanthelasma. If the xanthelasma is cosmetically unappealing and if it does not respond to lipid-lowering therapies, treatments include: •     Freezing with liquid nitrogen (cryotherapy) •     Surgical excision •     Laser treatment •     Application of a specially formulated acetic acid solution to dissolve the xanthelasma •     Electric needle treatment (electrodesiccation) Above mentioned treatment options may cause scarring, and they do not keep the xanthelasma from coming back or prevent new lesions from developing. Wishing you Good Health Take Care :)