Xanthelasma

‘Xanthelasma’ is a medical term which refers to small, flat, pale yellow plaques that can occur around the eyes, typically appearing around the inner corner. These plaques can be found anywhere on the body, and are then referred to as ‘xanthoma’. They are made up of cholesterol deposits, which can appear as a result of logstanding high levels of cholesterol or lipids (fat) within the blood. As such, they are often associated with those who are overweight or suffer from high cholesterol.

In some cases, they can also occur in those with a family history of developing xanthelasma. They are most commonly seen in those over the age of 40, and appear more often in women than in men. Rarely, xanthelasma can be caused by certain inflammatory skin conditions or thyroid problems.

If you have xanthelasma, it is recommended to see your GP in the first instance. Whilst not harmful themselves, they may be a sign of an underlying medical problem, such as uncontrolled high cholesterol. This can be treated through modification of lifestyle factors, such as weight loss, regular exercise and having a healthy diet, or through medications known as statins. If left unchecked and untreated, over time high cholesterol can increase your risk of heart disease, stroke and diabetes.

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About this condition

Unfortunately, even if the high levels of cholesterol are treated and corrected, the xanthelasma do not tend to go away on their own. They may stay the same, or even become slightly larger with time. Whilst they are not typically painful or itchy, and do not affect a person’s eye movements or vision, some individuals find them unsightly. This can lead to them feeling self-conscious and impact their confidence and self-esteem. As they occur around the eyes, they can appear obvious to onlookers and can be difficult to disguise using cosmetic products or clothing.

If you are seeking complete removal or resolution of xanthelasma, there are a number of aesthetic procedures that can be considered. These include laser-based treatments (most commonly a carbon dioxide-based laser) or surgical removal of the xanthelasma. The surgery for xanthelasma can involve direct removal of the problem lesions themselves, or may be performed as a blepharoplasty (eyelid lift) procedure, during which excess skin, including the xanthelasma, is removed. Laser involves a layer by layer removal of the lipid deposit leaving a small wound to heal on its own. There are risks associated with having laser treatments or surgery, particularly with them being performed so close to the eyes, and it is important to discuss these risks in full with an experienced clinician so that you are able to make an informed decision about your treatment. Unfortunately, it is also possible for xanthelasma to recur following removal, particularly if the underlying high cholesterol has not been addressed and treated.

Mr Ioannis Goutos is a highly skilled plastic surgeon and is able to offer a wide range of surgical and non-surgical procedures for a variety of cosmetic issues. Mr Goutos is proud to offer comprehensive assessments and bespoke treatment plans for each individual, based on their situation and cosmetic goals.

Testimonials

Mr Goutos is delighted to share some of his patient and peer feedback on their experiences of his services.

Louise Steel

2023-08-16

Mr Goutos performed keloidectomy surgery on both my earlobes, and I am so grateful to have been referred to him. From the first consultation, through surgery, and now my 3-month follow-up, I have nothing but good words to say.

Luke Ward

2023-07-10

This man is an extremely intelligent, professional gentleman. He will set realistic expectations from the beginning and will not ‘beat around the bush’ so-to speak. From the initial consultation to post-surgery, it has been a rollercoaster ride. However the high level of expertise & professionalism Mr Goutos maintained has been impeccable. All I can say to any other individual considering treatment with Mr Goutos, is that you are in incredibly safe hands. And on top of this, he has a great sense of humour. I wish nothing but the best for this man, and the best results for his future patients.

Mauricio Lucas

2023-07-06

Outstanding Doctor - Exceptional Expertise I recently had the pleasure of consulting and also going through surgery. Dr. Goutos removed a large class of keloids from my back and chest, and without a doubt, I can confidently say that he is the best doctor I have ever had the privilege of seeing. From the moment I entered his practice, I was immediately struck by his professionalism, knowledge, and exceptional bedside manner. Dr. Goutos possesses an extraordinary level of expertise in his field, and his technical skills are truly remarkable. His ability to diagnose and treat medical conditions is unparalleled, and I have personally witnessed his remarkable success in improving the health and well-being of countless patients. What sets Dr. Goutos apart is his genuine care and concern for his patients. He takes the time to listen attentively, ensuring that he understands every aspect of the medical issue at hand. He communicates clearly and effectively, explaining complex medical concepts in a way that is easy to comprehend, which greatly helps in alleviating any concerns or fears. One aspect that impressed me greatly was Dr. Goutos' commitment to staying updated with the latest advancements in his field. He incorporates cutting-edge techniques and treatments into his practice, ensuring that his patients receive the highest standard of care available. This dedication to continuous learning and improvement is a testament to his unwavering dedication to his profession. Additionally, the support staff at Dr.Goutos' practice deserves recognition for their exceptional service. They are friendly, compassionate, and highly efficient, ensuring that appointments run smoothly and patients feel comfortable throughout the entire process. Overall, I cannot emphasize enough how fortunate I feel to have found Dr.Goutos' exceptional skills, genuine care, and unwavering commitment to his patients make him a truly outstanding specialist. I wholeheartedly recommend him to anyone seeking top-notch medical care.

Kashmala Khan

2023-01-26

Mr. Goutos and his team did an amazing job reversing a scar I had on my forehead. This was a very old scar and had bothered for many years. The laser treatment and fat transfer procedure has changed my life and given me so much confidence. I would definitely recommend him, he is a fantastic and very skilled surgeon. Thank you so much!

Javier

2023-01-14

Mr Goutos and his team removed some lipomas from my arms. The initial consultation right through to the aftercare was professional, sensitive and genuine. Mr Goutos put me at ease right from the start, discussing my history and background and then discussing the various options for the incisions and sutures. The incisions were quick, efficient and professional. I felt completely at ease knowing I was in expert hands. The incisions were extremely neat and have closed and scared really well. I had a number of questions after the operation and one of the sutures became infected. Mr Goutos was quick to make an appointment for me, see me and deal with the infection and offered for me to see him again if the infection didn’t calm down. He was genuinely empathetic to my needs and took time to check each scare, explain things and assure me along the way. He didn’t at any point, make me feel I was asking silly questions or too many. I highly recommend Mr Goutos for his exceptional incisions and suturing as well as his professional conduct, caring approach and after care. The whole experience was smooth and easy and I am very grateful for what he has done for me.

Ieva Lihovida-Yarlett

2022-12-07

We came to see Dr Goutos a few month ago to remove invasive spider nevus on my 9 year old sons nose . After a lovely consultation with Dr Goutos , he suggested to do several laser treatment sessions. After a few sessions we already noticed a massive improvement. On the final laser treatment session the spider nevus was completely gone. Thank you to the Dr Goutos for tackling the problem so rapidly and with great results!

Amy Munson

2022-10-27

We took our 4yr old daughter to Mr Goutos following an accident which resulted in a small burn scar on her cheek. Mr Goutos gave us various options and we went for laser treatment. After 4 appointments the scar has gone! The care that Mr Goutos gave us was exceptional and so good with children. He made us feel very comfortable and confident in his ability. I would recommend him to anyone if they were looking for a doctor in that particular field. Can't thank him enough.