What is Xanthelasma Surgery?
Xanthelasma is a skin condition characterized by yellowish fat deposits on the eyelids. It is commonly linked to high cholesterol or lipid metabolism disorders, but in some individuals, it can develop without any underlying health issues.
Although various methods are used to treat xanthelasma, a definitive and permanent solution is usually achieved through surgical intervention. However, many patients are concerned about whether scars will remain around the eye area after surgery.
Does Xanthelasma Surgery Leave Scars?
Xanthelasma surgery is performed by removing fat deposits from the eyelid using microsurgical techniques. The likelihood of scarring after the procedure can vary depending on the individual’s skin type, surgical technique, and the healing process.
Generally, scars do not form or are very faint because: ✅ The eyelid area heals quickly, and the skin is thin, so scars fade over time.
✅ Cosmetic stitches and laser-assisted incisions are used to minimize surgical scarring.
✅ Incisions are typically made in the natural folds of the eyelid, making them less noticeable.
However, in some cases, mild scarring may occur: ⚠ Individuals with thick, dark skin may have more visible scars.
⚠ If the patient does not follow proper care instructions or consumes alcohol or tobacco during recovery, wound healing may be delayed.
⚠ Incorrect incision placement or improper stitch removal by the surgeon can result in mild scarring.
When performed by an experienced surgeon, the likelihood of significant scarring after xanthelasma surgery is very low.
How to Reduce the Risk of Scarring After Xanthelasma Surgery?
✅ Regularly apply antibiotic ointment around the eye area.
✅ Avoid heavy makeup and cosmetic products for the first 1-2 weeks.
✅ Sun exposure can make scars more noticeable. It is recommended to use sunscreen and sunglasses.
✅ Use scar-reducing creams as recommended by the doctor.
✅ Avoid rubbing or scratching the area in the first few days after surgery.
Do Alternative Methods for Xanthelasma Leave Scars?
Apart from surgery, there are alternative methods for treating xanthelasma. These methods, which involve surface treatment of the skin, do not leave scars as deep as surgery but may leave minor discoloration or spots in some cases.
1️⃣ Laser Treatment for Xanthelasma
- Does not require stitches and generally does not leave scars.
- Mild redness and discoloration may occur but usually fade within a few weeks.
- It may be ineffective for deep xanthelasma.
2️⃣ Chemical Peeling for Xanthelasma
- Peeling with chemicals like TCA (Trichloroacetic Acid) can cause mild peeling.
- Effective for superficial xanthelasma but may carry a risk of discoloration in individuals with dark skin.
3️⃣ Radiofrequency Treatment for Xanthelasma
- Uses vaporization without cutting.
- Mild scabbing and redness may occur, but it generally does not leave permanent scars.
If you are concerned about scarring, minimal invasive methods such as laser or radiofrequency may be preferred instead of surgery.
What to Do If Scarring Occurs After Xanthelasma Surgery?
If mild scarring occurs after surgery, the following methods can help reduce the appearance of scars:
Scar-Reducing Creams and Gels
- Creams like Contractubex, Dermatix Ultra, and Madecassol can help reduce scarring.
- Vitamin E creams can speed up the skin’s healing process.
Laser Treatment
- Laser treatment can lighten or completely eliminate surgical scars.
Microneedling (Dermapen)
- Speeds up skin regeneration and reduces the appearance of scars.
It is recommended to wait at least 6 months after surgery before undergoing these treatments.
Conclusion: Does Xanthelasma Surgery Leave Scars?
When performed by an experienced surgeon using the correct technique, the likelihood of noticeable scarring after xanthelasma surgery is very low. However, some patients may experience slight discoloration or minimal scarring, which will fade over time.
If you want to remove xanthelasma from your eyelids and have concerns about scarring, feel free to contact us to determine the best treatment option!
Op. Dr. Yıldız Acar Ebcim
Ophthalmologist
