Does Xanthelasma Go Away on Its Own?
Xanthelasma is the accumulation of yellowish, soft, and slightly raised plaques on the eyelids. It typically appears at the inner corner of the upper eyelid and may grow over time. It is completely harmless, but can cause cosmetic concerns and, in some cases, may be associated with high cholesterol or cardiovascular diseases.
Many people wonder whether xanthelasma will disappear on its own. So, does xanthelasma heal naturally?
Does Xanthelasma Disappear on Its Own?
Unfortunately, xanthelasma does not disappear on its own. Xanthelasma forms due to the accumulation of fat cells in the eyelid, and the body cannot naturally break down or eliminate these deposits.
Xanthelasma can grow and become more prominent over time, but without treatment, it will not shrink or disappear on its own.
How Does Xanthelasma Change Over Time?
In the early stages: It appears as small, yellowish plaques and is usually unnoticed.
As it grows: Xanthelasma can expand and become more visible.
Skin thickening: If left untreated for a long time, the skin around the eyelid may become slightly hardened.
Xanthelasma is painless, but as it grows, it can create aesthetic concerns and, in some cases, cause a slight feeling of heaviness in the eyelid.
Are There Natural Methods to Make Xanthelasma Disappear?
It is not possible to completely remove xanthelasma with natural or herbal methods. However, some dietary and lifestyle changes can help prevent new xanthelasma formations:
✅ Low-Cholesterol Diet: • Eat healthy fats (olive oil, avocado, walnuts), • Avoid trans fats, fried foods, and processed foods, • Consume more vegetables, fruits, and whole grains.
✅ Regular Exercise: • Engage in cardiovascular exercises like walking, running, or swimming to support heart health, • Boost metabolism and regulate cholesterol levels.
✅ Reduce Smoking and Alcohol Consumption: • Smoking can trigger the formation of xanthelasma by causing vascular blockages, • Alcohol can disrupt fat metabolism by affecting liver functions.
✅ Regular Health Check-ups: • Regularly monitor cholesterol, triglycerides, and blood sugar levels, • If high cholesterol is detected, start medication under doctor supervision.
These methods will not eliminate xanthelasma but can help prevent new plaques from forming.
What Treatments Are Available to Make Xanthelasma Disappear?
Xanthelasma can be permanently treated with both surgical and non-surgical methods. Here are the most commonly used options:
1️⃣ Laser Treatment for Xanthelasma
• Xanthelasma plaques are destroyed using CO2 laser or Er:YAG laser. • No surgical incision is required, so the risk of scarring is low. • The recovery time is faster.
2️⃣ Surgical Intervention (Excision Method)
• Xanthelasma tissue is surgically removed. • Provides a permanent solution, but stitches may be required for larger xanthelasma. • There may be slight redness and swelling after surgery, but it heals quickly.
3️⃣ Chemical Peeling (TCA Treatment)
• Trichloroacetic acid (TCA) is used to peel the skin surface and treat xanthelasma. • Effective for small and superficial xanthelasma. • Mild crusting and peeling may occur post-treatment.
4️⃣ Radiofrequency Treatment for Xanthelasma
• Xanthelasma tissue is vaporized using high-frequency radiofrequency energy. • A minimally invasive method with a fast recovery process. • The risk of scarring is very low.
It is important to consult your doctor to determine which method is most suitable for you.
Is There a Risk of Xanthelasma Recurrence?
Yes, xanthelasma can recur after treatment. This is especially common in individuals with high cholesterol and triglyceride levels.
To reduce the risk of recurrence: ✔ Regularly check cholesterol levels. ✔ Follow a healthy diet plan. ✔ Exercise regularly to balance fat metabolism. ✔ Minimize smoking and alcohol consumption.
Even after treatment, new xanthelasma can form if the underlying causes are not addressed. Therefore, healthy lifestyle habits are as important as cosmetic treatments.
Conclusion: Does Xanthelasma Heal on Its Own?
Xanthelasma does not disappear on its own and can grow over time.
Lifestyle and dietary changes should be made to prevent new formations.
Treatment options include laser, surgical excision, chemical peeling, or radiofrequency.
Without controlling cholesterol, the risk of recurrence remains after treatment.
If you have noticed xanthelasma on your eyelids and are looking for a permanent solution, contact us to learn the most suitable treatment options for you!
Op. Dr. Yıldız Acar Ebcim
Eye Specialist
