Xanthelasma Removal

Xanthelasma removal at MED-LASER Jihlava addresses the yellowish, cholesterol-rich plaques that deposit around the eyelids — a condition affecting roughly half of those who develop it regardless of blood cholesterol levels, and one that causes significant cosmetic concern in periorbital skin. The laser ablates the lipid deposits precisely, layer by layer, in the thin and sensitive skin of the eyelid zone, removing the visible plaque while sparing the underlying tissue. Prim. MUDr. Marie Policarová's experience as a senior physician working in eyelid-adjacent anatomy makes her a clinically appropriate practitioner for this delicate area. The clinic lists xanthelasma removal among its core dermatology services, confirming treatment availability, with pricing confirmed at individual consultation due to the variable size and number of plaques.

Xanthelasmas are flat or slightly raised plaques of lipid-laden macrophages (foam cells) that deposit in the dermis of the periorbital skin — typically the inner corners of the upper eyelids, though lower eyelid and outer canthal involvement also occurs. They appear yellowish because of the cholesterol and neutral fat content of the foam cells within them. While often associated in popular understanding with high blood cholesterol, xanthelasmas occur in individuals with normal lipid profiles in up to 50% of cases, making lipid management alone an insufficient treatment. The cosmetic impact is significant for most patients: the plaques are situated in one of the most visible and age-sensitive areas of the face, they enlarge progressively, and they rarely resolve spontaneously. Surgical excision has historically been the standard approach, but laser ablation has become a preferred alternative in expert hands because it avoids sutures and stitches in the delicate periorbital skin and allows more precise depth control. Laser ablation of xanthelasma works by vaporising the lipid-loaded tissue layer by layer. The laser energy is absorbed by the water content of the tissue and converts to heat, which gently ablates the plaque material. The clinician works slowly and carefully, controlling depth to remove the visible deposit without damaging the underlying dermis or the eyelid's functional structures. At MED-LASER Jihlava, xanthelasma removal is performed by Prim. MUDr. Marie Policarová, a physician with head-physician-level seniority and 15 years of laser clinical practice. The periorbital area demands both medical and technical experience — the skin is thinner than anywhere else on the face, the eyelid margin is immediately adjacent, and the risk of scarring or pigmentation change is higher than in less sensitive zones. Recurrence after treatment occurs in a proportion of patients, particularly those with ongoing lipid dysregulation. Maintaining healthy lipid levels and protecting the periorbital skin from UV exposure may reduce recurrence risk. Preparation: attend an individual consultation to assess the size and depth of the plaques. Disclose any anticoagulant medications. Remove contact lenses before treatment. Post-treatment: small crusts form over the treated plaques and resolve over 7–14 days. The area may appear pink for several weeks during healing. Avoid rubbing the eyelid area. Apply prescribed aftercare and use SPF 50+ on healed skin. Contraindications: active periorbital infection, bleeding disorders, or history of keloid scarring in the eyelid area.