Xanthelasma removal surgically/using laser

The fact that the skin loses elasticity and tone as we age naturally also affects our eyes. Although we can counteract this through surgery or conservative methods, no one is spared from this phenomenon. However, some people also have to deal with changes in the upper and lower eyelids that they find unsightly and stigmatizing: xanthelasmas.

Preise: ab €130.00

Xanthelasma removal surgically/using laser

Xanthelasma or xanthelasmas are yellow plaques or nodules ;small cells that arise from deposits of cholesterol in the tissue or the storage cells of the upper or lower eyelid. They can be flat or raised, are usually located near the inner corner of the eyelid and are visible to everyone. These aesthetically unsightly fatty deposits on the eyelid are considered a special form of xanthoma of the skin, do not go away on their own, cannot be treated with medication and require treatment using laser, cautery or scalpel (e.g. as part of a eyelid lift). If they occur before the age of 30, this may indicate hyperlipoproteinemia, while at an older age they occur independently of lipid metabolism. Patients who are affected by this should definitely have their blood lipid levels checked (can be done directly in our medical spa by general practitioner Dr. Patrizia Debski). In some cases they are genetically determined.
Removal using laser therapy
< div>At the Moser Milani Medical Spa we are equipped with state-of-the-art laser technology from "Alma", which is also suitable for the removal or ablation of xanthelasma. Your skin is protected as much as possible, although redness and crusting may occur after the treatment, which will subside after some time.
Procedure of the Xanthelasma laser treatment
  1. Before the treatment An anonymous digital photo of the area of skin affected by xanthelasma(s) was taken in order to effectively document the course of the laser therapy.
  2. After disinfecting the skin area, the effective laser therapy is carried out. Laser treatment of the affected areas is extremely painless and generally very well tolerated. A pain-relieving ointment can be used for particularly sensitive areas of the body.
  3. During the laser therapy (duration, depending on the size, from several minutes to an hour), the patient wears laser safety glasses.< /li>
  4. For the following days, please follow the recommendations of our specialists.
This laser treatment of xanthelasma is carried out at the Moser Milani Medical Spa Vienna under medical supervision. It is understood that all treatments are preceded by detailed and expert information and advice.
As slight irritation of the skin cannot be completely avoided during the laser treatment, it should be done a few weeks beforehand and after the treatment, tanning beds and sunbathing should be avoided.
Xanthelasma Have it surgically removed
Since surgical removal can result in scars, this is particularly recommended if you have an upper and/or lower eyelid lift. If you decide to have an excision independent of an eyelid lift, this will be carried out in our in-house operating room.

Surgical xanthelasma removal at a glance

Operation duration: 15 to 30 minutes

Anesthesia: outpatient under local anesthesia

Sport: after 10 days

Socially active : after one to two weeks

Vor der Op

  • For a period of around 14 days before the operation, you should avoid medications that contain acetylsalicylic acid (e.g. aspirin, ASA, etc.), as these impair blood clotting.
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  • You should also largely avoid alcohol, cigarettes and sleeping pills. Nicotine can also reduce blood flow to organs and delay wound healing. Therefore, avoid nicotine two weeks before the operation and also during the wound healing phase.
  • Nach der Op

    • Suture removal after approx. seven days. If self-dissolving suture material is used, there is no need to remove the threads.


    The deposits are cut out (excision) and the edges of the wound are sutured.


    Any swelling and discoloration caused by bruising in the surgical area will subside after about one to two weeks. If the scar formation is unfavorable, it may shrink and the eyelid closure may be disrupted. Furthermore, recurrences (new growths) can occur.

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    Dr. Shirin Milani

    Specialist in plastic, aesthetic and reconstructive surgery

    Dr. Shirin Milani