Xanthelasma is yellowish-brown elevated or flat lesions on the skin of the upper and lower eyelids, usually 2-30 mm in size, that contain deposits of cholesterol or lipid-rich content. It is often seen in people with high cholesterol or other fat (lipid) levels in the blood. Once present, xanthelasma never go away on its own. In fact, lesions frequently grow larger and more numerous. Individuals with xanthelasma are usually most concerned with their cosmetic appearance. Any race or sex can be affected by xanthelasma but more frequently seen in females, mostly middle aged group. The treatment of this problem includes Surgical excision - direct removal of xanthelasma by experienced hands of a trained plastic surgeon is a viable method to get rid of it. Basically it is quick in-office procedure performed on day care basis and patients are allowed to go home at the same day. Any other treatment such as application of any kind of acids or chemical etc should strictly be avoided as it can damage the skin leaving severe scars behind that are impossible to reverse later.