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Xanthelasma is a common skin condition characterized by yellowish, cholesterol-rich patches that typically appear on or around the eyelids. While these deposits are usually harmless and non-painful, they can cause cosmetic concerns, leading individuals to seek treatment for aesthetic reasons. Xanthelasma often occurs in middle-aged or older adults and may be associated with elevated cholesterol levels or lipid disorders, prompting a need for medical evaluation. While there are options of lasers or chemical peels for this issue, both require multiple sittings with a high rate of scarring and incomplete removal. Surgical approach allows removal of the entire existing lesion and converts an unsightly condition into very fine linear scars that fade with time.