Xanthelasma in India is a common condition in which you will see soft, yellowish cholesterol rich deposits which develops around the eyelids. They are observed most commonly near the inner corners of the eyes.

Xanthelasma or Xanthoma are generally painless, but these yellow cholesterol patches gradually start to enlarge over the time, and hence they become a cosmetic concern.

This is a case study of a female patient who came from Hyderabad, Telangana, to our plastic surgery clinic in Mumbai for treating her Xanthelasma. The patient had tried chemical peel, radiofrequency, laser therapy earlier, but there was no effect.

Dr. Vishal Patel performed Xanthelasma excision surgery in Mumbai for both the eyelids, and after two weeks, the patient got a relief from xanthelasma completely.

This is the full success story of the patient who got xanthelasma transformation with detailed info of the procedure and Xanthelasma before after photos. So, let’s dive in.

Case Background - Patient Details

Age: 50 years.
Gender: Female.
Residence: Hyderabad, Telangana.
Travelled to: Mumbai for treatment.
Condition: Extensive xanthelasma involving all four eyelids.
Duration: Suffering from last 3 years.
Affected Areas: Right upper eyelid, right lower eyelid, left upper eyelid, and left lower eyelid.
Previous Treatments: Multiple laser sessions, chemical peels, and dermatology consultations.
Previous Outcome: Persistent lesions with no satisfactory improvement.
Reason for Consultation: Wanted permanent removal after repeated treatment failures

Patient Concerns First Consultation with Dr. Vishal Patel

For almost 3 years, the patient was struggling with xanthelasma on all four eyelids. The yellowish cholesterol patches were gradually increasing in size and had become clearly visible around both the upper and lower eyelids.

This affected her facial appearance and reduced her confidence. During these three years, she underwent multiple laser therapy sessions, chemical peels, and consulted several dermatologists in Hyderabad.

However, despite repeated treatments, there was no satisfactory improvement, and the cholesterol deposits continued to persist.

Although Xanthelasma is usually painless, the patient was constantly conscious of the visible yellow patches around her eyes.

Patient told Dr. Vishal Patel that she often felt uncomfortable during social interactions, photographs, and professional meetings because the deposits gave the eyelids an unhealthy appearance.

The cosmetic concern had started affecting her self-confidence, and she wanted to get rid of the lesions permanently.

Have a look at below patient’s photos when she visited Dr. Vishal Patel’s Recon Plastic Surgery & Physiotherapy Clinic located near Malad, Goregaon, Andheri in Mumbai.

As you can see in the above photo of Hyderabad female patient in Mumbai, this is a severe case of Bilateral Xanthelasma Palpebrarum. You can see, there are extensive, yellowish cholesterol plaques situated at upper and lower eyelids. It has really formed a classic quadrilateral distribution.

Dr. Vishal Patel has done the markings around the borders of these lipid deposits using his black surgical ink marking pen.

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The Treatment Time - Xanthelasma Excision Surgery in Mumbai by Dr. Vishal Patel

During the Xanthelasma consultation, Dr. Vishal Patel informed the patient about the procedure, all the steps that needs to be taken, and the associated risks.

After obtaining consent from the patient, Dr. Vishal Patel completed the surgical marking around the eyelids.

The eyelid skin was cleaned first using standard sterile protocols. Local anesthesia was given to ensure that patient feel comfortable throughout the xanthelasma treatment.

Dr. Vishal Patel started with each xanthelasma plaque, and it was carefully outlined before excision. Dr. Vishal Patel excised the lesion but preserved healthy eyelid tissues as possible.

Dr. Vishal Patel also need to maintain natural eyelid contour and avoid unnecessary skin removal. In this case of female xanthelasma removal, hemostasis was done throughout the procedure so that bleeding can be minimized.

The wounds are then closed with fine, non-absorbable sutures. The entire procedure was completed successfully in about 1.5 hours.

Below is the surgical summary of this case of Xanthoma removal in Mumbai by Dr. Vishal Patel –

Procedure: Surgical Xanthelasma Excision.
Surgeon: Dr. Vishal Patel.
Anaesthesia: Local anaesthesia.
Treatment Areas: Upper and lower eyelids of both eyes (all four eyelids).
Number of Lesions Removed: Multiple xanthelasma plaques.
Surgical Technique: Direct excision with preservation of healthy eyelid tissue.
Hemostasis: Achieved throughout the procedure to minimize bleeding.
Wound Closure: Fine non-absorbable microsutures.
Procedure Duration: Approximately 1.5 hours.
Hospital Stay: Day-care procedure.
Discharge: Same day.
Suture Removal: After 7 days.
Recovery Time: Approximately 2 weeks.
Outcome: Complete removal of xanthelasma with preserved natural eyelid contour.

The Xanthelasma Surgery Results - After 1 Week of Surgery

This case of xanthelasma surgery in Mumbai successfully removed the cholesterol patches from both eyelid. And all this happened in a single sitting.

The yellowish cholesterol, as you could see in the photos taken before the surgery, are now completely excised by Xanthelasma Expert doctor – Dr. Vishal Patel. After 1 week of recovery period time, both the eyelids started to heal well and you can see the eyelid contour is well preserved.

You can compare the before and after photos of this xanthelasma surgery in Mumbai and understand the difference. This above photo was taken 1 week after the surgery. Another follow up was planned after 2 weeks of surgery when suture removal will be done.

In this photo of post Xanthelasma treatment, you can also observe that the surgical wounds were also healed properly. The patient was extremely happy with the transformation.

Below are the technical observation notes of Dr. Vishal Patel after 1 week of Xanthelasma surgery.

Upper Eyelids: Linear, reddish-pink healing incisions are visible along the natural creases of both upper eyelids where the plaques were excised. The wound edges appear well-approximated, with minimal to no active swelling along the lines.
Lower Eyelids / Infraorbital Area: Both lower eyelid areas show irregular, reddish-purple healing surgical marks where the xanthelasma lesions were removed. The tissue is intact, showing signs of early epithelialization means new skin formation.
Periorbital Yellowing: Significant yellowish-green discoloration (in medical terms Ecchymosis) is present beneath both eyes, extending across the lower eyelids and upper cheeks. This is a normal, expected progression of surgical bruising as the older blood breaks down and reabsorbs into the tissue.

The Xanthelasma Surgery Results - After 1 month of Surgery

This is the photo of right eyelid recovery after 1 month of Xanthelasma excision surgery in Mumbai by Dr. Vishal Patel. You can see, the results are clearly visible here. There is no yellow patches and sutures scars are also going reduced.

This right side is healing well after xanthelasma removal. A thin pink line can be seen, which is a normal part of the healing process. It shows that the skin is repairing itself.

The raised yellow cholesterol patch has been removed, and the skin now looks flat and smooth. As the healing continues, the pink color will slowly fade over the next few weeks to months, and the skin will gradually blend with the surrounding area. Now, let’s look at below left eyelid situation.

Above is the photo of left eyelid situation after 1 month of Xanthelasma treatment. The Left eyelid appears to be at a slightly earlier stage of healing. The area looks a little raised and has a yellowish-pink color.

Some of the xanthelasma deposit may still be present, while the pink color suggests that the skin is healing after treatment.

As the healing continues, the area is expected to become flatter, and the color should gradually improve over the next few weeks

Before & After Photo of Xanthelasma Surgery in Mumbai

These are actual before and after photos of this case of Xanthoma removal treatment in Mumbai. Now, you can compare the results easily. Have a look.

Conclusion

This case of xanthelasma treatment in Mumbai, done by Dr. Vishal Patel, highlight how surgical excision of xanthelasma is an effective solution for patients with excessive cholesterol patches. When the other treatments such as laser therapy or chemical peel doesn’t work, the surgical excision will be an option. You need to take care of things like preserving the natural eyelid contour by carefully planning the excision surgery under the guidance of experienced xanthelasma specialist. In this case, Dr. Vishal Patel successfully removed the lesion from all the both eyelids in a single sitting. The result is an excellent cosmetic outcome.

The Xanthoma surgery in Mumbai is a complete removal of the cholesterol deposits and can provide long-lasting cosmetic improvement. A consultation with an experienced plastic surgeon can help you understand whether excision surgery is the right treatment for your condition.

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About Author

Dr. Vishal Patel - Best Xanthelasma Doctor in Mumbai

(Connect with Dr. Vishal Patel – Plastic Surgeon in Mumbai, on above social media channels.)

Dr. Vishal Patel is a board-certified plastic surgeon & skin specialist in Mumbai with extensive experience in delicate facial and eyelid surgeries like Xanthelasma treatment. He is a proud founder of his plastic surgery clinic located in Malad, near Andheri and Goregaon, named Recon Plastic Surgery & Physiotherapy Clinic.

At his clinic, he offers treatment of all severe xanthelasma, including laser therapy, surgical excision, and chemical peels. Dr. Vishal Patel is a DNB in plastic surgery and DNB in general surgery. This dual expertise gives him full understanding of eyelid anatomy, which helps him to precisely remove the cholesterol patches, but preserve natural eyelid appearance.

If you are looking for xanthelasma specialist in India, then look no further than Dr. Vishal Patel. If you are outside Mumbai, then you can avail online Xanthelasma consultation with him. However, for treatment, you need to visit his plastic surgery clinic in Malad, Mumbai.

Dr. Vishal Patel evaluates every patients carefully to assess the size, depth, number, and location of the cholesterol plaques, skin laxity, eyelid anatomy, and previous treatment history before a customized treatment plan is prepared. Dr. Vishal Patel offers surgical excision, laser treatment, chemical peels, and other suitable treatment options, selecting the most appropriate approach for each patient rather than following a one-size-fits-all protocol.

He also provides online appointments for patients outside India with his medical tourism services in Mumbai. For all xanthelasma treatment, he also offers medical financing, EMI payment plans, so the treatment is affordable to everyone.

Address:

Recon Plastic Surgery & Physiotherapy Clinic,
302, Corporate Corner, Next to Dalmia College, Mandlik Nagar, Sunder Nagar, Malad West, Mumbai, Maharashtra 400064

Phone: 9004983316