According to most studies, the lipids found in xanthelasmas are the same as those circulating in the blood. To transport plasma lipids, complex macromolecular compounds are formed that are called lipoproteins. Protein metabolism involves both exogenous (dietary) and endogenous pathways.

Heredity has not been fully elucidated, but xanthelasmas in the same family are common.

The most likely mechanism for the formation of xanthelasmas is lipoproteins that circulate in the blood to penetrate the wall of the capillaries of the skin and to be phagocytosed by macrophages, which thus end up becoming foam cells.

The most common ages are from 40 to 60 years old while at younger or older ages they are rare.

They occur in both sexes, but women have up to twice the incidence.

Then, with the use of local anaesthesia (never general anaesthesia is applied), in the microsurgery department of the well-organized medical center and always taking all the appropriate safety measures, he will proceed to the removal of the lesions, leaving the healthy skin intact; selectively removing, with the help of medical the entire contents of the xanthelasma, cauterizing – evaporating at the same time the adjacent involved tissues, in order to minimize their relapse.

After the end of the removal, what is left is essentially a dry uniform skin surface, which is whiter than the adjacent, but with the use of a regenerating cream for a few days, the skin regains it uniformity.

Precautions to prevent the formation and recurrence of xanthelasmas:

-Balanced diet (saturated fats must be avoided)
-Physical exercise
-Cholesterol regulation
-Stop smoking
-Restriction to a minimum of alcohol consumption
-Maintenance of low body weight