What Causes Xanthelasma? Yellow Patches Around the Eyes Explained
Yellowish, soft, and flat plaques forming around the eyes may seem like a purely cosmetic issue at first glance. However, these formations — medically known as xanthelasma — can often signal important imbalances within the body. While they are usually harmless, xanthelasma may sometimes be the visible sign of underlying metabolic or genetic conditions. So, what exactly causes xanthelasma?
The most common cause of xanthelasma is lipid imbalance in the blood — particularly high cholesterol and elevated triglyceride levels. Individuals with high levels of LDL (known as “bad” cholesterol) are at greater risk. The accumulated lipids collect beneath the skin and often present as yellowish plaques on the inner part of the eyelids. In some cases, this may even be the first visible symptom before lab tests detect any abnormalities.
Genetic predisposition is another key factor. People with a family history of similar lesions around the eyes are more likely to develop xanthelasma. Additionally, liver disorders, diabetes, obesity, and thyroid dysfunction (hypothyroidism) may also trigger the formation of these lesions.
That said, some people develop xanthelasma despite having normal blood values. This could be due to skin structure, environmental influences, or unknown individual biological factors. In short, not every case of xanthelasma is tied to an underlying disease — but it should never be ignored.
I, Op. Dr. Yıldız Acar Ebcim, assess every xanthelasma patient not only from an aesthetic standpoint, but also from a systemic health perspective. When necessary, I conduct further evaluations such as lipid profiling, liver function tests, and endocrine assessments to uncover the root cause — and tailor treatment accordingly.
If you’ve noticed yellowish plaques around your eyes and are wondering what might be causing them, we’re here to help with a comprehensive evaluation and expert guidance. Sometimes, the changes around your eyes are your body’s way of sending you an early message.
Op. Dr. Yıldız Acar Ebcim
