Xanthelasma (also known as xanthelasma palpebra) is a well-circumscribed flat or slightly elevated yellowish growth that typically occurs on or around the eyelids. It is made up of cholesterol deposits that accumulate underneath the skin. The lesions are not harmful and generally are not painful or itchy. About half of patients with xanthelasma have elevated lipid levels that are commonly associated with hereditary forms of high cholesterol or certain liver diseases. The other half of patients have normal cholesterol levels. Xanthelasma usually do not regress on their own and either stay the same size or grow larger. They may even come together to form larger plaques. The best way to remove xanthelasma is using laser.