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What is the treatment for yellowish patches on eyelids that could be Xanthelasma?
Eye Disorders
Question #53264
53 days ago
528

What is the treatment for yellowish patches on eyelids that could be Xanthelasma? - #53264

Client_2033ae
$3

Hello doctor, I have developed yellowish, soft patches on my upper/lower eyelids. They are not painful but look unusual. I think it could be Xanthelasma*. Please suggest treatment and whether I need any tests.

How long have you had these yellowish patches?:

- More than 6 months

Have you noticed any changes in the size or number of the patches?:

- Slightly larger

Do you have any other symptoms accompanying the patches?:

- No other symptoms

What is your overall health like? Any known health conditions?:

- High cholesterol

Have you made any changes to your diet recently?:

- Increased fatty foods

Have you consulted any other healthcare professionals about this condition?:

- No, this is my first consultation

Is there a family history of similar skin conditions or cholesterol issues?:

- Yes, similar skin issues
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Doctors' responses

From an Ayurvedic perspective, these patches (Xanthelasma) are viewed as Medo-dushti (improper fat metabolism) and Kaphaja Granthi (small glandular growths caused by vitiated Kapha). They indicate an accumulation of “Ama” (toxins) and excess lipids in the subcutaneous tissues. ​ ​The focus is on clearing the channels (Srotoshodhana) and improving liver function to balance fat metabolism. ​Internal Medications : ​Liposem Tablet: Take 2 tablets twice daily after food. This is a proprietary formulation specifically designed to manage hyperlipidemia and fat metabolism. ​Varanadi Kashayam: Take 15 ml diluted with 45 ml of lukewarm water, twice daily on an empty stomach (30 minutes before food). This helps in “Scraping” (Lekhana) of excess adipose tissue. ​Kanchanara Guggulu: Take 2 tablets twice daily with lukewarm water after food. It is highly effective in treating glandular swellings and growths. ​Recommended Tests ​Since Xanthelasma is frequently a skin manifestation of internal issues, it is essential to get a Lipid Profile test. This will check your: ​Total Cholesterol ​LDL (Bad cholesterol) ​HDL (Good cholesterol) ​Triglycerides ​Modern Treatment Options ​If the patches are cosmetically bothersome, they usually do not disappear with medicine alone and may require: ​TCA Chemical Peels ​Laser Therapy (CO2 or Erbium) ​Surgical Excision or Cryotherapy


1 replies
Client_2033ae
Client
49 days ago

Hello Doctor, I have small yellowish patches near my eyes (xanthelasma). Can you please suggest any safe Ayurvedic cream

Hello, How old are you and how long have you been having cholesterol and taking medications. Xanthelasma directly points to significantly increased cholesterol levels and poor control. You need to be aware that it also points to increased cardiac health concern.Do you also have diabetes or hypertension? Do you have a doctor whom you consult on a regular basis for your cholesterol related concerns? If so you should discuss these with them, so they can plan your treatment plan accordingly. You need to do a CBC ESR TSH VITB12,HbA1C, lipid profile, hs CRP,LFT and Apo B tests to accurately access your current cholesterol levels, overall function health status and cardiovascular risk. The existing xanthelasma marks cannot be fully removed without cosmetic procedures but taking ayurvedic medicines also along with your medications can prevent these from occurring again and stop the existing ones from spreading out. I will provide you with a diet chart also if you follow up with reports and current medicines. While taking medicine if you are taking medicines for blood pressure, moniter it daily


0 replies

Go for laser or cautery Consulting the general surgeon or ent specialist


0 replies

Go for Fasting lipid profile Blood sugar tests HbA1c Thyroid profile Liver function tests If you find changes in any of the above mentioned test follow these lifestyle change: ??Do?? Eat home cooked food Dinner before sunset or maximum an hour after sunset 100 steps walking after both meals Stress free lifestyle Dairy only made from cow milk and if possible avoid dairy products. ???Yoga and Pranayam??? Sarvangasan Tadasan Vrukshasan Pashimotanasan Anulom vilom Tratak ?Dont? Excessive salt Alcohol Tobacco and its products Fried and oily food Processed and packed items Ready to eat meals Papad Pickles Medication: If painless and not affecting your confidence-Let it be If affecting your looks and confidence (cosmetological issue)- Go for laser correction


0 replies

Xanthelasma - creamy, yellow, plaque like lesions. Mainly seen in the skin of upper and lower eyelids. Represents lipid deposits in histiocytes in the dermis of lid. Associated with diabetes mellitus and high cholesterol levels. You have already mentioned about your high cholesterol levels. For cosmetic reason - excision is the best method. But recurrences are common. The good control in cholesterol level may decrease the recurrence rate. 1. Medonil tablets 1-0-1 after food. 2. Neutrabet tab 1 after food


0 replies

Hello, Xanthelasma appears as yellowish , soft, flat or slightly raised patches on the eyelids, usually near the inner corners of the eyes It is painless, non-itchy, and slow growing, which is why many people ignore it for years Although modern medicine considers it mainly a cholesterol-related skin deposition. Ayurveda explains it more deeply as a metabolic imbalance inside the body Even when blood cholestrol is normal, ayurveda still treats it seriously it reflects faulty fat metabolism and poor tissue nutrition In ayurveda, your wife’s condition can be explained as A) dosha involvement -kapha dosha (main culprit)-> causes heaviness, oiliness, accumulation -pitta dosha (associated)-> affects blood and skin coloration What actually goes wrong inside -digestive fire (agni) becomes weak -fat metabolism becomes sluggish -improper fat particles circulate in blood -these get deposited in weak areas eyelid skin -over years, visible yellow plaques form This is why xanthelasma is considered : “a sign of internal imbalance, not just a skin disease” Hence, treatment must be systematic and long term , not cosmetic Treatment goals -correct fat metabolism -purify blood -remove kapha accumulation -prevent recurrence -improve skin quality naturally Internal treatment Medicines to correct fat metabolism 1) triphala guggulu= 1 tab twice daily after meals with warm water =reduces abnormal fat deposits, improves tissue metabolism, prevents further accumulation - medohar guggulu= 2 tabs twice dialy after meals (alternative to triphala guggulu) =classical medicine for meda imbalance, helps reduce lipid deposits naturally Medicines for blood purification 2) manjistha ghan vati= 1 tab twice daily with warm water =purifies blood, improves skin tone, helps reabsorption of deposits 3) sarivadyavsava= 15ml twice daily after meals with equal water =excellent rakta sodrana mediicne, reduces chroni skin manifestations Digestive and metabolic support 4) trikatu churna= 2gm before meal with honey =improves digestion, breaks kapha accumulation, enhances action of other mediicnes Mild detox support 5) triphala churna= 1 tsp at night with warm water =gentle detox, improves bowel movement, prevents toxin accumulation External treatment External therapy helps appearance, but internal treatment is mandatory Herbal paste(once daily) -lodhra + manjistha + haridra powder -mix with rose water -apply thin layer on patches for 15-20 min =scraping action, improvs skin color, reduces thickness gradually Avoid eye contact Home remedies -warm water throughout the day -buttermilk with roasted cumin daily -garlic (1 small clove/day if tolerated) -triphala water occassionally Avoid lemon, vinegar , strong acids near eyes Diet -barley -green gram -bitter vegetables karela, neem -steamed vegetables -old rice -warm, freshly cooked meals Avoid -fried foods -bakeryitems -cheese, panner -excess milk at night -sugar and sweets -cold drinks Diet is 50% of treatment in kapha disorders Lifestyle changes -no daytime sleep -early dinner before 8 pm -daily brisk walk 30-45 min -avoid excessive screen time at night -stress reduction very important Yoga asana -surya namaskar -paschimottanasana -ardha matsyendrasana Pranayam -kapalbhati = improves metabolism -anulom vilom= balances doshas -bhramari= stress reduction Duration of treatment -visible improvement= 2-3 months -significant reduction= 4-6 months -complete management=6-9 months Stopping early can cause recurrece Xantheasma is not dangerous, but it signals internal imbalance Ayurveda offers safe, root level correction Patience and consistency are essential Results are gradual but long lasting Do follow Hope this might be helpful Thank you


0 replies

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