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“One of the biggest misconceptions about xanthelasmas is that they can be treated with a laser or some kind of topical treatment,” said Dr Lattman.

“This is absolutely false. That may not be what you want to hear, but if you take the ‘easy way’ with just the laser, you may end up with scarring and more problems.”

Dr Lattman confirmed: “The only way to remove them is to surgically excise them, and that really has to be done by somebody who really understands the eyelid.

“On the lower lid, it’s really important to be able to assess how much skin you can take without causing the lower lid to get pulled down or distorted.”



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