Xanthelasma are always benign; that is, they're not cancerous and they don't spread the way a cancer might. They rarely impair vision. But they can be a sign of hyperlipidemia — high levels of cholesterol, triglycerides, or other lipids (fats) in the blood.

Will lowering cholesterol get rid of xanthelasma?

Lowering your cholesterol may also help treat the xanthelasma. For some people, changes to diet and lifestyle choices may be enough to manage cholesterol.

Can you have xanthelasma with normal cholesterol?

The condition is rare, but you can sometimes get it if there are high levels of cholesterol or other fats in your blood. It's also possible to get it even if your cholesterol levels are normal.