In people with a high level of cholesterol oftentimes yellow/orange formations in the area of their upper and lower eyelids appear and are called xsanthelasma. They are benign changes but point out to a higher level of lipids in blood and those levels should be checked immediately. Some people have this condition although their lipid level is normal.
One of the main methods of removal is surgery. Recently, lasers have been used for this purpose because of their excellent results, speed and safety. Usually an erbium or a Co2 laser is used (1-3 treatments are needed to remove the formation). If needed carboxytherapy is used, a method which injects Co2 gas under one's skin to disintegrate fat cells. The fault of this method is that 4-10 treatments are needed. Therefor, lasers are the most practical option. The treatment is not painful and usually local anesthesia is not needed. After the treatment a minor wound remains which heals in about 5 days. It is advised not to remove the formation in one treatment, because of possible scaring but to do it with several treatments.