Xanthelesma are fat pads present over the eyelids. More than anything it is a cosmetic issue for the patients having this. Increased levels of cholesterol leads to xanthelesma.If the Xanthelesma is big in size then medicines can be used to get rid of it. Removal can be done surgically or by application of the chemicals. The most precise treatment is the co2 laser.The xanthelesma can be removed in just one go with no pain and much downtime.