I have xanthelesma but they are large. Two long ones on the botton lids 1-2cm long and a splotch on upper lids, they are flat but neon bright . I have been to cardio doc and checked well. Im ok. Lipids were a drop high i have been dieting carefully since january. New test on monday. Seeing a occu plastic/ cosmetic surgeon in October. One doc wanted to cut my lids all up with graft and made me feel diseased and dirty. I am not. I have no clue why they are there and am trying every avenue i know to cleanse my body mind and body to get them to go away. I dont drink at all,never did in my life. i eat okay now since janusry, i do not drink soda or sugary stuff. Mind you my diet before this wasnt so nice and i went through menapause so things have changed. I have changed my diet last october and got strict since january. I am 5.7 and a out 142lbs. Doctors honestly are surprised that mine are large and have no real clue at all. I have been told genetics. I have no clue if that is true or not and have no way to ever know. I have seen a few other people with it and older people, over 65 with it but im 48. No one will do tca that i have seen or know to date. Dr. So far only want to surgically excise them with zero quarantee they wont return. Its a big thing and on all four lids so a bit traumatizing. Anyone out there can help me or has a success story or any advice on this please help me combat this.