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Xanthelasma is a sharply demarcated yellowish deposit of cholesterol underneath the skin, usually on or around the eyelids . [1] While they are neither harmful to the skin nor painful , these minor growths may be disfiguring and can be removed. [1] There is no high-quality evidence that xanthelasma deposits are related to blood low-density lipoprotein levels or increased risk of atherosclerosis . [2]