A combination technique of the different treatment methods is often used in xanthelasma. The yellow-white discolouration is expertly removed layer by layer. This is how the skin therapist can see whether the xanthelasma has been completely removed. Generally speaking, several treatments are needed to completely remove the xanthelasma. The xanthelasma can often be located around the eyes, this type of skin gives more chance of scarring. At Huidzorg West, the skin therapist works very carefully to prevent this as much as possible. For this reason, the treatment will need to be repeated more often to assess whether the skin will heal without scarring. If it is a deeper located Xanthelasma, the treatment will take place in the Reinier de Graaf hospital, where the skin can be locally anaesthetised through our unique collaboration with the Dermatology department. Curettage With curettage, we remove benign skin abnormalities with a sterile, sharp ring. The skin is anaesthetised with a spray, after which the curette is used to scrape off the unevenness of the skin. Electro Coagulation During the electro coagulation treatment, an electric current is sent via a fine needle to the benign skin spot, which is then heated and destroyed. A numbing cream can be used as a pre-treatment; this is especially recommended for larger areas or areas that are more difficult to treat, such as around the eye.