“…Histologically, xanthelasmata is composed of foam cells laden with cholesterol deposits around dermal capillaries and cutaneous appendages (Mittelviefhaus, Kreusser, Böhringer, & Auw-Hädrich, 2011). The histologic feature of xanthelasma is similar to atherosclerotic plaques, and xanthelasma has been recognized as an extrinsic manifestation of dyslipidoses (Ribera et al, 1995). Xanthelasma can be classified into four grades by clinical manifestation and invasion range of the lesions: Grade I, the lesions involve only the upper eyelids;…”