Hi, can I please have your opinions on xantelasma? Apart from high cholesterol (not my case as mine is within limits for the past 5 years) what else is the cause of this xantelasma? I had them surgically removed and within 6 months started to show up again. The ones I had removed were about 1.5 cm size, located on the inside corner of the eye lids. Now started to show up again almost in the same place and as a bonus started to show up under the eyes too! Please help with any advice! I am a 36 years old female, smoker and in general good health. Also in the last year I started having joints pain, feet and hands, swallow especially on cold rainy weather. For the last 4 months 2 of my fingers in my right hand got very swollen can t bend them and won t go back to normal. My feet also get swallow sometimes during the night but gradually go back to normal during daytime. Any help, ideas, advice much appreciated! Tks!