From your description and the image, the lesion does appear consistent with xanthelasma, which is a benign yellowish cholesterol deposit commonly seen on the eyelids. It is not dangerous, but it can sometimes be associated with
lipid abnormalities.
Your lipid profile shows mildly elevated
LDL and elevated Lipoprotein(a), which can increase cardiovascular risk over time. While these values may not directly cause the patch, optimizing lipid levels is important.
Helpful Tips / Word of Caution:
• Even after removal, recurrence can occur, especially if lipid levels remain elevated.
• Maintaining healthy cholesterol levels, balanced diet, and regular exercise can reduce the risk of recurrence.
• Avoid picking or trying to treat the lesion at home, as the eyelid skin is delicate.
If you wish, you may also consult online with me for guidance regarding the best removal option and preventive care.