Yellowish lumps on the eyelids of this man are caused by cholesterol deposits (xanthelasma). Blood test is important to find out if the patient has high blood cholesterol level. Although lowering the blood cholesterol will not make the deposits fade away, it is important to reduce the risk of heart diseases. There are several ways to remove the deposits including laser and direct chemical application. However, in Asian patients neither method is advisable as it can lead to skin depigmentation and make the resulting appearance worse. The best treatment is excision as shown here.