Eyelid Blemishes: Why Do They Appear?

Not all eyelid blemishes have the same origin or the same characteristics. However, each of them has a specific treatment. Want to know more about it? Keep reading!
Eyelid blemishes: why do they appear?

Eyelid blemishes can have a variety of causes, from metabolic pathologies to allergic reactions. There are certain differences between them, both in size and color and thickness. Furthermore, its appearance is linked to several factors.

In general, its presence is related to hormonal changes, use of medications, excessive exposure to ultraviolet rays, among others. What are its characteristics? What alternatives are available for your treatment?

Eyelid blemishes

Not all eyelid blemishes are related to sleep or dark circles. Some of them are manifestations of pathologies that require specific treatment. We explain more details below.


Xanthelasmas are yellowish papules and plaques caused by localized accumulation of lipid deposits. It is common to see them on the eyelids, and may indicate a plasma lipid disorder in approximately 50% of patients.

Therefore, this problem must be evaluated to detect the underlying causes of hyperlipidemia. According to the descriptions, it is an asymptomatic benign lesion, as it is not related to cutaneous complications.

However, there are those who prefer to treat these stains on the eyelids for aesthetic reasons. The most commonly used technique is surgical excision due to its aesthetic results.

woman with eyes closed
Xanthelasmas can be a sign of a plasma lipid disorder. They are benign, but those who have them prefer to treat them.

Hormonal changes in pregnancy

The hormonal variations that occur during pregnancy are related to changes in the skin. In particular, they usually cause a condition known as melasma, which causes the appearance of hyperpigmented macules and symmetrically distributed patches on the face, neck or, in some cases, on the upper limbs.

Known risk factors include ultraviolet (UV) radiation, hormonal fluctuations, thyroid disease, and use of contraceptive medications. In case of eyelid blemishes due to this condition, the treatment options are as follows:

  • Topical hypopigmentation agents.
  • Chemical peels .
  • Laser therapy.
  • Superficial microdermabrasion.

Prostaglandin analogues for glaucoma

Prostaglandin analogues used to treat glaucoma, such as latanoprost and bimatoprost, can darken the eyelids after about 3 to 6 months of use.

A publication in the American Journal of Dermatology concludes that when people stop using bimatoprost, the browning may disappear completely after a while.

Dermal Melanocytosis

Dermal melanocytosis comprises a series of skin lesions that are characterized by the presence of spots. In particular, those who suffer from this condition have gray or blue-gray patches on the eyelids. It could be due to acquired or congenital causes.

Reports from the Journal of the American Academy of Dermatology claim that its emergence is related to sun exposure, hormonal changes during pregnancy and chronic atopic dermatitis.


Vitiligo is characterized by selective destruction of melanocytes. As a result, depigmentation patches appear on the skin. Eyebrows, eyelids and genital vitiligo are therapeutic dilemmas, especially in children.

There is a strong association of eye disorders in patients with vitiligo, according to studies in the Journal of the Indian Medical Association . In these cases, pimecrolimus may be an appropriate option for your treatment.

Vitiligo on the eyelids
Vitiligo is one of the causes of eyelid blemishes. Although there is no definitive cure, some treatments help improve your appearance.

Post-inflammatory hyperpigmentation

Chronic eczema and allergic inflammation of the eyes can cause hyperpigmentation and dark eyelids. Some people can develop them by rubbing and scratching the skin around this area. It can also be the result of fluid buildup due to allergies.

Amyloidosis purple

Amyloidosis is a rare condition that occurs when a protein called “amyloid” becomes concentrated in organs. It is a disease that has no cure; even so, there are treatments that help control symptoms and limit amyloid production.

The appearance of bruises without trauma on the face, especially on the eyelids and neck, should raise suspicions of amyloidosis. It is necessary to consult a doctor to obtain a proper diagnosis.

Orange spots on the eyelids

Patches of this color in the eyelid region are changes that are located on the inner part of the upper eyelids, unlike xanthelasma. Its origin is not entirely clear, but it is believed that they are caused by lipofuscin deposits.

Treat eyelid blemishes to improve the appearance of the face

Eyelid blemishes are a common condition and are usually not serious. However, it is common for those who suffer from them to seek treatment options because they do not like the way they look.

Fortunately, nowadays there are several creams and cosmetic procedures that allow you to minimize them to improve the skin’s appearance. It is worth consulting a dermatologist to choose the best option according to your case.

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