Health experts have issued a warning about two key facial indications that might signal high cholesterol, a condition often referred to as the “silent killer” due to its typically asymptomatic nature.

High cholesterol occurs when there is an excessive amount of the fatty substance called cholesterol in the bloodstream. Although a certain level is essential for bodily functions, too much cholesterol can pose serious health risks by accumulating in blood vessels, which can become narrow or even hardened.

This can severely restrict blood flow, heightening the risk of critical conditions such as heart attacks and strokes as reported in the Mirror.

It is estimated that around 40% of UK residents are living with high cholesterol, yet many remain unaware until they either suffer a related complication or undergo blood testing, largely due to the absence of noticeable symptoms.

The British Heart Foundation (BHF) cautions: “There are usually no symptoms of high cholesterol. But if left untreated, it can lead to heart attack and stroke.

close-up of a man's eyes with fat accumulations, Xanthelasmas
Xanthelasmas are “harmless” yellow growths that appear on or by the corners of your eyelids (Image: Getty)

“It’s often a hidden risk factor which means it can happen without us knowing until it’s too late. That is why it’s so important to get your cholesterol level checked.”

However, specific signs may manifest on the face in certain cases—particularly if the individual has familial hypercholesterolaemia, a hereditary form of high cholesterol. The BHF notes these facial signs include Xanthelasmas.

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People are being cautioned about seemingly “harmless” yellowish patches that can appear near the eyelids, which might be more than just a skin issue. The Cleveland Clinic has explained: “Cholesterol deposits build up under your skin to form a xanthelasma.”

It’s noted that around half of those with xanthelasmas have elevated cholesterol levels. However, these growths could also indicate other health concerns, such as corneal arcus—a grey or white arc visible above and below the outer edge of the cornea.

Cardiologist Francisco Lopez-Jimenez from the Mayo Clinic remarked: “Eventually, the arc may become a complete ring around the iris. The iris is the coloured portion of the eye.”

He mentioned that while it doesn’t interfere with vision nor require treatment, it’s a sign that should prompt a discussion with your GP. To manage high cholesterol or reduce levels, the NHS offers recommendations:

  • Eating less saturated fat
  • Eating a healthy, balanced diet
  • Exercising regularly
  • Stopping smoking
  • Reducing your alcohol intake

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