High cholesterol is often called a “silent killer” because it usually shows no obvious symptoms. However, certain facial signs can sometimes reveal this hidden health risk. Understanding these signs is vital for early detection and prevention of serious cardiovascular issues.
Cholesterol is a fatty substance essential for the body’s function, but excessive levels in the bloodstream can cause serious harm. When too much cholesterol builds up, it can narrow and harden the arteries, restricting blood flow and increasing the risk of heart attacks and strokes.
In the UK, around two in five people have high cholesterol, often without knowing it until blood tests reveal the problem or complications arise. The British Heart Foundation warns that high cholesterol frequently goes unnoticed but can lead to life-threatening events if untreated.
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While most people won’t experience symptoms, those with familial hypercholesterolaemia—a genetic form of high cholesterol—may exhibit distinctive facial signs. Two key indicators to look out for include:
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Xanthelasma: These are harmless yellowish patches or lumps that appear on or around the corners of the eyelids, near the nose. They result from cholesterol deposits under the skin. According to the Cleveland Clinic, about half of individuals with xanthelasma have elevated cholesterol, although these spots can sometimes indicate other conditions.
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Corneal Arcus: This is a grey or white ring visible around the edge of the cornea—the clear, outer part of the eye. Cardiologist Francisco Lopez-Jimenez from the Mayo Clinic explains that this arc can eventually form a full ring around the iris, the colored part of the eye. While it doesn’t affect vision or require treatment, its presence can be a signal to consult a healthcare professional.
To manage or lower cholesterol, the NHS recommends maintaining a healthy diet, exercising regularly, avoiding tobacco, and following your doctor’s advice on medications or other interventions.
If you notice any of these facial signs or have concerns about your cholesterol, it’s important to speak with a healthcare provider for proper evaluation and guidance.