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2mm white thickened area in the lower eyelid can mean anything from a simple inflammatory lesion to very serious tumorous conditions. Most often in the lower lid white elevated area without causing any problems is what we call as xanthelasmas which is cholesterol deposits in the eyelid. Whatever be the cause the cause can only be found out only after examination by a qualified eye specialist and among the eye specialist an oculoplastic specialist is required to tackle this. Whatever be the cause if it is only 2mm it can be easily removed by what we call as excision and the wound can be closed with sutures. Nowadays we have radio frequency ampulators which leave behind almost no scar. After the excision is done it is sent for a biopsy or a histopathological analysis wherein the content of this is analysed and then further treatment can be decided.