Abstract： Objective:To observe the the clinical application of xanthelasma palpebrarum with kite flap.Methods:The clinical data of 32 cases of xanthelasma palpebrarum which area>5mm2 in our hospital from 2016-2018 were analyzed, After surgical removal of the xanthelasma palpebrarum, we release the surrounding skin around the coloboma and design the kite flap accoding with dermatoglyph direction. Under the orbicularis oculi muscle strip forming with the kite flap pedicled with orbicularis oculi muscle, skin defect area, incise the skin according to the design line. formed under the orbicularis oculi muscle strip with the kite flap pedicled with orbicularis oculi muscle, placed in the skin defect area, with a 6-0 silk suture of incision.Results:Flap I healing, followed up for 3 months to 2 years, eyelid shape bilateral symmetry, incision scar is not obvious.Conclusions:For larger xanthelasma palpebrarum excision, direct suture can cause eyelid deformity, so we can use the kite flap repair of eyelid defect, .The method is simple, reliable effect, short recovery time after the surgery, has convenient use, easy to promote.