Several clinical forms of xanthoma exist: plane xanthoma, which includes xanthoma palpebrarum (xanthelasma) and palmar striae; tuberous xanthoma; eruptive xanthoma and tendinous xanthoma [1, 2]. Tuberous xanthomas most commonly develop on the elbows, knees, fingers and buttocks [1, 2], but there are no reports of facial tuberous xanthomas. Here, we describe a patient with severe xanthomatosis in the setting of type IIa hyperlipoproteinemia, with prominent tuberous xanthomas on the cheeks and nasal [...]