I have 4 tiny raised spots on my eyelid. can't tell if they're white or skin colored. can this be something other than cholesterol induced?

Eyelid spots: There are many small skin lesions that can be seen on eyelids: milia (tiny cysts), skin tags, xanthelasma (cholesterol deposits), syringoma (benign growths of sweat glands). In kids we often see molluscum, a skin viral infection on eyelids. Xanthelasma are usually larger than the others and yellowish and irregularly shaped. Syringoma are small flesh or tan papules on lower eyelids.

Yes: See an ophthalmologist for an exam. This could be many different conditions. If suspicious or causing discomfort they most likely can be removed in the office with a simple procedure.