Denver Lipoma Removal doctors

There are several points to be made in this situation. One is that It's not possible to diagnose a lesion below the skin with a photo or description and sometimes not even by exam. Another is that the ER is for emergencies and is not a good place for an evaluation and discussion of treatment options for non-acute problems. I should also be stressed that you can usually have something removed such as a benign mole just because you choose to remove it (and understand the trade-offs). "Insurance coverage" and "medical necessity" often get in the way of this. The best evaluation for removal of a possible lipoma or subcutaneous lesion is by a plastic surgeon who can handle non-insurance or non-medically necessary procedures and can do them for a reasonable cost in an office or outpatient clinic setting that minimizes costs that you will probably have to cover yourself. 

One other consideration to keep in mind is the possible need for a biopsy if the lesion is not an obvious lipoma or cyst. A biopsy is considered a medically necessary procedure and more likely to be covered by medical insurance and if the biopsy shows some health-threatening type of lesion, then insurance should be involved although they will then dictate who you can see for the problem and where it can be treated. 

In general the answer to your question is a surgeon who is experienced with removal of lipomas by multiple techniques including extraction through a 1/2 cm incision under local anesthesia. This assumes the lesion is definitely a lipoma and this is not as easily determined in the face and neck. A full incision, excision of the lesion, and biopsy may be required if there is any question of something other than a lipoma. This requires some experience and surgical judgment. 

Your symptoms do not sound like a lipoma.  Best bet would be to see a Board Certified Plastic Surgeon who can not only make the diagnosis but also treat whatever it is that you have.