Can Forehead Lipoma Be Removed Without Cosmestic Surgery?

Thank you for the question and picture.

Direct excision of the lipoma  with a transverse incision above the lesion is a relatively straightforward procedure. I would agree that it is your best interests to have it directly excised  as opposed to having liposuctioning performed.

Best wishes.

From your single posted photo this does appear to be a forehead lipoma. I always recommend sending any removed specimen to a dermatopathologist to obtain a precise diagnosis. I would not recommend liposuction to remove this growth. Though an endoscopic approach from the scalp could be considered this would not be my first choice. I have removed many of these with a careful incision placed in a natural forehead crease directly over the lipoma. Patients typically heal with a small scar which fades with time and they are thrilled with the removal of the large lump that was previously there. You may always have a small depression or contour irregularity after the lump is removed, especially when it is as large as yours. But I believe you should be able to have a very nice result with traditional surgical removal of that lipoma.
Please chose a board-certified MD Oculofacial Plastic Surgeon or Facial Plastic Surgeon for your procedure as they are expertly trained in forehead lipoma removal.  Your surgeon should be able to provide you with some reassurance as well as guidance in the care of your healing wound. Any mole or lipoma removal may leave some scar, discoloration, or skin surface irregularity, but typically any scarring or redness fades substantially with time.  Many patients travel great distances to see me for my expertise in this sort of plastic surgery and I have treated thousands of face moles, cysts, keratoses, and lipomas. Please be realistic that any method of removal may leave some color changes, scarring, or forehead contour irregularity or depression that can take 6 months to a year to heal fully. Good luck in your search!
Damon B. Chandler, MD
Harvard-Penn Trained Oculofacial Plastic Surgeon