Lipodissolve for Dissolving Fatty Tumors?

I have some fatty tumors and am wondering, would Lipodissolve dissolve them? I have a lot of them, all different sizes. These tumors are strating to bother me, and they are in my arms, sides, thighs, and stomach. They seem to be self-contained tumors. Thank you for answering.

Doctor Answers (2)

Multiple Lipomas May Be Treated By Piezotherapy, Mesotherapy and Electrosubcision

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Mutliple lipomas can be a distressing cosmetic problem. In general, I would suggest that any individual suffering with this condition have at least one or two biopsied and sent for histologic confirmation that they are innocent, ordinary fatty tumors (lipomas).

Once proven, several possibilities exist for treating the remaining lesions. Piezotherapy is essentially a procedure in which, under local anesthesia, a small hole is punched out of the center of the lipoma followed by expressing the entire contents by manual pressure to the surrounding area. In general, the entire lipoma can be "delivered' through the small opening created (like a baby out of the birth canal) and then the resulting wound closed with a small dissolving stitch or two. Piezotherapy, in contrast to traditional, larger incision surgical removal of lipomas, leaves relatively tiny, often wounds and hence tiny nearly imperceptible scars.

Mesotherapy relies upon the injection of a fat dissolving material, such as desoxycholate, to shrink the fatty material under the skin and allow the body to reabsorb it. Lipodissolve was never approved in the U.S. and has even been removed from the markets in those countries, such as Brazil, where it was previously permitted. Commercially available FDA-approved injectable fat dissolvers suitable for mesotherapy are due to come to the American market over the next couple of years. In Israel, where I have a satellite practice, the use of extemporaneously compounded mixtures of desoxcholate and other agents is permissable, and I have enjoyed gratifying results with their use for small lipomas (as well as excess fat deposits under the chin and in the abdomen). 

Finally, Electrosubcision is a technique in which (following local anesthesia) an insulated radiosurgical probe is inserted drecetly through the skin into the fatty tumor and used to heat the fatty material, shrink it, and facilitate its reapbsorption by the surrounding tissue. 

In practice, whenever possible, I I prefer to test out each of these methods in order to determine which technique yields the optimum aesthetic benefit in a particular patient. Once this is ascertained the remaining lesions can be rapidly treated in that manner.

 

 


New York Dermatologic Surgeon
5.0 out of 5 stars 12 reviews

Multiple Lipomas

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Multiple lipomas should be surgically removed and submitted for a biopsy. That is the most appropriate treatment.

Samir Shureih, MD
Baltimore Plastic Surgeon

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.