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Options for Lipoma Removal on Keloid-prone Skin?

I keloid really badly, but wish to get rid of a few of my lipomas.

Do I have any options, even if they are not covered by insurance? I am a 32 yr old male with little fat so they stick out and do not stay hidden at all!

Doctor Answers (2)

Lipomas in keloid-prone patients

+1

You should certainly see a board-ceritified dermatologist or plastic surgeon who is experienced in dealing with lipomas and keloids. Any cutting into the skin can result in a keloid.

Ideally, the smallest incision possible should be used to remove the lipoma, how large it will be depends on the size of the lipoma but they can often be removed through a hole that is smaller than the lipoma itself. Steroid injections into the incision site at the time of surgery and monthly afterward may help prevent a keloid.

Other methods of removing lipomas, like liposuction and mesotherapy, have been tried and may have a lower risk of keloid since they involve less cutting of the skin. These are unproven methods, however, and may not result in a complete removal. They may also not be covered by insurance.

Austin Dermatologic Surgeon
4.0 out of 5 stars 1 review

Lipoma and keloids

+1

Lipomas can be removed through tiny incisions e.g. 4 mm only. The chances for keloid formation would be real slim. Steroids can be injected after the surgery asan extra prophylactic step.

Detroit Dermatologic 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.

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