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Do I Have to Get Lipomas Surgically Removed?

I have three lipomas and I am debating what to do about them.  Do I have to have them removed?  Is there any danger if I decide not to have the lipoma removal procedure?  Are there any alternatives to surgery that will get rid of my lipomas? Thanks

Sort 9 expert answers by:
+3

Lipomas are generally benign (non-cancerous) lesions....

Lipomas are generally benign (non-cancerous) lesions. They will generally continue to grow over time and only need to be removed if they become bothersome, infected, or the patient desires removal. Removal generally required a small incision over the lipoma and removal of the lesion. In some cases, a very small incision is made over the lipoma and it can be expressed out, much like a pimple.
D.J. Verret, MD
Dallas Facial Plastic Surgeon
+2

Since lipomas are noncancerous, they do not require any...

Since lipomas are noncancerous, they do not require any treatment. However, if a lipoma becomes bothersome, infected, or continues to grow, you may chose to have it removed. Your doctor would simply excise the lipoma by making an incision to the area.
Sam Speron, MD
Chicago Plastic Surgeon
+1

Lipoma removal options

Lipomas are benign growths that can be left alone as they do not have cancer potential. They may stay the same size or sometimes grow a little. They are typically cut out by a dermatologist or plastic surgeon, although liposuction can also work on larger lipomas. It is important to have the diagnosis verified by your physician to make sure it is nothing more serious than a lipoma.
Benjamin Barankin, MD
Toronto Dermatologist
+1

All concerning lumps should be evaluated by your surgeon

Lipomas are benign fatty tumors and usually to not require removal. Many people have them removed for aesthetic reasons. Others have them removed because of fear that the lipoma may in fact be something more serious. There are other tumors that can masquerade as lipomas, so if you are concerned you should have your surgeon evaluate it under a direct exam.
Kevin Brenner, MD
Los Angeles Plastic Surgeon
+1

Lipomas, lumps, and options

Hello, All soft lumps are not lipomas and lipomas can grow to a large size and become deforming. You need professional evaluation and advice to figure whether or not your particular issue should be managed by surgery or observation.
John P. Di Saia, MD
Orange Plastic Surgeon
+1

Surgical management of Lipomas

Lipomas are diagnosed based on clinical examination or diagnostic studies. You should always seek the advice of an experienced surgeon who will identify whether the lump is clinically suspicious for malignancy or whether it appears, by history and exam, to be consistent with a benign lipoma. If it is a lipoma, it rarely will improve with time. Delay in treatment only makes it more difficult as the lesion increases in size and becomes more intimately involved with adjacent structures. Most... more
Raffy Karamanoukian, MD
Los Angeles Plastic Surgeon
+1

Lipomas are ALMOST always benign

Lipomas are fairly easy to diagnose on clinical exam. They are also easy to remove surgically in most instances with a scar over the lipoma about as long as the diameter of the lesion. Some physicians alternatively advocate the use of liposuction to treat these lesions and minimize the scar but increase the risk of recurrence or miss the opportunity to diagnose a cancer. This is an example of letting cosmesis get in the way of good medicine. Please know that while almost all lipomas are... more
Richard P. Rand, MD, FACS
Seattle Plastic Surgeon
+1

Mostly benign

Most lipomas that are diagnosed clinically are benign, and could be left alone. For this reason, some insurance carriers consider removal cosmetic, and not a covered benefit. Very rarely, a fatty growth can be an aggressive type of cancer, called a liposarcoma. These are malignant and can grow into nearby tissue or spread. If you have a clinically diagnosed lipoma that doesn't bother you, you are most likely safe to leave it alone. If you begin to have pain near the lipoma, or rapid... more
Michael A. Bogdan, MD
Dallas Plastic Surgeon
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