I have very painful lipomas. Sometimes they have been called Vascular Lipomatosis or Angio-Lipomas. I have had hundreds (yes that's correct) removed surgically. I have been doing it over 20 years. The first Lipoma was taken out in 1983. I think I've had close to 800 take out now.
My first surgeries were done under a general and I had from 70 to 140 removed at a time. At that time, they closed the incisions with staples. I would have sometimes 250 staples or more. Now, we have been using tape closures or stitches for some. Much nicer !
This winter I've had over 70 removed already and have 4 more surgeries scheduled where I have from 1-20 removed with a local. Average is about 12. Many times it felt so much better after surgery that I didn't require any pain medication. Some are very large some are small. Some are very deep some are not. Sometimes we will find as many as 3 pushed down underneath the one that's visible. Those can be painful as they have to add more local to the incision.
Every winter for the past few years I spend about 4 to 6 months (every two weeks) having surgery. The pain from the Lipomas is enormous. It feels like I have about 75 vice grips pinching me all at the same time, so when I move, it hurts if i stretch in any way. I had 15 taken out of my left leg a few weeks ago and I can finally bend my leg without it hurting again.
Throughout the years they have caused muscle damage and nerve damage. At one point I lost the feeling in my right leg for about 4 years. After a surgery, the feeling came back very quickly and was so painful because I'd had no feeling for so long, but it did subside and I still have close to normal feeling in that leg.
My point ? The surgery is well worth it. Don't let the Lipomas keep growing. Some of mine have attached to veins and arteries and made it all the more dangerous. The roots can attach to anything. It would be too dangerous for me to have liposuction done because of that fact. Had it been done on the ones that ended up needing multiple cauterizing, I could have had serious problems.
I have never had to stay overnight in the Hospital. One surgery they took 140 out and wanted me to stay but I have been doing it so long, my house was set up for surgical aftercare and was much more comfortable at home. So I went home the same day after being under a general for over 6 hours. (not recommended, but I had way too many and they had gotten out of hand).
In my opinion, opt only for surgery. If you have just a few in your lifetime. The scarring will be minimal and probably disappear. My scars only show recently usually for a couple years. As I age, (now 46) it takes longer.
I highly recommend having them removed.
I thank my doctor though who has done all but a couple surgeries. Each surgery takes away unbelievable pain and discomfort. It gives me some time to move and do things easier. I would be happy to answer any questions if there are any.
In the "cost" field. I just put a number from one of my outpatient visits. That number will vary with provider and type of surgery. Each is different, as is, each doctor and patient. Most insurances will cover them. I have been lucky.