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After lipoma removal, the area may be swollen and painful for several days to weeks. A seroma or fluid collection may accumulate which will resorb with time. If there is bruising, a hematoma may have formed which my take several weeks to dissolve. Normal healing can lead to fibrosis - temporary hardness- in the area which takes weeks to resorb and may be temporarily more noticeable after 7 to 10 days postop. Lipomas may come back, and on occasion, surgeons actually fail to remove them completely, but most likely your palpable wound area is due to normal healing. Give it some more time. Good luck and take care.
Despite common sense which would dictate that the very accurate MRI should see lipomas, I have had multiple patients who have palpable - even visible lipomas which an MRI has not identified, I believe this is because the lipomas are composed of fat which blends in with surrounding fatty tissue and are "invisible" to imaging studies including ultrasound and mri. Other lipomas are easily demonstrated on mri and ultrasound. This may relate to how encapsulated they are. Imaging studies are complementary to physical exam and not the final arbiter. Consult a physician for further advice on how best to handle these masses. Good luck and take care.
Multiple nonsurgical treatments have been tried and none work as well as surgical excision - both in terms of permanent removal and cost effectiveness. Steroid injections may temporary cause lipomas to look smaller but do not eliminate them. Liposuction can be used in larger masses but require a scar (tiny) and have a fairly high recurrence rate as the lipoma is not removed in one complete unit but rather in pieces. A new drug (brand name Kybella) is a gallbladder enzyme which dissolves fat but is considered cosmetic, may require multiple injections and may be costly;it is generally reserved for fatty tumors/deposits around the chin and neck. In individuals with multiple lipomas, surgical removal with the tiniest, most cosmetically favorable incisions possible is the preferred mode of treatment. Good luck and take care.
I am not sure what the size of a "5p" is but removal of any mass can be uncomfortable for days to weeks. The buttock is tricky because it will hurt with sitting and likely any movement of the lower leg. The larger the mass, the larger the incision but most lipomas can be removed from smaller incisions than their actual size by mobilizing and squeezing them out. I would plan a at least 3-4 days of moderate discomfort and with some residual but lesser pain thereafter with normalization of your activity within 1 - 2 weeks. Good luck and take care.
Seromas are not uncommon after surgery as it is natural for the body to secrete fluid after trauma (and what surgery is not traumatic!). They will absorb on their own, eventually. I am not sure why your physician will not consider aspirating the fluid but maybe they feel it is so tiny that aspiration will not affect your comfort/ or poses some risk.(underlying implant?) If your physician is not comfortable aspirating the seroma, it can be removed under ultrasound guidance by radiology. Compression with a tight bra or ace wrap may facilitate resorption as well as avoiding flying (in an airplane), consuming less caffeine and salty foods. Good luck and take care.
