Lipoma Removal

Mastectomy

Mole Removal

Breast Reduction

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.

It was removed from mu back lower ledt side. Is it normal for it to still be swollen, uncomfortable to wear clothes that hug you skin, or hurt of you touch it? I dont have a fever im not in bad pain where i need pain meds. I feel like mu lipoma is still there or can this be swelling? Can it be that its comong back alreadu? This is my way of getting a second opinion.

Can lipoma come back right after surgery? I had a lipoma removed a week ago. (Photo)

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.

I have been having several lumps appear all over my body, especially on my arms and thighs. They are of varying size and hardness. I showed by physician who ordered a series of MRI scans. However, the radiologist reports indicated 'no lipomas'. I was totally confused, along with my physician, because the lumps are visible even to naked eye. I wonder if there are any circumstances under which these lipomas may not detected in MRI scans or if there has been some clerical issue with my reports?

MRI scanning reports indicate no lipoma even when there are several very visible lipomas all my body.

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 have small lipomas in many areas of my body; on both legs, both arms, the back and the stomach area. I am concerned that removing these via surgery would leave unsightly scars as there are so many of them. I once read that application of 100% aloe vera gel can reduce them in size, and a dermotologist told me that applying heat and a damp cloth can sometimes dissolve them. What is your opinion? Might I see gradual improvements in the size of the lipoma using these methods?

Is it possible to remove lipoma using a non-surgical method?

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.

I am having a lump removed from my left buttock at the 3 o'clock region it's the size of a 5 p

Lump on my left buttock removed - what's the recovery period?

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.

5 weeks after right sided mastectomy with sentinal lymph node removal I have a seroma which my doctors do not want to aspirate. It is not huge but uncomfortable and sore. How long can I expect to keep this and is there anything I can do to help it go away?

What can I do about my seroma?

I have seen hidradenitis of the nipple and breast but other sources of chronic nipple infections exist. Removal of the offending duct/s may be all that is necessary to prevent the problem. If the hidradenitis actually involves the nipple areolar complex, surgery may need to be more extensive but rarely requires removal of the entire nipple. If complete nipple areolar removal is required,  a new nipple may be reconstructed and /or tattooed on with generally excellent results - or a portion of your normal one  (depending upon the size) may be removed and grafted (making 2 nipples out of one). Removal of the offending source of infection generally is curative, but true hidradenitis may recur elsewhere in skin not removed - either nearby or at distant locales. Be sure to get multiple opinions from specialists before proceeding with surgery. Good luck and take care.

My HS is unique. I have a reoccurring abecess under my nipple. I don't have any underarm cysts and my groin only has the occasional large zit. The abecess has been removed twice and incised another three times. I've taken many rounds of antibiotics and I've been on ceaste 35 for years.

Would a mastectomy be able to remove my HS? I honestly don't care what the scar looks like I just don't want to be disabled.

Plastic surgeons may utilize a post surgical bra for compression (especially if drains are not used), support (to prevent premature drop or droop) or to achieve other cosmetic goals, as well as for patient comfort. (Many times a nonbouncy breast is less painful). Discuss this with your surgical team. If the bra if uncomfortable, let them know so that they may loosen it , remove it or allow you to wear it for less hours during the day. Good luck and take care.

What is the need of a post surgical bra after mastectomy surgery? Is it for compression or what?

The wound will continue to drain until it is healed. If it is getting better it may be worth waiting it out but generally  a quick operation to excise the open wound and reclose it may be best way to stop the drainage and allow faster healing. This is particularly important if you have any implant or foreign body in the area that can get infected by the open wound. Placement of a drain for a short time may also be a benefit.Good luck and take care.

I had a double masectomy 5 weeks ago and it seems like my necrosis on the right side is getting deeper and,worse. Last week a lot of fluid came out and now it's not only fluid it's also blood my dr keeps telling its,fine but I don't think it is.

I have superficial necrosis under both breasts. One is constantly oozing fluid and blood. When will this stop? (Photo)

I am sorry to hear of your recent diagnosis of DCIS and the fact that you even have to consider mastectomy. DCIS is the earliest, most favorable breast cancer possible so I expect you to have a great outcome whatever you decide to do. The advantage of mastectomy for DCIS is that it eliminates the need for radiation which is generally recommended after lumpectomy. If your DCIS is small and the margins large, radiation may be unnecessary. Radiation definitely makes breast augmentation more complicated but not impossible. There is a higher chance of infection, and implant capsulation/distortion after radiation. Unless your DCIS is estrogen receptor negative, Tamoxifen anti estrogen will also be recommended to minimize the risk of the cancer coming back in your lumpectomy breast as well as the risk of developing a new primary in your unaffected side. (Having breast cancer in one breast gives you a lifelong increased risk of getting another cancer in the opposite breast). Tamoxifen will minimize this risk.Removing both of your breasts (I know sounds pretty extreme!) has the advantage of eliminating the need for Tamoxifen as well as radiation. It is generally curative. You are young and will require lifelong followup. Physical exam and imaging studies are less accurate in dense breasts- but not impossible. Bilateral mastectomy with reconstruction is the safest and easiest option if one is willing to do this. Reconstruction options are great now with one stage implant insertion and nipple preservation but it still is a big operation and your sensation - in the nipple and the skin envelope (chest wall) may not be normal. This is a big deal for some women despite good cosmesis. If you decide not to proceed with bilateral mastectomies, removal of the affected breast with reconstruction and Tamoxifen is a good compromise which  is safe and perhaps more palatable to you. Alternatively, radiation, Tamoxifen and close follow up with 3D mammogram ultrasound, physical exam and MRI may make the most sense to you. You are lucky you have choices but I know deciding which choice makes sense for you can be nerve racking.Do not rush into surgery until you have considered all of these options and consulted with at least 2 plastic surgeons. Good luck and take care.

Any advice would be helpful. I am 37 years old and recently diagnosed with DCIS in my left breast. This all started when I went for my baseline mammo for a breast augmentation. I am 5'3 and 110lbs. I was looking to go from a B cup to a C. Had a lumpectomy. My breast surgeon said I could have my augmentation once the DCIS was removed. Went to see plastic surgeon and oncologist. Both are saying my breast are extremely dense too much of a risk involved. If my breast are that risky, why would I keep them?

Should I have a mastectomy?

I applaud your adventurous spirit but I recommend you have a trained surgeon remove your small forehead mass. The forehead bleeds tremendously and is easier approached by a knowledgeable clinician. In addition, all masses should be sent for pathological examination to confirm they are indeed benign lipomas. Lastly, I recommend a surgeon remove the mass in the most cosmetically favorable way possible -it is on your face. It is harder to remove a mass - near the hairline thru a tiny incision while it is bleeding - than you think. Good luck and take care..

I have a nickle size cyst or lipoma below the hair line on my forehead, its rubber like and can be moved a bit. Insurance will only pay for a medically required removal which it is not so being a cheapskate I am considering doing it myself or at least seeing how far I can get with a small incision and a sqeeze, worse case I have an ER down the street. Is this remotely possible?

Cyst or lipoma removal at home?

Leslie Memsic, MD, FACS

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