Can Forehead Lipoma Be Removed Without Cosmestic Surgery?

Forehead lipomas can be removed in several ways. The traditional
technique is to place an incision directly over the lipoma. This
obviously leaves a visible scar on the forehead. The second technique
is to place an incision right at the hairline or immediately behind it
to create access. This open procedure results in a fairly long incision
and at least temporary numbness behind
the incision. This is the same type of incision that we use for
browlift procedures. The least invasive and most modern technique is
endoscopic removal. With this technique, small incision are made behind
the hairline and endoscopic instruments are used to remove the fatty
tumors. Usually two separate 2 cm incisions are made about 1 cm behind
the hairline. The procedure and recovery are nearly painless.

Lipomas are benign fatty tumors that occur under the skin and less commonly within the muscle. They are associated with mild discomfort and a lump underneath the skin. It is always best to talk to an expert plastic surgeon to determine whether the lipoma is possibly a cyst or a tumor or hernia. We would have to remove the lipoma to be sure that it is not something else and we usually do this by sending it to a pathologist for evaluation. If a lipoma is painful, then an exam is needed to make sure it is not compressing on a nerve or whether the diagnosis is different. Aftercare for a lipoma includes gentle compression and Plato’s Scar Serum twice daily on the wound.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Lipoma  of the forehead cannot be removed without surgery. liposuction has the risk of leaving irregularities and a higher recurrence rate.Best Regards,Dr. Gartner

Hello,Lipoma removal on the scalp can be removed and is not dangerous if it is in fact a lipoma.  Rare cases of fatty tumors have been described.  Most often it is removed under local anesthesia comfortably and best to have a lipoma removed with a minimal incision.  
Best,
Anil Shah

From your single posted photo this does appear to be a forehead lipoma. I always recommend sending any removed specimen to a dermatopathologist to obtain a precise diagnosis. I would not recommend liposuction to remove this growth. Though an endoscopic approach from the scalp could be considered this would not be my first choice. I have removed many of these with a careful incision placed in a natural forehead crease directly over the lipoma. Patients typically heal with a small scar which fades with time and they are thrilled with the removal of the large lump that was previously there. You may always have a small depression or contour irregularity after the lump is removed, especially when it is as large as yours. But I believe you should be able to have a very nice result with traditional surgical removal of that lipoma.
Please chose a board-certified MD Oculofacial Plastic Surgeon or Facial Plastic Surgeon for your procedure as they are expertly trained in forehead lipoma removal.  Your surgeon should be able to provide you with some reassurance as well as guidance in the care of your healing wound. Any mole or lipoma removal may leave some scar, discoloration, or skin surface irregularity, but typically any scarring or redness fades substantially with time.  Many patients travel great distances to see me for my expertise in this sort of plastic surgery and I have treated thousands of face moles, cysts, keratoses, and lipomas. Please be realistic that any method of removal may leave some color changes, scarring, or forehead contour irregularity or depression that can take 6 months to a year to heal fully. Good luck in your search!
Damon B. Chandler, MD
Harvard-Penn Trained Oculofacial Plastic Surgeon