I had a hip replacement 10 months ago. 2 1/2 months later, a lump started developing, which I was told was a seroma. It ended up being a lipoma which was removed. Four days later, the lump reappeared and was aspirated three times. I am told the area is now filled with fat and has nerve damage. Will liposuction reduce the fat and possibly illuminate the nerve pain if the fat is pressing on the nerves? It’s about the size of 1/2 of a softball.
February 9, 2023
Answer: Liposuction for lipoma While liposuction does work on some lipomas, it doe not remove the capsule surrounding the fatty mass and thus many times they re-occur. Excision is the better option although, Liposuction would debulk the lipoma and relieve some nerve pressure. Dr. Taranow
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February 9, 2023
Answer: Liposuction for lipoma While liposuction does work on some lipomas, it doe not remove the capsule surrounding the fatty mass and thus many times they re-occur. Excision is the better option although, Liposuction would debulk the lipoma and relieve some nerve pressure. Dr. Taranow
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February 10, 2023
Answer: Seroma becoming lipoma becoming seroma. What kind of doctor removed your lipoma? Was a drain replaced at any time? How do you know the current mass is fat and not a chronic seroma? Lipomas can recur but an insufficiently treated seroma will generally become an encapsulated chronic seroma. That’s what it sounds like to me. What kind of nerve damage do you have? Your situation is a little complex and really is beyond what we can help you with by posting on real self. It sounds like what you need is to get confirmation of what that mess now represents. If it’s fluid then you have a chronic seroma. A chronic seroma cannot be successfully treated by aspiration. The capsule needs to be excised and a drain that needs to be placed sometimes for quite a while. When an initial seroma forms it should be aspirated on a regular basis until no fluid accumulates. preferably on a daily basis and this can continue on for a few weeks. an alternative method is to place a drain so that the fluid can be collected continuously. This can be done after surgery percutaneously by an interventional radiologist. The treatment of an early postoperative seroma is very different than one that has become chronic. Liposuction is generally not recommended for the treatment of a lipoma. Best, Mats Hagstrom MD
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February 10, 2023
Answer: Seroma becoming lipoma becoming seroma. What kind of doctor removed your lipoma? Was a drain replaced at any time? How do you know the current mass is fat and not a chronic seroma? Lipomas can recur but an insufficiently treated seroma will generally become an encapsulated chronic seroma. That’s what it sounds like to me. What kind of nerve damage do you have? Your situation is a little complex and really is beyond what we can help you with by posting on real self. It sounds like what you need is to get confirmation of what that mess now represents. If it’s fluid then you have a chronic seroma. A chronic seroma cannot be successfully treated by aspiration. The capsule needs to be excised and a drain that needs to be placed sometimes for quite a while. When an initial seroma forms it should be aspirated on a regular basis until no fluid accumulates. preferably on a daily basis and this can continue on for a few weeks. an alternative method is to place a drain so that the fluid can be collected continuously. This can be done after surgery percutaneously by an interventional radiologist. The treatment of an early postoperative seroma is very different than one that has become chronic. Liposuction is generally not recommended for the treatment of a lipoma. Best, Mats Hagstrom MD
Helpful