Will using liposuction for lipoma removal help with nerve damage? (photo)

Question

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.

Alan Gonzalez, MD, FACS · Answer

Hello @Daisygirl1992, thank you for your question. In order to make an appropriate surgical decision, a personalized consultation is required to avoid dealing with negative results of poor practice in the future. For more information and recommendations, it is best to consult with one or several board certified plastic surgeons. Best wishes! Alan Gonzalez MD, FACS. Best wishes! Alan Gonzalez MD, FACS. International Federation for Adipose Therapeutics and Science” Member (IFATS), American Society of Plastic Surgery Member (ASPS), Colombian Society of Plastic Surgery member (SCCP)

Daniel Barrett, MD · Answer

Dear Daisygirl1992,
it is hard to tell for sure without an examination. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Zamir Paez, MD · Answer

In the pictures it is not very clear the state of your skin and I would like to get more information about the previous procedure you underwent so I can help you to improve the area you want, you can contact me in my profile and we can advise you.

Douglas Taranow, DO, FACOS · Answer

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

Mats Hagstrom, MD (license on probation) · Answer

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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