If I keep getting lipoma removed, will it always come back?

I'm sorry to hear about your lipoma returning. Unfortunately that is one of the highest risks of removal as any small piece of the lipoma left behind can ultimately grow back. A lipoma typically encapsulates itself, meaning it stays as one contiguous piece, however if it is in multiple pieces it can make removal more difficult and recurrence risk higher. It is also possible to have multiple lipomas and perhaps the smaller ones were missed initially? It is hard to know definitively, but I do not think they will inevitably come back every time. I think it is important that you work with your doctor/surgeon to see if there is a different type of approach you could consider to ensure they are resolved definitively.
Hope this helps!Kyle Kimura, MDFacial Plastic Surgeon

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

Lipomas are known for recurrence at the same site or a near by area, but the scenario what u are saying is very unlikely.
Sometimes at the site of lipoma removal there is apperance of a swelling because of accumulation of scar tissue.