Why do I have so many lipomas and why are they so painful? (photos)

You most likely have the diagnosis of familial lipomatosis. Lipomatosis is believed to be a dominant trait in which multiple lipomas are present. Most are discrete, encapsulated lipomas on the trunk and extremitiesAlthough this condition is benign, many patients concerned with cosmesis seek removal of individual tumors. Treatment can include simple excision, endoscopic removal, or liposuction if large. Find the most qualified plastic surgeon to take care of this problem.

I don't have a clear answer but multiple lipomas such as you describe are exactly that - multiple and, often, painful.  That's because unlike single lipomas, which are typically made of loose, fatty tissue, the multiple form is usually denser, with more fibrous and vascular tissue and, upon pathology examination, are often called angiolipomas.As far as removing them, when I have a patient with this many we try to do it all at once - although that may require a trip to the hospital and general anesthesia (it's too painful to do that many at once under local anesthesia).  This many could probably be done in 2 or 3 sessions in the office setting - that depends on you, your pain tolerance, etc.  But they can certainly all be removed. I'd suggest that you seek additional opinions from board-certified plastic surgeons.Sorry for the discomfort you're having but I hope that this has helped, and good luck,Dr. Alan EnglerMember of RealSelf100