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Thank you for sharing your question and photograph and I am sorry to hear of your persistent discomfort. Most likely the pain and tenderness you feel is the result of the scar tissue from surgery.Because scar maturation can take upwards of a year to fully resolve I would talk to your surgeon about options to improve its quality, whether through silicone scar creams, sheets, massage, etc. Hope this helps.
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....