In general, each lipoma can be removed with a small incision directly over the center of it, after which the mass (lipoma) can be extracted easily. The procedure is usually done under local anesthesia, on an outpatient, basis. It is well tolerated and patients are generally very happy with the results.You should talk to a board-certified plastic surgeon to see what the recommendations are for you specifically.I hope that this helps and good luck,Dr. Alan EnglerMember of #RealSelf500