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While technically possible to do in the clinic procedure room setting, the physician may ascertain that the lesion cannot be removed without significant discomfort. In addition, some otolarynogologist may not have the room setup to do it in their office and may have no choice but to go to the operating room for removal
Some offices will do the surgery and the consult same day. Others will split it up. If the lipoma is too large Or if is located in the neck for example then the surgery may need to be done in the operating room or more time would be needed as those would take more time. If it is small and definitely a lipoma then it could be done same day but the surgeon wouldn't typically be compensated by the insurance company for doing a consultation and a surgery on the same day. This is another reason surgeons tend to split it up as well.
The first consultation is to examine you and the lipoma and decide if it can be removed easily in an office setting, and if you are a candidate for surgery. Also you need to consider the time of the physician, does he/she has the time in the middle of office hours?. You may have to pay for that time and surgery.
It depends on the office and the doctor's scheduling, quite frankly. Many offices and physicians prefer to do a consult first, and a procedure on another day. It helps plan for timing, surgical set-ups, etc. Plus, what some people think is a lipoma is often not, so if time is set aside for a procedure and it can't be done, the office isn't making money, which is hard for them.
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....
By removing the lipoma a space was created where the lipoma was. This some times fills with fluid, a seroma, after the third aspiration and if the fluid accumolation continues one may need to reopen the incision and reove the inflamatory capsule, put a drain or suture (Quilting sutures) of the...
Swelling four days after lipoma removal is likely a fluid collection. This could either be blood or tissue fluid. If it's truly the size of a golf ball, this should be drained to speed the recovery process and prevent potential infection.Stephen Weber MD, FACS
It is common to have discomfort post surgery and this should dissipate daily. The position of the lipoma removal is also in an area where you are lying on while sleeping etc and may be aggravated. If the pain continues on I would suggest seeing your surgeon for a follow up and proper diagnosis....
Developing bruising of the eyelid after lipoma excision is not uncommon. This can be a collection of blood which drained down along the subcuateous tissues. It likely will resolve without treatment over the next few weeks.
Most lipomas that are superficial can be diagnosed by touch. Occasionally a more expensive test like a cat-scan may be necessary. I would recommend you seek a consultation with a board-certified plastic surgeon by the American Board of plastic surgery who has extensive experience in lipoma ...
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