Will a large lipoma get smaller with weight loss?

Unfortunately lipomas will just keep growing, so it's best to have it removed.  I'm sure the general surgeon you see will make the same recommendation.

Lipomas will not get smaller on their own. You need to have them surgically removed. This should be performed by a general or plastic surgeon. Best wishes.

Thank you for your question. I would need to examine you to better answer your question. In general, lipomas are benign fatty tumors (not cancer). However, they can be bothersome, disfiguring, and do tend to get bigger with time. For these reasons, I recommend patients have them removed once they become bothersome. Lipomas do not generally change with weight loss/weight gain, but they can become more or less noticeable with weight changes. I perform lipoma removal surgery using a combination of direct excision and liposuction, which allows me to use a very small incision (and, therefore, results in a very small scar). I perform this procedure in our fully accredited operating room under local anesthesia. I recommend you speak with a fully-trained plastic surgeon to discuss treatment options.