What is the best approach to removing MANY tiny lipomas?

Question

My derrmatoligist is still testing them all before I can make an appointment to remove and it seems like each Plastic Surgeon has a different method that they will push as the best. I have hundreds perhaps even more of tiny lipomas. I have them practically in bunches in areas for most part [abdomen, groin, upper thighs, lower arms ] and nowhere else. Besides ones on abs they are in between the diameter of like 1 to 3 times the size of grain of rice. Excision seems excessive - opinions?

Raffy Karamanoukian, MD, FACS · Answer

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. We would have to remove the lipoma to be sure that it is not something else and we usually do this by sending it to a pathologist for evaluation. If a lipoma is painful, then an exam is needed to make sure it is not compressing on a nerve or whether the diagnosis is different. Aftercare for a lipoma includes gentle compression and Plato’s Scar Serum twice daily on the wound.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian
Realself100 Surgeon

Daniel Barrett, MD · Answer

Dear Eqzitara,
it is hard to tell for sure without an examination. Generally speaking, lipoma can be removed using small incision. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Nelson Castillo, MD · Answer

Thank you for sharing your question.  The best option would be to make small puncture excisions of the lipomas.

What is the best approach to removing MANY tiny lipomas?

Answers (3)

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