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Possible to get keloids from any incision into the dermis. I would contact a surgeon who is familiar with both issues. See the link below.
Correcting keloid scars can be quite difficult. Although the surgery is straightforward to remove them, you have a very high probability of the keloid scar returning. Your best bet, is to be evaluated by a board-certified plastic surgeon with a great deal of experience in keloid surgery. They may recommend steroid injections before the surgery or may recommend the excision of the keloid and then immediate treatment with radiation.
If you have formed keloids in the past, there is a high likihood of forming a keloid with lipoma excision. There are certain things which can be done to lessen the chances of keloid formation. You should discuss this with your surgeon.
It is very unusual for a lipoma to cause back pain. Lipomas are usually superficial and soft collections of fat that reside in the skin and subcutaneous tissue. If the lipoma is large or suppressing on nearby structures, it is possible that it may cause pain. Your best bet is to be evaluated by...
For most surgeons, the closure of the wound is a nuisance and left for an intern to do. For a plastic surgeon, it is a major part of the procedure. So I would clearly choose a plastic surgeon to remove a lipoma and in my practice it is generally performed with only local anesthesia...
I would recommend you find a board certified plastic surgeon by the American Board of Plastic Sugery, who has an extensive experience in Lipoma Removal.Best Regards,Dr. Gartner
