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Extremely large lipomas should be removed. Chose the surgeon who you are comfortable with. Plastic surgeon or general surgeon. Make sure the lipoma is totally examined by pathologist
The article listed below addresses this technique and it has been used for over 20 years. The scar is much smaller than what the standard surgical approach produces. When liposuction is not appropriate, the lipoma can be broken into smaller fragments and removed through a small incision.
Lipomas can be removed by dermatologists, plastic surgeons, and general surgeons, with the best cosmetic result typically from dermatologists and plastic surgeons. Make sure to ask whether the doctor has removed many similarly sized lipomas.
Either a plastic surgeon or a general surgeon would be the most appropriate choices for removing a large lipoma.