What is a Lipoma?

Lipomas are subcutaneous fatty growths that are benign.  Patients typically want them removed because they are unsightly or by pressing on nerves are uncomfortable.  They typically start small and gradually enlarge to as much as 5-10 cm in diameter over a period of years.

There are genetic and familial aspects to lipomas. The large, rubbery lipomas are usually solitary. 60% are associated with an identifiable chromosomal abnormality, while patients with multiple, small lipomas on their chest, arms and legs often have a family history and there are no chromosomal changes.

Under the microscope the lipoma cells look just like ordinary fat cells. They can have a thin capsule around them, which the surgeon will try to dissect free of surrounding skin and tissue to try to get all the lipoma cells out. This is not always possible, so even if lipomas are surgically removed, they can recur.

Removal is done by some variant of a surgical technique:  direct excision, liposuction, and my preferred method, laser dissolution followed by aspiration through a minimal, hidden incision.

Lipomas are benign fatty growths. They typically are slow growing and people desire to have them removed because they are unsightly. Occasionally they can cause real problems. There is a very small chance that they could be cancerous and poise a real health risk. Pathology examination is usually warranted to verify it's benign. Some individuals have a genetic predisposition to developing them. They can normally be removed under local anesthesia. 

A  lipoma is a fatty growth usually separate than your normal natural fat. They can grow anywhere in the body but are usually more common on the trunk and extremities. They are usually slow growing and when they grow large can cause pain discomfort or be a cosmetic deformity.  larger lipomas have a very small risk of becoming cancer and most are benign.  They are removed surgically and most can be done under local anesthesia. I would recommend you find a board-certified plastic surgeon who has an extensive experience in lipoma removal.Best Regards,Dr. Michael Gartner