Found a Lipoma After Tumescent Lipo. Did This Cause It or Uncover It?

Following a tumescent liposuction procedure a large (and painful!) lipoma was discovered on my abdomen. The doctor said that it was probably just a lumpy imperfection that body contouring would correct. This lump is painful. Will the massaging machine rupture it or cause more pain?

Doctor Answers 6

Tumescent Lipo

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Removing fat does not cause more fat to appear.  The lipo likely exposed your lipoma.  It is easy to remove.  The massaging machine will likely change it very little. Thank you for your question and good luck with everything.

Danville Plastic Surgeon
4.9 out of 5 stars 26 reviews

Lipoma after tumescent liposuction

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Liposuction will not cause a lipoma to form, and though it is possible that the lipoma was unnoticed until after your liposuction, it is important to determine if the tender lump is a fluid collection, bleeding or hematoma, or scar formed in the area treated. Massage will have little effect and if painful you may wish to stop. See your surgeon to have the lump checked out fully.

Best of luck,


Peter E. Johnson, MD
Chicago Plastic Surgeon
4.0 out of 5 stars 44 reviews

Lipoma after liposuction

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

It is possible that liposuction uncovered a previously undetected lipoma. There are also case reports of lipomas following trauma, but it is hard to prove a cause and effect.

If 3 months after your procedure you are still having problems, your doctor may want to confirm what this lump is (lipoma, seroma, scar tissue, hernia) and treat it accordingly. A massaging machine is unlikely to improve this problem if it is a lipoma.

Karol A. Gutowski, MD, FACS
Chicago Plastic Surgeon
4.9 out of 5 stars 76 reviews

You might also like...

Lipoma, liposuction

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

You need to get it confirmed if it is a lipoma or scar tissue. Was it there before the liposuction? If it is confrimed lipoma it will require surgical excision, if it is painful scar tissue then may require steroid injections in the lump.

Sanjay Parashar, MD
Dubai Plastic Surgeon
4.5 out of 5 stars 24 reviews

Liposuction lump or lipoma?

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

It is diffiuclt to say what you are feeling. You are right, sometimes you do not always feel lipomas underneath the skin and perhaps liposuction "unroofed" it.  It would have to be evaluated in person

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Liposuction and lipomas

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

It is possible that a lipoma can hurt, these are often angolipomas, and benign. It is possible that lipomas can be unmasked by the surgery reducing the mass around the lipoma.  Tender lumps under the skin after liposuction could be localized inflamed residual nodules of fat as opposed to an actual lipoma, but both might be treated similarly by a secondary focal liposuction technique.  The differential diagnosis also includes a small hematoma which may resolve or may need to be drained and sometimes treated with antibiotics, as a possible diagnosis is an abscess. Your surgeon knows more about your condition  by examining you and is better suited to diagnose and recommend treatment than  any physician who is answering your questions without seeing you, so make sure you followup with your surgeon. Certainly you could consider having a second opinion if the symptoms don't improve soon, and more urgently if the symptoms increase.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
4.9 out of 5 stars 39 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.