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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. KaramanoukianRealself100 Surgeon
I agree with Dr. Aldea. Either the lipoma was incompletely removed, or it was not a lipoma and something more serious. Are you sure it was a lipoma? A lipoma grossly looks like a lipoma and your surgeon would have suspected otherwise. However, if it was sent to pathology, review the report and make sure the final diagnosis was a lipoma.
The most common reason for a re-growth of a Lipoma is a possible incomplete removal of the original Lipoma leaving elements behind. A second and much more rare reason is that it was NOT a Lipoma after all but a low grade cancer masquerading as a Lipoma. The re-growth needs to be removed with wider margins this time and the pathology slides need to be compared by a good pathologist to make sure to get to the bottom of why this happened.
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.
How risky it is to remove an intramuscular lipoma depends on how big it is and if it's surrounding nerves, blood vessels, tendons, or ligaments. An MRI can help with this. You may need a surgeon who specializes in surgery of the upper extremity (orthopedic or plastic surgeons can both have this...
As mentioned by a previous doctor lipomas typically come out in continuity, suctioning them may break them up and increase the chance of recurrence. The other potential issue is separating what is cosmetic and reconstructive if you have this done in the hospital. Your insurance will probably...