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...