Options for Lipoma Removal on Keloid-prone Skin?

No work for at least 2 days if you do light work. If your job involves physical work then no work for one week at least. No exercise for one week. You can walk after that. No weight lifting in gym or heavy exercise for 3 weeks.

You cannot be sure that it is a lipoma. It could be an infected sebaceous cyst which are more common in the scalp than lipomas. You can to to a general surgeon, a plastic surgeon, an otolaryngologist, a facial plastic surgeon. First you need to stop touching it without washing hands, start oral...

As a general rule, I do not prescribe antibiotics either before, or after lipoma removal.  In my practice the procedure is performed in an on-site accredited OR where the conditions are clean and the procedure is performed in a sterile manner.  

  If the lipoma is really this big, I am not sure that there is that much alternative to surgical excision, which could be accomplished under local anesthesia and which may be affordable.

Having some discomfort after a lipoma removal is normal.  Scar treatment creams may be helpful to improve the quality of the scar but will not erase it.  Once the skin is cut, the scar is permanent.  Sometimes silicone sheeting can help as well. 

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....