Lipoma Removal with Minimal Scarring on Buttocks?

Question

I have a lipoma on my left buttock, which changes the contour of my buttocks.  I am currently on a diet and exercise plan, and the more weight I lose, the more noticeable this is becoming.  Can I have lipoma removal with minimal scarring on my buttocks?  Thank you.

Raffy Karamanoukian, MD, FACS · Answer

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. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian
Realself100 Surgeon

Ronald J. Edelson, MD · Answer

I always try to remove a lipoma through an incision as small as possible. It is possible to remove a three inch lipoma through an incision less than one inch. It takes more work but is worth it.

Peter A. Aldea, MD · Answer

It depends.
First, we MUST make sure it is a benign lipoma and not a malignant poser. That requires a tissue biopsy which needs to be interpreted by an experienced pathologist.
If the mass is indeed a lipoma, the visibility of the removal scar, would depend on its location (extent of pulling on it and support underneath it). The larger and deeper the lipoma, the more deforming the post removal appearance may be. If this is the case, you MAY wish to consider having part of it liposuctioned KNOWING that it may recur down the road. But, at least, doing so corrected the bulgin and appearance for a while.

Lipoma Removal with Minimal Scarring on Buttocks?

Answers (3)

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