If there is growth or pain with growth or pain alone, it should be excised. H Karamanoukian MD FACS
Many lipomas are small and cause no issues nor do they grow. These can be left alone. However many lipomas do grow. If a lipoma grows or begins causing trouble- pain, discomfort or cosmetic deformity, it should be removed in the most cosmetically favorably way possible and sent to pathology for evaluation.Good luck and take care.