I have a moveable lipoma/episacral lipoma in my lower right back, which is causing a lot of pain: Can it be removed?

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

Lipomas in this region can be removed. It is important to obtain imaging though to ensure that this is a lipoma as opposed to some other process occurring along your spine. Ultrasound, MRI or CT scan can often be useful to differentiate exactly what this is. If it is a lipoma, it can usually be removed in the office under local anesthesia. The first concern should be your safety and comfort. Avoiding any complications by knowing exactly what the issue is should be of paramount importance. I hope this information is helpful.Stephen Weber MD, FACSDenver Facial Plastic Surgeon

normaly, lipomas doesn t hurts, sometimes instead lipomas in that areas are other conditions named pilonidal cist and that is really painful and have to me removed.

Probably - but it's appropriate to make sure you (or, more precisely, your surgeon) knows what it is, to the greatest extent possible, before having it removed.  Lipomas do not normally cause a significant degree of back pain so I'm not sure that that's related.  The lipoma can most likely be removed, depending on exactly where it is (ie, how deep) but that may or may not provide relief for the symptoms you're having.I hope that this helps and good luck,Dr. E