Is it normal to have more than 30 lipomas?

Question

I had my first Lipoma removed at 20 and over the years more removed. I am now 41 with about 30 more lipomas I have pain with some of mine with blue coloring and can have pain to the touch on arms.

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

Alan M. Engler, MD, FACS (retired) · Answer

It's not "normal" but it can occur - and, when it does, it's often just the way you describe it.  Multiple lipomas, with a bluish color, firm and (often) painful.  These are typically angiolipomas, which are a little different from the more common single and larger lipomas, which are made up of a much greater proportion of fatty tissue.  The angiolipomas, by contrast, have some fat but also connective tissue and blood vessels, hence their firmer feel.The treatment for these is surgical removal.  This can be accomplished with a small incision directly over each lipoma.  If you're having just a few removed, you can have it done under local anesthesia alone.  For more of them, you can consider intravenous sedation or even general anesthesia to provide comfort during what can be a several hour procedure, depending on how many you're having removed.I'd recommend consultations with several board-certified plastic surgeons who can examine you in person, after which you'll be able to make a more informed decision as to how you want to proceed.I hope that this helps and good luck,Dr. Alan EnglerMember of RealSelf100

Is it normal to have more than 30 lipomas?

Answers (2)

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