Is CoolSculpting useful for large a lipoma?

Question

I am an 84 year old man with a large lipoma on my lower back, right side. It is about 5 inches in diameter, and is beginning to cause a little pain. I am in good health, with a blood clotting disfunction since birth, Am I a candidate for Coolsclpting to remove the lipona

John Tang, MD · Answer

I wouldn't recommend Coolsculpting for lipomas because the outer wall may block the cold penetration. As long as it is a confirmed lipoma,  I have performed Mesotherapy for lipomas and it has done quite well.

Michael A. Zadeh, MD, FACS · Answer

Lipomas usually have a capsule and do not respond to CoolSculpting. Fat dissolving injections may be an option for smaller ones, but results may not be consistent. The most definitive treatment for lipomas remains surgical excision. Best wishes.

Jason Emer, MD · Answer

No, I don't recommend Coolsculpting for the removal of lipomas. Liposuction is a great procedure for the removal of lipomas. By undergoing liposuction, you are not an increased risk of developing new lipomas. I suggest consulting with a VASER Hi definition contouring specialist for fat reduction, body sculpting and skin tightening. Best, Dr. Emer

Susan Buenaventura, MD, FACS · Answer

I would not recommend coolsculpting for the mass.  Surgical excision would be preferable and more appropriate.   You don't mention the nature of your blood clotting disorder but a hematologist consultation would be appropriate prior to surgery.  Liposuction is also an option but the blood clotting order should still be addressed pre operatively.   Also it is important to consider imagining studies for a large mass and not assume it is a lipoma, depending on physical exam.  Good luck!

Monika Soni, MD · Answer

Thank you for your question.Lipomas are solid fatty tumors and can not "burst" or be "squeezed out."  Lipomas can increase and decrease in size but this is typically relatively slow and not rapid.  It is not clear what lipomas or cysts will do in the face of coolsculpting.  It is probably not dangerous to do, but i would doubt that these would reduce in size with treatment.
Best of luck!

Denis L. Gonyon, Jr., MD (account suspended) · Answer

CoolSculpting would not be a viable option to remove a lipoma.  I would suggest contacting a general surgeon in your area to discuss excision options.  
Good Luck to you in the future

Is CoolSculpting useful for large a lipoma?

Answers (6)

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