Lipoma Removal Options? I am not keen on surgery, especially if it's going to leave a gaping hole in my back, upon removal.

Thank you for your question. Lipomas are benign fatty masses of the body that can cause both cosmetic and functional deficits as they grow.  They can impinge on nerves and become increasingly painful.  As yours has started to grow, in my opinion the best option would be to remove it permanently.  Depending on its size, this can be done in the office, or may require a trip to the operating room.  See an ASPS board certified plastic surgeon for an in-person evaluation and discussion of treatment.

For better or for worse, the only effective treatment is surgical excision.  This can normally be done using only a very small incision which typically then leaves a small scar.  If there is a depression then it is most likely due to the size of the lipoma at present rather than its method of removal.Newer injectable techniques (such as Kybella) may at some point become treatment options but since lipomas typically contain connective tissue (that would not respond to Kybella) that may not work.You should see a board-certified plastic surgeon for a full discussion of this and the various options.I hope that this helps and good luck,Dr. Alan EnglerMember of #RealSelf100