Is this normal bruising after lipoma removal? My surgeon isn't concerned (Photo)

Question

I had a 15cm lipoma removed from my left groin. I had excessive bleeding after the procedure. Over the phone my surgeon wasn't concerned. It took 2 days for bleeding to stop. Now I have this bruising. Should I be concerned?

Stephen T. Greenberg, MD, FACS · Answer

Hi there and thanks for your question and photos.  It is difficult to assess your wound without an in person examination. Bruising in that area is common after surgery, especially if you had post op bleeding. It can take up a few weeks for bruising to disappear.  However I suggest seeing your surgeon for routine follow ups to ensure adequate healing. Best of luck and hope this helps!

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

Jose Perez-Gurri, MD, FACS · Answer

A diagnosis of this type cannot be made with simple photographs. Without the benefit of an exam, your surgeon is in the best position to assess and make recommendations. Good luck.Dr PG

Daniel Barrett, MD · Answer

Dear Mulligrubb,I understand your concern but bruising can occur after the surgery. However, without a proper assessment it would be difficult to determine is there something wrong. It is best that you visit your plastic surgeon for further assessment. Only after thorough examination you can get proper recommendations and advice.Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Nelson Castillo, MD · Answer

Thank you for sharing your question and photograph.  Due to the bleeding you described after your procedure this has caused the bruising currently seen in your photographs.  As your pictures offer limited views of the area, I would recommend discussing your concerns with your surgeon to ensure that no discrete fluid collection had developed.

Is this normal bruising after lipoma removal? My surgeon isn't concerned (Photo)

Answers (5)

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