Lipoma from groin returned should I go through surgery or get 2nd opinion?

Question

Hello, I have a lipoma on my labia majora. Had it removed by a dermatologist but it returned 1 week after removal. It doesn't bother me most of the time however there are times it swells/flares up and is sore. My gyno is against another surgery. He says it will reoccur and could spread/worsen? An oil gland issue?? My pathology report states Right labia majora SQ nodule: MATURE ADIPOSE TISSUE CONSISTENT WITH LIPOMA. CLINICAL DATA: Epidermoid cyst vs hidradenoma.

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

Nelson Castillo, MD · Answer

Thank you for sharing your question.  There should not be any issue with reopening the incision and removing what remains.  Hope this helps.

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