LIPOMA
A lipoma is a benign (non-cancerous) growth of fatty tissue that forms under the skin.
These soft, movable lumps are usually harmless but may cause discomfort, pain, cosmetic concerns, or increase in size over time.
Lipomas can occur anywhere in the body, but they are most commonly found on the shoulders, back, arms, thighs, and neck.
Why do Lipomas Occur
The exact cause is unclear, but genetics plays a major role.
Lipomas tend to run in families and are more common in adults between 20–60 years of age.
They do not transform into cancer, but certain types may grow rapidly or become painful.
When to Consider Treatment or Surgery
Removal is advised if the lipoma:
- Increases in size
- Causes pain or pressure on nearby structures
- Restricts movement
- Becomes infected or inflamed
- Leads to cosmetic dissatisfaction
- Raises doubt about diagnosis due to unusual features
Types of Surgical Treatments
Conventional Excision Surgery
Conventional Excision Surgery
The surgeon makes a small incision and removes the entire lipoma along with its capsule.
Pros: Complete removal, minimal recurrence, suitable for large or deep lipomas.
Cons: Small scar, longer healing compared to other methods.
Liposuction-Assisted Removal
A cannula is inserted to suction out the fatty tissue.
Pros: Smaller incision, minimal scarring, good for larger lipomas.
Cons: Capsule may remain, slightly higher risk of recurrence.
Endoscopic Removal
Endoscopic Removal
Uses tiny instruments and a camera through small cuts to remove lipomas in sensitive or visible areas.
Pros: Excellent cosmetic result, minimal tissue damage.
Cons: Requires specialised equipment, ideal only for certain locations.
Which Treatment Is Better?
For most patients, traditional excision offers the most definitive cure with the lowest recurrence rate because the entire lipoma and capsule are removed. Liposuction and endoscopic methods are preferred when cosmetic appearance and smaller scars are priorities.
The choice depends on lipoma size, depth, location, and patient preference.
Recovery and Aftercare
Patients can usually resume routine activities within 1–3 days. Post-treatment guidance includes:
- Keeping the wound clean and dry
- Avoiding strenuous activity for a short period
- Following up for suture removal and assessment
- Monitoring for any swelling or discharge
Frequently asked questions
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