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Indications

• Cosmetic Concerns: Lipomas can be unsightly or bothersome due to their appearance, especially if they grow large or in visible areas.
• Discomfort: Lipomas in certain locations can cause discomfort or restrict movement.
• Diagnostic Purposes: Sometimes, surgery is performed to remove a lipoma for biopsy to confirm its benign nature.

Procedure

1. Consultation: A consultation with a surgeon to evaluate the lipoma, discuss symptoms, medical history, and expectations.
2. Preoperative Assessment: This may include physical examination, imaging (such as ultrasound), and sometimes biopsy if the diagnosis is uncertain.
3. Anesthesia: Lipoma removal surgery is typically done under local anesthesia, where only the area around the lipoma is numbed. In some cases, general anesthesia may be used, especially if multiple lipomas are being removed or if they are large.
4. Incision and Removal:
   • Small Lipomas: For small lipomas, a small incision is made directly over the lipoma, and it is carefully dissected out.
   • Large or Deep Lipomas: Larger or deeper lipomas may require a longer incision. The surgeon carefully separates the lipoma from surrounding tissues and removes it intact.
   • Multiple Lipomas: If multiple lipomas are present, they may be removed during the same procedure.
5. Closure: The incision is closed with sutures or surgical staples. Sometimes, a drain may be placed temporarily to remove any excess fluid.
6. Bandaging: A sterile dressing is applied over the incision site.
7. Recovery: After a brief observation period, patients are usually discharged home on the same day of surgery.

Recovery

• Pain Management: Pain after lipoma surgery is usually mild and can be managed with over-the-counter pain relievers.
• Activity: Most patients can resume normal activities within a few days to a week, depending on the location and size of the lipoma.
• Stitches Removal: If non-absorbable stitches are used, they are typically removed in about 1-2 weeks.
• Follow-up: A follow-up appointment is scheduled to monitor healing and remove any remaining stitches or staples.

Risks and Complications

• Scarring: The size and location of the incision determine the extent of scarring, which is typically minimal.
• Bleeding and Infection: As with any surgery, there is a small risk of bleeding or infection.
• Recurrence: Although lipomas rarely recur after complete removal, there is a small chance of recurrence.
• Nerve Damage: There is a slight risk of damage to nearby nerves, but this is rare and typically temporary.

Results

• Immediate Relief: Removal of lipomas usually provides immediate relief from any discomfort caused by their presence.
• Cosmetic Improvement: Patients often experience improved appearance in the affected area.
• Pathology: The removed lipoma may be sent for pathological examination to confirm the diagnosis.

Lipoma surgery is generally considered safe and effective for removing these benign growths. It’s important to discuss the procedure, expected outcomes, and potential risks with a qualified surgeon to make an informed decision.