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A lipoma is a benign (non-cancerous) lump of fatty tissue that grows just beneath the skin. While generally harmless, lipomas can be bothersome due to their size, location, or appearance. They may also cause discomfort if they press on nerves or other structures. This guide explains what lipomas are, their causes, symptoms, and the treatment options available for safe and effective removal.
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What to Expect During Lipoma Removal
A lipoma is a slow-growing, soft mass made of fatty tissue. These lumps are typically movable and painless, and they are the most common type of benign soft-tissue tumor. Lipomas can appear anywhere on the body but are most often found on the neck, shoulders, back, abdomen, arms, or thighs.
Key Facts About Lipomas:
•Lipomas are non-cancerous and rarely require treatment unless symptomatic.
•They are generally round or oval and range from 2 to 10 cm in size.
•Lipomas affect approximately 1 in 1,000 people and are more common in middle-aged adults.
Lipomas are often diagnosed based on their appearance and feel under the skin.
Common Symptoms:
•Soft and Movable: Lipomas are soft to the touch and easily moved under the skin when pressed.
•Painless: Most lipomas are painless, although they may cause discomfort if they press on nerves.
•Slow Growing: Lipomas grow slowly over months or even years.
•Size and Shape: They are typically oval or round and vary in size from small lumps to large masses.
While lipomas are usually harmless, rapid growth or changes in appearance should be evaluated by a specialist.
Causes and Risk Factors
The exact cause of lipomas is unknown, but several factors may contribute to their development.
Risk Factors for Lipomas:
•Genetics: Family history of lipomas increases the likelihood of developing them.
•Age: Lipomas are more common in adults aged 40–60.
•Certain Conditions: Rare conditions like lipomatosis or Madelung’s disease are associated with multiple lipomas.
•Trauma: Some lipomas may develop after an injury, although this is less common.
Although lipomas are benign and typically harmless, removal may be necessary or desired for the following reasons:
•Cosmetic Concerns: Lipomas in visible areas can affect confidence or appearance.
•Discomfort or Pain: Large lipomas may press on nerves or cause discomfort due to their size.
•Restricted Movement: Lipomas in certain locations, such as joints, can limit movement.
•Uncertainty: Removal and testing provide reassurance that the lump is benign.
Several safe and effective methods are available for removing lipomas, depending on their size, location, and patient preference.
•What It Is: The lipoma is surgically removed along with its capsule to prevent recurrence.
•Best For: Large or symptomatic lipomas.
•Benefits: Provides complete removal with a low recurrence rate.
•Limitations: May leave a small scar.
•What It Is: A thin tube (cannula) is used to suction out fatty tissue from the lipoma.
•Best For: Soft lipomas in areas where scarring is a concern.
•Benefits: Minimally invasive with smaller scars.
•Limitations: Higher recurrence rate if the capsule is not removed.
Lipoma removal procedures are typically straightforward and performed under local anesthesia.
1. Consultation: A specialist evaluates the lipoma through physical examination and, if necessary, imaging or biopsy.
2. Preparation: The area is cleaned, and local anesthesia is applied to numb the site.
3. Procedure: The lipoma is removed using surgical excision or another method.
4. Aftercare Instructions: Patients are provided with guidance on wound care and recovery.
Most procedures take less than an hour, depending on the size and complexity of the lipoma.
Proper aftercare ensures smooth healing and minimizes the risk of complications:
•Keep the Wound Clean: Gently clean with soap and water as directed.
•Monitor for Signs of Infection: Watch for redness, swelling, or discharge.
•Protect the Area: Avoid strenuous activities that may strain the treated site.
•Follow Specialist Advice: Attend follow-up appointments as recommended.
Read more on our What To Expect page.
In some cases, the removed lipoma may be sent for pathology testing to confirm its benign nature.
•When It’s Needed: If the lipoma has unusual features, changes in appearance, or there’s concern about underlying conditions.
•Why It’s Important: Pathology testing ensures the lipoma is non-cancerous, providing peace of mind and guiding further treatment if needed.
The cost of lipoma removal varies depending on the size, location, and procedure:
•Consultation Fee: £100.
•Treatment Costs: Start from £895 for small, straightforward removals.
A personalised quote is provided after an initial consultation.
You should seek specialist advice if:
•The lipoma is growing rapidly or changing in appearance.
•It causes pain, discomfort, or limits movement.
•You’re concerned about its appearance or impact on your daily life.
•You want confirmation that the lump is benign.
Plastic surgeons are uniquely equipped to ensure the best cosmetic outcome. With their advanced training in skin surgery and aesthetics, they can minimize scarring and deliver a more natural-looking result.
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