Lipoma Removal

What is Lipoma Removal?

Lipoma removal is the surgical procedure performed to remove lipomas, which are benign lumps of fatty tissue that develop just below the skin. These lumps are most often found in middle-aged individuals but can occur at any age. While lipomas are not cancerous and usually not harmful, their appearance and location can occasionally lead to discomfort or distress.

The removal process is generally straightforward. Depending on the size and position of the lipoma, as well as personal health factors, removal can be performed under local or general anaesthesia. The goal of the procedure is not only to eradicate the lipoma for cosmetic or comfort reasons but also to confirm that it is indeed benign through a histopathological examination.

While all lipomas consist of fat cells, there are several different types, each with its own characteristics and implications for treatment. Here’s a detailed overview of the various types of lipomas you might encounter:

Conventional Lipoma

The conventional lipoma is the most common type and is composed of mature white fat cells. These lipomas are soft, movable under the skin, and generally painless. They usually appear on the shoulders, neck, back, and abdomen. Conventional lipomas rarely cause discomfort unless they grow large enough to compress nearby nerves or structures.

Angiolipoma

Angiolipomas are a painful variant of lipomas due to the presence of blood vessels within the fatty tissue. They are more likely to be tender or painful to the touch, which distinguishes them from the more common conventional lipomas. Angiolipomas often occur in younger adults and can appear in clusters.

Fibrolipoma

A fibrolipoma contains a significant amount of fibrous tissue along with fatty tissue. This type of lipoma is slightly firmer to the touch and may be less mobile under the skin compared to a conventional lipoma. Fibrolipomas are often found in the neck and back areas.

Hibernoma

Hibernomas are rare tumours that arise from brown fat rather than the typical white fat that forms most lipomas. Brown fat is involved in body temperature regulation, and hibernomas are characterised by their deeper colour and vascularity. These tumours are most commonly found in the thighs, shoulders, back, and neck.

Spindle Cell Lipoma

Usually found in older adults, spindle cell lipomas are located on the neck and back. These lipomas are unique because they contain spindle-shaped cells mixed with fat cells. They are benign and slow-growing, and they tend to be more fibrous, making them firmer than typical lipomas.

Pleomorphic Lipoma

Similar to spindle cell lipomas, pleomorphic lipomas also contain a mixture of cell types including bizarre and multiform cells. They are usually found in the neck and back and are most common in older men. These lipomas are also benign and have a low risk of malignancy.

Who Needs Lipoma Removal Surgery?

You might consider lipoma removal if you have a lipoma that is causing discomfort, pain, or is steadily growing. While these tumours are benign, they can become bothersome, especially if they develop in areas where they might rub against clothing or otherwise be in the way.

The decision to remove a lipoma is typically driven by a few factors: the lipoma’s size, its location, and any symptoms it may cause. For instance, a lipoma on the back may remain unnoticed and asymptomatic for years and require no treatment. However, a lipoma on the wrist could interfere with wrist and hand movements and might need to be removed for functional reasons.

Anca often suggest monitoring the lipoma for changes before deciding on surgery. If the lipoma changes in size or starts to cause pain, surgical removal might be the next step. Moreover, anyone concerned about the aesthetic aspect of having a visible lipoma might also opt for this procedure, as its removal can enhance appearance and, consequently, personal comfort.

Benefits of the Lipoma Removal Procedure

The primary benefit of undergoing lipoma removal is the relief from any discomfort caused by the lipoma pressing against nerves or muscle tissue. In addition to physical comfort, the removal can significantly improve the visual appearance of the area where the lipoma was located, especially if it was in a highly visible or sensitive area such as the face or arms.

Furthermore, lipoma removal can provide peace of mind by confirming that the growth is indeed a benign lipoma. After the procedure, the removed tissue is usually sent for histopathological examination. This analysis is essential as it ensures that the growth was not malignant and helps rule out other potential problems that could mimic the appearance of a lipoma, such as a liposarcoma, which is a rare cancerous tumour.

Another significant benefit is minimal scarring and a generally straightforward recovery process. The techniques used for removing lipomas are designed to minimise tissue damage and result in as little scarring as possible. Depending on the method of removal, such as minimal incision extraction, the cosmetic outcomes can be excellent, with scars barely noticeable once fully healed.

For many individuals, the procedure can also lead to improved mobility, especially if the lipoma was located in an area that interfered with joint movement. For example, a lipoma near a joint like the elbow or knee could restrict range of motion, and its removal would result in immediate improvement in mobility.

How is the Lipoma Removal Procedure Performed?

The lipoma removal process involves the following steps, which may vary slightly depending on the type of procedure being performed:

• Preparation: You will be given detailed instructions on preparing for surgery, including any adjustments to medication and eating or drinking restrictions.
• Anaesthesia: Most lipoma removals are performed under local anaesthesia, which numbs the area around the lipoma but keeps you awake. This minimises risks associated with general anaesthesia. For larger lipomas, or those in tricky locations, general anaesthesia might be required.
• The Incision: Anca will make an incision in the skin over the lipoma. The size of the incision depends on the removal technique being used.
• Removal: The lipoma is carefully separated from the surrounding tissues and removed. The method of removal will be determined by the size and depth of the lipoma and the chosen surgical technique.
• Closure: Once the lipoma is removed, the incision will be closed with stitches. These may be dissolvable or may require removal after a few days or weeks, depending on the type of stitches used.

When it comes to the removal of lipomas, there are several techniques that Anca might choose from, depending on the size, location, and number of lipomas. The choice of procedure will largely depend on your specific case. Anca will discuss the options with you and recommend the best method based on the characteristics of the lipoma and your personal preferences.

Recovery after Lipoma Removal Procedure

Recovery from a lipoma removal is generally quick and complications are rare. Most people can return to their normal activities within a few days, although you might need to avoid strenuous activity for a short period as advised by Anca.

Immediately following the procedure, it’s common to experience some minor pain and discomfort, which can be managed with over-the-counter pain relievers. Swelling and bruising around the site of the surgery are also normal and should subside within a few weeks.

It’s important to care for the wound according to Anca’s instructions. This involves keeping the area clean and dry, and watching for signs of infection such as increased redness, swelling, or a discharge that is unusual. You might be advised to apply a bandage or dressing to the site, which helps to protect the area and absorb any minor bleeding or discharge.

Following up with Anca is important to ensure that the site is healing properly and to assess the need for any further treatment. During these follow-up visits, stitches might be removed, and any persistent swelling or discomfort can be evaluated.

Another aspect of recovery involves managing the scar that forms as the incision heals. Scar management techniques might include massaging the area, using silicone sheets or gels, and ensuring adequate sun protection to prevent darkening of the scar tissue.

How Much Does Lipoma Removal Cost in the UK?

The cost of lipoma removal can vary significantly based on several factors including the size and number of lipomas, the type of procedure used, and whether it is covered by health insurance. In the UK, lipoma removal might be covered by the NHS if it is deemed medically necessary. This can include situations where the lipoma is painful, infected, or restricts movement.

For lipomas that are removed for cosmetic reasons or for those opting for private treatment to avoid waiting times, the costs can range significantly. On average, private lipoma removal might cost between £1,200 and £5,000. This price range typically includes consultation fees, the cost of the surgery itself, and any follow-up care required.

Further Reading

• Read Anca’s Blog on Recovery after Lipoma Removal
• Read Anca’s Blog on Recovery after Skin Tag Removal
• Read Anca’s Blog on Recovery after Cyst Removal