Lipomas are benign fatty tumors that may be removed for symptomatic or cosmetic reasons. Common removal techniques are limited by the risk of scarring and recurrence. The following paper provides a review of lipoma excision techniques and possible alternative technologies that have been tested or are being developed.
Of the reviewed methods, liposuction is the most effective overall in removing adipose tissue, but is hindered by associated costs. Deeper lipomas may be ablated with laser technologies, although larger incisions are required. Additionally, study results of ultrasound and pharmaceutical methods are promising, but require FDA approval before becoming a prevalent practice.
Lipomas are benign tumors composed of subcutaneous adipose tissue. They are typically asymptomatic, but may cause discomfort with direct pressure. Removal is typically done for symptomatic or aesthetic purposes. The rare variant of liposarcoma requires aggressive surgical removal and close monitoring for recurrence.
Lipomas are typically removed by excision, with potential complications of bleeding, infection, seroma, scarring and recurrence. The following review focuses on the current methods of lipoma excision, as well as alternative removal methods, including cauterization, liposuction, and laser removal. Experimental techniques, such as ultrasound, micro wave, and pharmaceutical treatments, are also reviewed. For more info on Lipoma check Iiit-bh
Lipoma Surgery Removal Process
If your lipoma is less than one inch in diameter, a nurse or doctor will inject a steroid into the center of its fatty tissue. This process may be repeated multiple times at monthly intervals. The steroid causes fat atrophy in your lipoma, taking its effect over the following three or four weeks after it is injected. If the lipoma is too large to be injected with the amount of steroid required fo it to clear itself, you have three surgical options to get your lipoma removed.
The three types of lipoma removal:
Enucleation is a minimally invasive lipoma surgery done for smaller lipomas. A surgeon or doctor makes a very small incision just over your lipoma. A curette (a metal medical tool with a loop on each side) is placed inside the incision and gently moved around so that the lipoma is carefully separated from any of your surrounding tissues. Then the lipoma material is pulled through the small incision. Stitches are not necessary. A special type of pressure gauze is placed over your wound to help prevent blood clots from forming.
Excision is the most common type of lipoma surgery. A doctor or nurse will numb you with a topical numbing agent as well as an injection in the area affected by the lipoma. Then, a surgeon uses a scalpel to make an incision through your skin and fatty tissue, lifting it up and removing the lipoma with a metal gripping instrument. Your tissue in the hole is examined for any remaining materials by the surgeon, or in medical terms, “palpated”.
This palpation is done to ensure there is no more lipoma remaining. Pressure is applied to control the bleeding, and then the surgeon will suture your wound with stitches and leave them to heal for two weeks before removing them. Over the next 1-2 weeks, you will experience mild soreness in that area. Although you can return to work after one day’s rest, it is important that during your recovery you try not to overdo yourself with exercise and activity. Too much movement can cause the sutures to tear and your resulting scar to widen.
Liposuction As in plastic surgery liposuction? Yes. Liposuction is a cosmetic procedure that drains the fat out of the body through inserted hollow tubes attached to a suction device.