Lipoma is a medical condition in which a mass of fat develops in between the skin and the underlying tissue layer. It is mostly observed in middle aged people. The identification of a lipoma is pretty easy. It is a fatty lump which moves when touched with a finger. These are generally harmless but some do hurt or pain on touching. Under these circumstances one must get a lipoma removed.
The presence of a lipoma in one’s body can be detected by some common symptoms. These include a lump of fat which is doughy to the touch. This lump is generally 5 cm in diameter and one must also keep in mind that a lipoma grows too. Since, they consist of many blood vessels, they can sometimes be painful too. Lipomas generally occur in the neck, shoulder, back, abdomen, arms and thighs.
The cost of Lipoma Removal Surgery depends on Surgeon’s Qualification, Operative facilities, Technique of liposuction, Number of Lipoma's, Size and location of the Lipoma, Stay Required or not, Anaesthetist Experience, Type of Compression garment & Post care facilities given to the patient.
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In Cosmetic Surgery Center, we treat the removal of small lipomas (1 - 5 cm) in outpatient surgery and larger lipomas (more than 5 cm) in Day Hospital and Day Surgery.
The term lipoma derives from the Greek "lipos", which means fat , and with this term we identify benign tumors that arise precisely from the patient's fat tissue.
The lipomas appear as subcutaneous nodules , usually painless and can be found in all parts of the body: the most common sites are the shoulders, neck, chest, back, arms and thighs.
The dimensions are extremely variable: from 1 cm, and, exceptionally, up to over 10 cm: their growth is very slow and usually create only an aesthetic problem.
When they arise in particular locations, such as the buttocks and back, their compression can create discomfort up to modest pain .
Some people may have multiple lipomas in various parts of the body.
There is no specific cause for the onset of a lipoma.
It is the most common and widespread benign tumor and can occur in both sexes, although males appear to be the most affected.
They are rare in childhood and their most frequent finding is between 40 and 60 years.
They are found in both normal and overweight subjects, and in the latter patients the size of the lipomas may be more voluminous.
As has already been said, lipoma usually does not cause any disturbance : the patient notices a swelling , soft and mobile on the underlying tissues, and the skin is perfectly uniform, without any notes of inflammation.
When lipomas reach more conspicuous dimensions, in addition to the aesthetic problem, they can cause discomfort or modest pain upon their compression.
The diagnosis of lipoma, in most cases, is very simple and is done by the doctor with simple visual evaluation and manual palpation.
In the case of larger lipomas, it may be necessary to perform an ultrasound to better understand the relationship of the lipoma with the underlying structures, in particular the muscle groups and muscles: all this in order to better plan the possible surgical removal.
Exceptionally, the lipoma can degenerate into a malignant tumor , and in these cases we speak of liposarcoma .
Unlike the common lipoma, liposarcoma
The only therapy for lipomas is surgical removal , which should be recommended when these create aesthetic problems and when they reach a size of over 1 cm.
The operation is normally performed in a surgical clinic with local anesthesia : the skin incision is a function of the size of the lipoma, it will allow the isolation of the lipoma and its removal. A cosmetic suture will conclude the outpatient surgery.
All this applies to lipomas smaller than 5 cm : for lipomas of larger dimensions, adhering to the muscular or intra-muscular bands, or for those of the neck, the regional health regulations require the intervention to be carried out in the operating room, always with local anesthesia and possible anesthetic sedation, and always in day hospital.
Lipomas larger than 5 cm, and with the characteristics described above, may require the most complete instruments in the operating room and the assistance of the anesthetist. The operation is however performed in day surgery and the patient is discharged after a few hours, to check the surgical wound and to eliminate the effects of the anesthetic sedation performed.
The Operative Unit of General Surgery of the Capitanio Hospital guarantees patients a complete care from the beginning of the diagnostic path until the postoperative discharge and in subsequent checks, for all pathologies of surgical interest.
On an outpatient basis, the following are carried out:
Lipoma is a benign tumor that originates from fat cells. The areas most affected are the neck, thighs, buttocks, arms and trunk.
There are various types of lipoma, but the most common form is the superficial lipoma which manifests itself with a soft swelling in the subcutis. The dimensions are variable. Furthermore, lipomas can be limited or spread to the whole body: in the latter case we speak of lipomatosis.
Subcutaneous lipomas are commonly asymptomatic, but in some cases they can be painful or uncomfortable. Clinical examination and an ultrasound are generally sufficient for a correct diagnosis. Lipomas can be checked periodically, but in some cases removal is indicated: it is generally performed under local anesthesia on an outpatient basis. A histological examination must always be performed on the removed tumor. The operation involves a minimally invasive surgery, thanks to the incisions smaller than a centimeter, which allow the removal of lipomas with a diameter greater than 6-7 centimeters and which are essential when there are many neoformations to be removed. On large lesions, the mini incision can be associated with liposuction. Interventions of this kind allow optimal aesthetic results.