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A lipoma is a benign growth of fatty tissue that usually feels soft and mobile beneath the skin. Some are small and stable; others enlarge, become uncomfortable, catch on clothing, or are bothersome because of their location or appearance.
Before removal, we confirm that the lump is clinically consistent with a lipoma and discuss whether observation, additional evaluation, or surgical excision makes the most sense.
Lipoma Evaluation and Removal
What does a lipoma feel like?
Lipomas are often soft, rubbery, and movable under the skin. They commonly occur on the trunk, shoulders, arms, neck, and thighs. Not every lump is a lipoma, so a new, firm, fixed, rapidly enlarging, painful, or otherwise unusual mass should be examined rather than assumed to be benign.
Does every lipoma need to be removed?
No. A clinically typical lipoma that is small and not causing symptoms can often be observed. Removal may be considered when the diagnosis is uncertain, the growth is enlarging or uncomfortable, it interferes with daily activity, or the patient prefers removal after discussing the expected scar and recovery.
How is a lipoma removed?
Selected lipomas can be removed in the office under local anesthesia. An incision is made over or near the growth, the fatty tissue is carefully separated from the surrounding tissue, and the wound is closed when appropriate. The size and depth of the lipoma influence the incision, repair, and recovery.
Will the tissue be sent to pathology?
When appropriate, removed tissue is sent for microscopic examination to confirm the diagnosis. A lesion with atypical features may require additional evaluation or referral rather than routine office removal.
What are the risks?
Removal leaves a scar. Other potential risks include bleeding, infection, bruising, fluid collection, numbness or altered sensation, wound separation, contour change, and recurrence. Risks vary with the size, depth, and location of the growth.
After Lipoma Removal
Stitches may be used, and activity restrictions depend on the location and repair. Follow the instructions given at your procedure. General guidance is available on our Procedural Wound Care page.
Schedule a Lump or Lipoma Evaluation
If you have a new or changing lump, we can determine whether it appears to be a lipoma, cyst, inflamed lesion, or another type of growth and discuss the safest next step. Book Appointment.