Will the removal of a lipoma leave a scar?

Written by He Zong Quan

General Surgery

Updated on May 23, 2025

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The removal of a lipoma generally does not significantly affect wound recovery, as the incision for a lipoma is a clean cut with no infection or contamination. However, some patients may develop significant scarring not due to infection but due to their scar-prone nature. Over time, the scarring from such cuts does not decrease in these patients, and corrective cosmetic surgery might be necessary to address the prominent scars. Therefore, it is important to consult with patients before lipoma surgery to determine if they are prone to scarring. If not, normal lipoma removal does not usually leave noticeable scars.

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Written by Ai Bing Quan

General Surgery

53sec

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Do lipomas need to be treated?

Lipomas are a type of benign disease. For smaller lipomas, such as those with a diameter of about 1 centimeter, it is not necessary to consider surgical treatment. However, it is important to monitor the size of the lipoma. In cases where the lipoma is larger, for example, exceeding 3 centimeters in diameter, or if there is pain in the lipoma, or if it grows significantly in a short period of time, surgical removal should be considered. The surgery can be performed under local anesthesia, with lidocaine injected into the skin and subcutaneous tissue. Once anesthetized, an incision is made along the skin lines over the surface of the lipoma, followed by strategic separation and complete excision of the lipoma. The excised lipoma should then be sent to the pathology department for pathological examination.

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Written by Ma Xian Shi

General Surgery

49sec

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Do lipomas hurt?

Lipoma is a common clinical disease characterized by tumor-like normal adipose tissue, often occurring in the limbs and trunk. It has clearly defined margins, is lobulated, soft in texture, and may feel like a pseudocyst, with no pain symptoms. The growth is slow, and some can grow quite large. Deep-seated lipomas can potentially become malignant and should be surgically removed promptly. Another type is the painful lipoma, which often occurs in patients with a family history. These tumors are usually smaller and commonly distributed symmetrically. However, most lipoma patients do not experience pain symptoms; it is only the painful lipomas that are painful. These are also characterized by a family history, symmetrical distribution, and smaller size.

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Written by Zhang Peng

General Surgery

52sec

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Can lipomas disappear?

Lipomas generally do not disappear on their own, and currently the only effective treatment for subcutaneous lipomas is surgical removal. However, lipomas are typically managed with an observational approach in clinical settings. Regular ultrasound checks can be scheduled to assess the growth rate of the lipoma and monitor any clinical symptoms it may cause. Observation is mainly employed because lipomas rarely turn malignant and because lipomas, especially those on the body's surface, often appear as multiple lesions. Complete removal can lead to surgical scars, affecting the appearance. Most lipomas grow slowly, often remaining asymptomatic under one centimeter, requiring no special treatment. During follow-up, if the growth rate is unusually rapid, malignancy cannot be ruled out, and surgical removal should be considered.

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Written by Liu Huan Huan

General Surgery

36sec

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What should I do if my lipoma hurts?

Lipomas are relatively common in clinical settings and are benign tumors on the body surface, often found on the limbs and trunk. Generally, they don't cause obvious clinical symptoms except for the appearance of a lump under the skin. The lump is usually flat, and the skin surface remains intact, though this is not absolute. Some patients may experience pain in the lipoma, particularly when lipomas appear symmetrically on the limbs, causing localized pain. In such cases, surgical treatment is recommended, which can be performed under local anesthesia to remove the lipoma and alleviate the pain.

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Written by Zhang Peng

General Surgery

47sec

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What is lipoma surgery?

The necessity of surgery for lipomas depends on their location. Lipomas are commonly found on the limbs. Whether surgery is needed depends on the size, location, and impact of the lipoma on the body. Surgery is generally recommended for lipomas that are particularly large or symptomatic. The surgical procedure involves excision followed by a pathological examination, as there is still a possibility that some lipomas could be liposarcomas, especially when located on the limbs, where such cases are more common. Therefore, for lipomas with significant symptoms and prominent manifestation, surgical removal is usually advised.