Lipoma is a mass of fat under the skin which is easily movable.
In most cases Lipomas are noncancerous, slow growing, benign tumors. Lipomas can be seen on different parts of body and multiple growths are to be expected. Lipomas are moveable even with just from a slight touch or pressure. People of all ages are prone to lipoma formation, but are common in middle age.
Lipomas are benign soft tissue tumors that are majorly a cosmetic concern. They can also be painful and uncomfortable. They can grow into the deeper muscle, push on nerves and interfere in daily or physical activities.
Lipoma & Causes
Lipoma is the most common benign soft tissue tumor occurring in 1% of the population. They consist of mature fat cells and are typically enclosed by a thin fibrous capsule. Lipomas can occur on any part of the body and usually develop superficially in the subcutaneous tissue (under the skin). They are usually painless and are most often
There is speculation that lipomas are caused by previous trauma. One theory is that injuries can cause fat to protrude through tissue planes in the body, creating a “pseudo” lipoma. Another theory is that trauma causes release of cytokines (a cytokine is a substance that is released by cells of the immune system. Cytokines can have powerful effects on other cells of the body). These cytokines may then cause abnormal growth of fat cells. However, to date, there is no proof that trauma causes lipoma. The causes of lipoma are still poorly understood.
While the exact cause of lipomas remains uncertain, there has been found to be a genetic link to solitary lipomas. This was found on chromosome 12. To know more information on Lipoma check Emikolo
The Lipoma Removal Advantage
Lipomas are removed surgically for the following reasons:
A. It is causing a cosmetic deformity
B. It is causing symptoms such as pain, numbness or limitation in motion.
C. The mass is larger than 5 cm in size.
Lipoma removal is the excision of uncomfortable, fatty tissue growths or lipomas. These growths develop directly under the skin and are one of the most common growths seen on the body. Although benign lipomas do not pose any life threatening concern, these growths are painful and uncomfortable.
They can grow into the deeper muscle, push on nerves and interfere in daily or physical activities. This is the medical justification for removal, and the tissue is sent to pathology to confirm it is not cancerous.
Lipoma Removal Procedure
Lipoma removal surgery often only requires local anesthesia and can be performed in approximately 30 minutes, but this depends on the size and number of the lipomas and the method of removal.
Lipomas can be excised using two different methods:
The Liposuction Method (minimally invasive)
Liposuction allows the removal of the lipoma through a very small incision. The incision required for liposuction may also be placed in a more remote inconspicuous location. Liposuction is often used on small facial lipomas because a favorable cosmetic result can be obtained through remote incisions. Liposuction can also be used for medium-sized (4-10cm) and large (>10cm) lipomas.
The disadvantage to liposuction is that residual fat cells may be left. This increases the chances that the lipoma may regrow. Another disadvantage is that liposuction does not allow for complete evaluation of the entire tumor.
The Excision method (Surgical treatment):
Superficial lipomas are commonly removed for cosmetic reasons, and hence, a cosmetically pleasing incision should be used. The incision is usually placed directly over the mass and oriented so that it is hidden by natural creases or wrinkles in the skin.
This improves the cosmetic results.This method is used more frequently. The skin is incised over the lipoma, and the fatty tissue is meticulously dissected away. The dissection technique may, in selected cases, be combined with a “press and squeeze” method. It’s analogous to delivering a baby through a small access area.
After the lipoma has been completely removed from under the skin, the incision will be meticulously sutured closed with dissolving sutures.Complete surgical excision of the fat cells and fibrous capsule is highly recommended to prevent the mass from re-growing.The size and location of all lipomas differ on an individual basis; your surgeon will discuss which technique is most appropriate for you.
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