Frequently Asked Questions
1. How much does lipoma removal cost at Aesthetic Studio?
Cost of lipoma removal at Aesthetic Studio depends on the number, size, and location of lipomas treated, and whether local anaesthesia alone or sedation is used. A detailed estimate is provided after examination.
2. Is lipoma removal ever medically necessary rather than cosmetic?
Yes. While standard lipoma removal is often an elective cosmetic procedure, it can be medically necessary if lipomas cause physical pain, press on nerves or blood vessels, restrict joint movement, or are associated with painful conditions like Dercum's Disease.
3. Can a lipoma be diagnosed without a biopsy?
Yes, most lipomas can be diagnosed through clinical examination and physical palpation by an experienced plastic surgeon. If a lump feels unusually firm or deep, ultrasound or MRI imaging may be ordered before removal, and excised tissue is routinely sent for histopathology.
4. Is anaesthesia other than local ever required for lipoma removal?
Most single or multiple lipomas are safely excised under local anaesthesia. However, when removing a very large number of lipomas in a single session or treating deep or extensive lipomas, IV sedation or general anaesthesia may be recommended for optimal patient comfort.
5. How is Dercum’s Disease different from ordinary multiple lipomas?
Dercum's Disease (adiposis dolorosa) is a rare condition characterized by multiple painful lipomas accompanied by chronic fatigue and swelling. Ordinary multiple lipomatosis consists of painless subcutaneous fatty lumps without systemic symptoms.
6. Is lipoma removal surgery safe?
Lipoma removal under local anaesthesia is a low-risk outpatient procedure. Risks include minor bleeding, infection, and small scars at each excision site. The risk of damage to underlying structures depends on lipoma location and size. Dr. Bharathi reviews each lipoma's location and depth before recommending the surgical approach.
7. Will lipomas grow back after removal?
Lipomas that are completely excised do not return in the same location. If the capsule is not completely removed, there is a small chance of recurrence. Patients with familial multiple lipomatosis may develop new lipomas elsewhere on the body over time, which are separate growths, not recurrences.
8. How many lipomas can be removed in one session?
The number depends on lipoma size, location, and distribution. Small superficial lipomas can often be removed in groups of five to ten in one session. Larger or deeper lipomas require individual planning. Dr. Bharathi assesses the full picture at consultation and recommends either a single session or a staged plan.
9. Does lipoma removal leave visible scars?
Each lipoma access point requires one incision, typically smaller than the lipoma itself when minimal-incision or sub-dermal tunneling techniques are used. Scars are planned to align with natural skin lines and fade over six to twelve months.
10. What is the difference between a lipoma and a cyst?
A lipoma is a benign fatty tumor under the skin that feels soft and moves easily when pressed. A cyst is a sac filled with fluid or keratin that may have a central punctum and can become inflamed or infected. Both are benign but require different surgical approaches.