What to do about Lipomas?

How to decide when to get them removed

Lipomas are benign (non-cancerous) growths composed of fat cells. These soft, rubbery lumps are usually found just under the skin and can occur anywhere on the body, although they are most commonly located on the neck, shoulders, back, abdomen, arms, and thighs. Lipomas are generally slow-growing and can vary in size from a few centimeters to several inches in diameter.

Causes and Risk Factors

The exact cause of lipomas is not well understood, but they are believed to have a genetic component, as they often run in families. Other risk factors include:

  • Age: Lipomas are most common in middle-aged adults.

  • Genetics: Family history of lipomas increases the likelihood of developing them.

  • Injuries: Although rare, trauma to a specific area might trigger the formation of a lipoma.

Symptoms

Most lipomas are asymptomatic, meaning they do not cause pain or discomfort. However, some may become painful if they press on nerves or contain many blood vessels. Common characteristics of lipomas include:

  • Soft and doughy to touch

  • Easily movable under the skin

  • Generally painless

  • Slow-growing

Diagnosis

A physical examination is usually sufficient for diagnosing a lipoma. In some cases, your healthcare provider may recommend imaging tests like an ultrasound or MRI to confirm the diagnosis and to differentiate a lipoma from other types of growths.

Treatment Options

Lipomas typically do not require treatment unless they cause pain, restrict movement, or become bothersome for cosmetic reasons. Treatment options include:

  • Surgical Removal: The most common and effective method for removing a lipoma.

  • Liposuction: A less invasive option that involves using a needle and syringe to remove the fatty tissue. This is an uncommon approach.

  • Steroid Injections: May help to shrink the lipoma but generally do not remove it completely. This is rarely used to remove lipomas and does have some risk of side effects.

Conclusion

While lipomas are generally harmless, it is essential to consult with a healthcare provider to confirm the diagnosis and discuss the best treatment options if necessary. At Clear Derm, Dr. Eli Kim and our experienced team are here to help you with all your dermatological needs, ensuring the best care and treatment options tailored to you.

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