A lipoma is a benign, slow-growing fatty lump that develops underneath the skin. Lipomas are typically found on the abdomen, back, shoulders, or arms, but they can appear almost anywhere on the body. Lipomas are generally harmless and do not require treatment unless they are causing discomfort, growing rapidly, or are cosmetically concerning. Lipomas are soft, smooth, and easily movable. They are composed of fat tissue and are not cancerous.

Lipomas are usually small, but they can grow larger over time. While the exact cause of lipomas is unknown, some research suggests a genetic link, particularly in a condition called familial multiple lipomatosis, where individuals develop multiple lipomas. Lipomas are not related to other skin condition such as acne.

While lipomas are harmless, there are several reasons why you might consider having them removed. Some patients seek treatment to remove lipomas for cosmetic reasons, while others experience discomfort when the lipoma is squeezed or pressed. In certain cases, the size of the lipoma may interfere with daily activities or cause anxiety about appearance.

The decision to pursue lipoma removal often comes after consultation with a GP or specialist. During these consultations, medical professionals can assess whether the growth requires treatment and discuss various treatment options available.

Besides lipomas, other common skin lesions include cysts, moles, and skin tags. A cyst is a fluid-filled sac that can develop under the skin. Moles are pigmented spots on the skin, while skin tags are small, soft growths of skin that hang off the body by a connecting stalk. It is important to differentiate between these lesions and a lipoma as the treatment options may vary.

Your initial consultation typically involves a physical examination of the lesion, a review of your medical history, and a discussion of treatment options. The doctor will assess the lipoma, determine if any further tests, such as an ultrasound scan, may be necessary, and explain the surgical excision procedure in detail. The doctor will discuss the benefits and risks of lipoma removal and help you make an informed decision.

Surgical excision is the most common method for lipoma removal. The procedure is performed using local anaesthetic, which numbs the area around the lipoma. A small incision is made in the skin, and the lipoma is carefully dissected and removed. The wound is then closed with sutures. The procedure typically takes 30-60 minutes, depending on the size and location of the lipoma.

Special attention is paid to minimize scarring, and the wound is carefully closed to promote optimal healing. The removed tissue will be sent to our local pathology lab for confirmation of the diagnosis and we will notify your GP of the result.

While the NHS does provide lipoma removal services in certain circumstances, there may be waiting times, especially if the lipoma is considered a cosmetic concern rather than a medical necessity. Your GP can advise whether NHS treatment is appropriate for your situation.