Lipoma Removal

Lipomas are harmless soft, fatty lumps that grow under your skin and can be removed if they are getting bigger or causing problems because of their location

Lipomas are harmless soft, fatty lumps that grow under your skin that do not usually need treatment but are important to get checked. They can be removed if they are getting bigger or causing problems because of their location.

Lipomas are common and they:

  • Can appear anywhere on your body.
  • Can be anything from the size of a pea to several centimetres across.
  • Feel soft and squishy.
  • May move slightly under your skin if you press them.
  • Are not usually painful.
  • Grow slowly.

A lipoma is only removed on the NHS if it is growing or causing problems because of where it is.

The operation

An incision is made in the skin above the lump. The lump is eased away from the surrounding tissue, removed and the wound is closed with stitches.

A lipoma can be removed under:

Local anaesthetic

You will have an injection of local anaesthetic to numb the local area. You will be awake but feel no pain and will be able to leave the department as soon as we have officially discharged you.

General anaesthetic

You will be unconscious when the procedure is performed but you will have an injection of local anaesthetic to numb the area so you should be comfortable when you wake up. You will be on the Day Surgery Ward for three to four hours to recover from the anaesthetic. You must arrange for someone to drive you.

Recovery

Some discomfort is to be expected following any surgery. You are advised to take a mild painkiller before this wears off, which is usually within three to four hours. Paracetamol and ibuprofen are generally recommended to be taken initially for a couple of days, with codeine (if appropriate) supplied by the hospital for break through pain. Do not exceed the recommended maximum daily dose.

If you had a general anaesthetic, for the first 24 hours:

  • Someone should stay with you until the general anaesthetic has worn off.
  • Do not drive, operate machinery, or do any potentially dangerous activities (like cooking) until you have fully recovered feeling, movement and co-ordination.
  • Do not sign any legal documents or drink alcohol.

Your wound will generally be covered with a waterproof dressing. This should be kept covered and dry, especially for the first 24 hrs. After the second day it is usually okay to shower (not bath) and gently towel dry the dressing.

It is best to limit movement around the stitches as this will improve healing. Avoid activities that could cause your incision to pull apart and contact your GP if this happens.

Your stitches will need removing, normally seven to ten days after surgery. This can be done at your GP surgery.

When to seek medical advice

Bleeding. If you experience bleeding from the wound, apply gentle pressure with a clean cotton pad, kitchen towel or folded tissue for 10 minutes. if it continues to bleed contact your GP or dial 111 if it is out of hours.

Infection. All new wounds have a red area at the edges, and this does not mean you have an infection.  However, if the redness is increasing or spreads more than half an inch from the wound or develops an odour or discharge, or you gradually feel unwell and shivery, contact your GP or dial 111.

Activities

You are advised to take at least two to three days off work.  You may return to work once you can perform your job comfortably and safely which may take up to two to three weeks for larger lipomas.

Avoid strenuous activities until you are completely healed.

If you go outside in the sun, cover your scar with tape or sunscreen for the first six months as a healing scar will darken and become more noticeable if it gets sunburnt.