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Note: ASAPS cannot give advice about specific medical problems nor should answers provided by responding surgeons be substituted for a complete medical history, work-up and an in-personal medical/surgical consultation. Sorry we can't answer all questions. We try to select questions that have the widest general interest.
Would liposuction get rid of a lipoma 10x10cm on my left shoulder?
Liposuction can occasionally remove a large lipoma. However, occasionally the particular lesion does not respond to liposuction alone. I, therefore, obtain permission to open the area and remove the lipoma directly if I am unable to remove it closed with the liposuction.
Well localized lipomas can respond to liposuction (respond well to ultrasound liposuction).
One needs a biopsy of a large lipoma first to make sure of the pathologic diagnosis; also it must be certain that the lipoma is subcutaneous, and not sub-muscular or intramuscular.
Lipomas must be removed in their entirety or they will recur, especially with weight gain. Liposuction of a lipoma can disrupt the surrounding area causing the lipoma to be very difficult to remove at a latter date. We do not recommend nor perform liposuction of lipomas.
Gary R. Culbertson, MD, FACS