How is Lipoma Diagnosed?

A dermatologist or healthcare provider will diagnose lipoma after a physical examination where the size, texture, mobility and sensitivity of the lump is assessed.

In case the lump is large, tender, fast-growing, deep, or abnormal, imaging tests, like ultrasonography, magnetic resonance imaging (MRI) or a CT scan, may be recommended by the doctor. A biopsy might also be performed in some cases to confirm the diagnosis and exclude liposarcoma or other types of soft tissue tumour.

How is Lipoma Treated Based on Severity?

The treatment of lipoma depends on the severity and the extent of the problems you are facing. Mild lipoma or smaller tumours do not usually require medical intervention. However, if the lipoma is enlarged and causing pain or other issues, your dermatologist may recommend its removal.

Check out the suggested treatment for lipoma based on severity:

Severity Treatment
Mild/ Asymptomatic Monitoring and routine follow-up might be sufficient or as recommended by the doctor.
Severe/ Symptomatic Surgical removal is generally recommended, with further testing in cases of suspicion of cancer.

Types of Lipoma and Their Treatment

An overview of treatment based on lipoma type and location is given in the table below:

Type of Lipoma Location Treatment
Angiolipoma Forearms, upper arms or trunk Painful or uncomfortable lumps may be removed through surgical excision.
Conventional Lipoma Neck, shoulders, back, abdomen, arms or thighs Asymptomatic lipomas usually require monitoring. Surgical excision is recommended if they become painful, large or uncomfortable.
Fibrolipoma Inner cheeks or beneath the skin Monitoring may be sufficient for asymptomatic lumps. Surgical removal may be advised if the lump enlarges or causes discomfort.
Hibernoma Thigh, back, shoulder, neck or chest Complete surgical excision is usually recommended.
Myelolipoma Adrenal glands Small, asymptomatic tumours may be monitored. Surgery may be required if the tumour is large, painful or at risk of bleeding.
Spindle Cell Lipoma Back of the neck, shoulders or upper back Treatment is generally unnecessary unless the lump is large, painful or uncomfortable. Surgical excision is used when required.
Pleomorphic Lipoma Neck, shoulders or upper back Surgical excision is generally performed when the lump causes symptoms or diagnosis needs confirmation.
Forehead or Scalp Lipoma Forehead or scalp Endoscopic removal may be considered to avoid a visible facial scar, especially for well-defined lipomas.

Other Treatments for Lipoma

The dermatologist will determine the best course of treatment depending on:

  • The size of the lipoma

  • The number of skin tumours

  • If the lipoma is painful and its location

These lipoma treatment methods may include:

  1. Steroid Injections Steroid injections are sometimes used to treat lipomas. This can decrease the size of the lipoma, but it does not remove it completely.

  2. Surgical Excision Surgical operation is the most common way to treat lipoma. It is especially useful when you have a big skin tumour that keeps growing.

  3. Liposuction Liposuction removes the fatty tissue through a small incision, but may not completely remove the lipoma. Because of this, there is an increased risk of recurrence compared to surgical excision.

Ayurvedic and Alternative Treatments for Lipoma

The following alternative treatment approaches can also be used for lipoma treatment:

  • Ayurvedic herbal formulations prescribed by a qualified AYUSH practitioner.

  • Homoeopathic practitioners can also recommend home supplements, like turmeric and herbal mixtures, to reduce inflammation.

  • Yoga can improve overall physical health and metabolism and may prevent new fatty deposit formations.

Home Care for Managing Lipoma

Home care can help detect lipoma early, reduce irritation and support faster recovery after surgery. Some of these measures include:

  • Regularly feel the lump and check for any changes in size, shape or tenderness.

  • Do not try to squeeze or remove a lipoma at home.

  • Try to protect the affected area from any injury or trauma.

  • Always visit a dermatologist if you feel the lipoma is getting enlarged or is causing pain and discomfort.

  • Adhere strictly to the wound care regimen suggested by your dermatologist.

How Long Does Lipoma Treatment Take?

The duration of different lipoma treatment is as follows:

Treatment Duration
Steroid Injections 10 - 20 minutes per session; multiple sessions may be required
Surgical Excision Within 30 - 60 minutes as an outpatient procedure
Liposuction Depending on size and number of the lipomas to be treated, usually takes 30 - 60 minutes.
DCA (Deoxycholic acid) Injections Requires more than one session over a period of weeks to months.
Laser Lipoma Removal (1444 nm Nd: YAG Laser) It usually takes 30 - 60 minutes to complete.
Radiofrequency Ablation (RFA) Conducted on a day-care procedure for a 30 - 60 minute duration.

Lipoma Treatment Side Effects

The lipoma removal procedure is considered quite safe. However, like any other surgical operation, it can involve certain complications. Contact your surgeon or dermatologist if you see any of the following:

  • Bruising

  • Bleeding

  • Scar formation

  • Infection (very rare complication)

  • Reoccurrence of the growth if the whole mass was not removed

  • Temporary feeling of numbness

  • Rarely, injury to nearby organs or tissues

To avoid complications, strictly follow the surgeon's recommendations after the surgery.

Lifestyle Changes for Managing Lipoma

Some lifestyle changes may also be recommended by the doctor depending on the size and severity of the lipoma. These may include:

  • Maintain a healthy body weight by eating well and exercising.

  • Avoid subjecting yourself to any form of repeated pressure on the location of the lipoma.

  • Routine visits to follow up on large lipomas or several lipomas.

  • Take care of your wound following surgery or treatment.

  • Wear loose clothes when the lipoma is situated in a place that is easily irritated or prone to friction.

Triggers That Can Worsen Symptoms of Lipoma

Common triggers that can aggravate lipoma and worsen symptoms include:

  • Friction or repetitive pressure on the lipoma.

  • Injury or trauma to the affected area.

  • Pressure on nearby tissues or nerves due to big lipomas.

  • Delay in seeking medical attention for a growing or painful lipoma.

Lipoma Treatment Cost

The cost of lipoma treatment in India is influenced by factors like size, number, location, complexity of the lipoma and the treatment method recommended by the doctor. The approximate cost of lipoma surgery in India ranges from ₹25,000 to ₹70,000. While uncomplicated cases that need simple surgery cost an estimated ₹10,000 - ₹30,000, enlarged or complicated cases of lipomas may cost between ₹40,000 - ₹1,00,000 or more.

Consulting fees and diagnostic tests, including ultrasound and MRI examinations, can increase lipoma treatment costs.

Does Health Insurance Cover Lipoma Treatment in India?

Yes. Lipoma surgery in India can be covered by health insurance plans if the surgery is deemed medically necessary due to pain, movement restriction, compression of other body parts, rapid growth of the lipoma or suspicion of malignancy. It pays for the cost of day care procedures, surgeries, OPD procedures, diagnostic tests, etc., depending on the plan.

However, lipoma removal performed solely for cosmetic purposes does not fall under the scope of medical insurance. Therefore, you must check the scope of coverage offered by the policy before buying.

Frequently Asked Questions (FAQs)

  • Q1. What is the cost of lipoma treatment in India?

    Ans: In India, the cost of lipoma treatment varies from ₹10,000 to ₹70,000 or more. It depends on the size, number, location and severity of the lipoma, along with the treatment method adopted by the doctor.
  • Q2. How is a lipoma removed?

    Ans: The common way for the removal of lipoma is surgical excision, where the entire fatty mass is removed through an incision. Some people may also undergo a liposuction procedure, but the lipoma may not be removed entirely through this mode.
  • Q3. Which treatment is best for lipomas?

    Ans: Surgical excision is considered the best treatment for lipoma since it eliminates the lipoma as a whole, and the chances of recurrence are very minimal.
  • Q4. How long does lipoma treatment take?

    Ans: The surgery normally takes 30 to 60 minutes, according to the size and position of the lipoma. Most people are expected to recover within a week or two.
  • Q5. Can a lipoma come back after treatment?

    Ans: Recurrence of lipomas after surgical removal is rare, but it is possible if any part of the lipoma is left unremoved.
  • Q6. Can a lipoma be treated without surgery? 

    Ans: Yes. Smaller lipomas can be monitored or treated with steroid or deoxycholic acid (DCA) injections. Enlarged lipomas often require surgery for complete removal.
  • Q7. Which doctor performs lipoma surgery? 

    Ans: Lipoma surgery is usually performed by a general surgeon. Depending on the size, location and complexity of the lipoma, it may also be performed by a plastic surgeon, dermatologist (dermatologic surgeon) or an orthopaedic surgeon for deep-seated or muscle-related lipomas. 
  • Q8. How long is the recovery after lipoma surgery?

    Ans: Recovery after lipoma surgery may take 1 - 2 weeks, depending on the lipoma’s size, location and depth. Small lipomas may heal within a few days, while larger or deeper lipomas may take several weeks to fully heal.
  • References

    • https://my.clevelandclinic.org/health/diseases/15008-lipomas

    • https://www.mayoclinic.org/diseases-conditions/lipoma/diagnosis-treatment/drc-20374474

    • https://pmc.ncbi.nlm.nih.gov/articles/PMC11151806/

    • https://www.pristyncare.com/consult/what-are-the-common-risks-or-complications-after-lipoma-removal-surgery/

    • https://www.frontiersin.org/journals/medicine/articles/10.3389/fmed.2022.1011468/full

    • https://www.carehospitals.com/surgery-cost/lipoma-surgery-cost