Lipoma and Osteoma Treatments with Dr. Inessa Fishman
Lipomas, osteomas, and various other “bumps” on the scalp, face, and neck are common concerns among patients who come to our practice. A lipoma is a benign (non-cancerous) fatty growth, which may appear on various parts of the body, the face and scalp. Essentially a fatty tumor, a lipoma usually feels like a soft or doughy lump, which can be moved around a bit under the skin.
In the head and neck, lipomas typically develop in areas that are usually devoid of fat (under the brow-lifting forehead muscles, for example) and may cause symptoms such as pain or an unsightly appearance. While no one knows why lipomas develop, the leading scientific theories highlight genetics and trauma as possible causes.
Read on to learn more about lipoma treatments in Atlanta, GA, or schedule a consultation with our team today!
Lipoma Surgery Advantages
- Lipoma excision surgery improves the associated appearance of a bump or mass
- Lipoma surgery is typically associated with little to no downtime
How are Lipomas Treated?
Our expert facial plastic surgeon, Dr. Inessa Fishman, most commonly removes lipomas via a minor surgical procedure. She performs lipoma excision surgery with local or general anesthesia. The size and location of the lipoma help design a specific treatment plan; this said, the vast majority of the lipomas Dr. Fishman removes are treated with the help of local anesthesia in the office.
During surgery, and after freezing the area of treatment with numbing medicine, Dr. Fishman places an incision directly on top of the lipoma. She may also put an incision behind the hairline, for lipomas within the forehead or scalp. She dissects and removes the lipoma and carefully closes the surgical incision for the best cosmetic result. The scar after lipoma removal surgery tends to heal quite well over time; most scars are hidden within the hair-bearing scalp or the natural expression lines of the face.
The main advantage of lipoma treatment is getting rid of the associated bothersome “bump” or mass.
Lipoma excision surgery is usually associated with little to no downtime!
What Can I Expect After Lipoma Excision Treatment?
Immediately after treatment, you will likely notice some swelling, numbness, bruising, and paleness about the treated area.
The numbing medicine wears off over a few hours after treatment. Post-treatment, you may have some discomfort, which should be controlled with oral pain medications like Tylenol and Motrin.
While swelling is common and normal after lipoma excision surgery, cool compresses can help minimize swelling and discomfort and should be used on the treated area as instructed.
You should be able to bathe, shower, and wet your incision within 24 hours after treatment.
Stitches are usually removed at 7-10 days after surgery.
Depending on your health, medical history, and recovery, you should expect to be presentable (and return to work and social activities) in less than one week after treatment.
Who is a Good Candidate for Lipoma Treatment?
Any mass or “knot” that develops on the scalp, face, or neck should be carefully examined by one’s physician. Because lipomas are common and have a classically soft feel, they are commonly diagnosed on physical exam; occasionally, patients may undergo imaging (such as a CT scan or ultrasound) or biopsy to diagnose a lipoma.
Surgically removing or excising a bump can be both curative and diagnostic, in that the tissue removed undergoes pathology analysis to yield the diagnosis of lipoma, or something else. Men and women who are in good health and bothered by the appearance of a mass or bump within the head and neck may be good candidates for lipoma treatment, including excision surgery.
Please consult with Dr. Fishman about your treatment options.
FAQs for Face and Scalp Lipoma Treatment at Aviva Plastic Surgery
If you are in good health and are bothered by a hard knot on your forehead or scalp, you may have a lipoma that may do well with treatment. Please consult with Dr. Fishman about your treatment options.
Most head and neck lipomas at our practice are removed with the help of laughing gas (ProNox) and injectable numbing or freezing medicine. However, Dr. Fishman will discuss her anesthesia preferences during your consultation. Overall, she uses local anesthesia, deep sedation, or general anesthesia for forehead, scalp, and neck lipoma removal surgery.
Dr. Fishman typically removes most head and neck lipomas in 45 minutes to 1.5 hours, depending on the amount of work to be done and other associated procedures. Most patients undergoing lipoma excision with local anesthesia can expect to be in the office 1-2 hours. This time includes discussing any pre-treatment questions, reviewing the consent forms for treatment, taking pre-treatment photographs, receiving the laughing gas and freezing medicine, undergoing the excision procedure, and recovering.
Any surgery that involves cutting through the skin leaves scars, and we take pride in providing effective treatment with essentially inconspicuous scars. While lipoma surgery leaves scars, these are hidden in the hair-bearing scalp or the natural forehead creases or facial expression lines. These scars fade significantly over time and are difficult to find once healed.
Most of Dr. Fishman’s lipoma treatment patients describe bruising or soreness after surgery, with most discomfort fading away after a half to 1 day after surgery. Most people will have mild to moderate pain, which can be well-managed with cold compresses and oral pain medications (such as Tylenol and Motrin). Some patients may develop mild bruising after surgery, which usually resolves over 3-5+ days. Temporary numbness and itching about the treated area are quite common and resolve over the course of a few days to weeks in the vast majority of patients.
Dr. Fishman and her staff send the removed tissue for pathologic analysis, using one of several certified and highly experienced pathology laboratories in the Atlanta area. Pathologic analysis provides a more precise diagnosis than a physical exam and radiologic imaging, and can differentiate between lipomas, osteomas, cysts, and other reasons for “bumps.”
Health insurance plans may cover the removal of lipomas that cause pain or other functional symptoms. Health insurance plans do not typically cover the removal of lipomas for appearance or cosmetic reasons. We recommend checking with your insurance provider regarding the details of your healthcare plan. For non-insurance cases, we offer financing and are happy to discuss this with you after your consultation with Dr. Fishman