Lipoma Growth: When to See a Dermatologist or Surgeon - Dermatology

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When it comes to the growth of lipomas or similar skin lesions, understanding when to seek medical attention is crucial. Based on your description, you have a lipoma that has suddenly become painful and swollen after being asymptomatic for two years. This change in behavior is significant and warrants further evaluation.

Lipomas are benign tumors made up of fat tissue. They are usually soft, movable, and painless. However, when a lipoma becomes painful, swollen, or changes in size, it may indicate an underlying issue, such as inflammation or infection. In your case, the rapid increase in size and the onset of pain suggest that the lipoma may be undergoing a process that requires medical intervention.

Given the symptoms you've described, it is advisable to see a healthcare professional as soon as possible. You have two options: a dermatologist or a general surgeon. Here’s a breakdown of what each specialist can offer:
1. Dermatologist: A dermatologist specializes in skin conditions and can provide a thorough examination of the lipoma. They can assess whether the lesion is indeed a lipoma or if it might be something else, such as a sebaceous cyst or an infected lesion. If the dermatologist determines that it is a lipoma and it is causing discomfort, they may recommend removal, especially if it has become inflamed or infected.

2. General Surgeon: A general surgeon is also qualified to evaluate and remove lipomas. If the lipoma is large, painful, or if there is suspicion of infection, a surgeon may be the best option. They can perform a surgical excision, which is often a straightforward procedure, especially if the lipoma is accessible.

In your case, since the lipoma has increased in size and is causing pain, it is essential to seek medical attention promptly. If you have already started antibiotics and there is no improvement, this could indicate that the lipoma is not simply inflamed but may be infected or undergoing other changes that require surgical intervention.

Additional Considerations:
- Infection: If the lipoma is infected, you may need a different course of treatment, including possibly draining the area or adjusting your antibiotic regimen.

- Monitoring: If the lipoma were to remain asymptomatic, regular monitoring might be sufficient. However, given your current symptoms, monitoring is not advisable.

- Surgical Options: If removal is necessary, the procedure is typically done under local anesthesia, and recovery is usually quick.

In conclusion, given the recent changes in your lipoma, it is crucial to consult with a healthcare provider—either a dermatologist or a general surgeon—who can provide a proper diagnosis and treatment plan. Do not delay seeking medical attention, as timely intervention can prevent complications and alleviate discomfort.