Lipomas: When to Seek Medical Advice for Skin Growths

Questions about lipomas?

In the area of the nasal tip, a small growth, approximately 0.5 centimeters in size, has developed after giving birth.
It has been present for 9 years, is not painful, but is aesthetically unpleasing.
I have only had it examined by a dermatologist at a clinic, but the doctor was also uncertain about what it is, so it has not been addressed.
It does not seem to grow or cause pain, but I often feel the urge to touch it.
Which specialty should I consult for this?

Xiao Ting, 40~49 year old female. Ask Date: 2018/10/15

Dr. Li Zhonghuai reply Surgery

Hello! Please visit the general surgery department at any hospital.
Wishing you safety! Changhua Hospital cares about you!

Reply Date: 2018/10/15

More Info

When it comes to skin growths such as lipomas, it is essential to understand their nature and when to seek medical advice. A lipoma is a benign tumor made up of fatty tissue, typically soft, movable, and painless. They are generally harmless and do not require treatment unless they cause discomfort or cosmetic concerns. Given your situation, where you have had a small growth on your nose for nine years without pain or significant changes, it is likely a lipoma or another benign skin lesion.

However, it is crucial to monitor any skin growths for changes in size, shape, color, or texture. If you notice any of these changes, or if the growth becomes painful or bothersome, it is advisable to consult a healthcare professional. In your case, since you have already seen a dermatologist who was uncertain about the diagnosis, you might consider seeking a second opinion from another dermatologist or a plastic surgeon specializing in skin lesions. They can provide a more thorough examination and, if necessary, perform a biopsy to determine the exact nature of the growth.

In terms of management, if the growth is confirmed to be a lipoma and is not causing any issues, you may choose to leave it alone. However, if it is bothersome or you desire its removal for cosmetic reasons, surgical excision is a common and straightforward procedure. This can typically be done in an outpatient setting with local anesthesia.

Additionally, it is essential to maintain good skin care practices to keep your skin healthy and minimize the risk of other skin issues. This includes using a gentle cleanser, moisturizing regularly, and protecting your skin from sun exposure with sunscreen. If you have a history of skin issues or if you have other skin concerns, regular check-ups with a dermatologist can help monitor your skin health.

In summary, while lipomas are generally benign and do not require treatment, it is essential to keep an eye on any skin growths for changes. If you have concerns or if the growth becomes bothersome, seeking a second opinion from a qualified dermatologist or a plastic surgeon is a prudent step. They can provide you with the necessary information and options for management, ensuring that you feel comfortable and confident in your skin.

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