Lipoma Surgery: Key Questions and Considerations - Plastic Surgery

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Sebaceous cyst surgery?


Hello doctor, I currently have three known lipomas: one on my back and two in the groin area.
These three have been repeatedly infected from February to July this year, and the dermatologist has performed drainage.
Due to the frequent infections, the dermatologist suggested that I could go to plastic surgery to have the lipomas removed.
I would like to ask: 1.
Can the lipoma surgery be done for all three at once, or would it be recommended to do them in separate sessions? 2.
Is it necessary to have a family member accompany me for the lipoma surgery? (I read that lipoma surgery generally involves anesthesia, so I want to know if anesthesia means I cannot undergo the surgery without someone accompanying me.) 3.
Since my lipomas are located in the groin area, should I remove or shave the nearby hair before seeing the doctor? Or is it sufficient to just trim the hair so it doesn't obstruct the lipomas? (I am concerned about irritating the lipomas and causing inflammation, so I am hesitant to shave or pluck the nearby hair.) 4.
Are there any dietary considerations I should be aware of before and after the lipoma surgery?

H, 20~29 year old female. Ask Date: 2020/11/08

Dr. Zhou Hongzhang reply Plastic Surgery


1.
The size of the sebaceous cyst is considered, as administering too much anesthesia at once may pose risks.

2.
Local anesthesia can be decided by individuals aged 20 and above.

3.
Hair removal can be decided on-site, provided it does not interfere with the surgery.

4.
There are no specific dietary restrictions; however, if you are taking anticoagulant medications, it is advisable to discontinue them a few days prior to the procedure.
It is best to consult in person at a plastic surgery clinic for more comprehensive information.

Reply Date: 2020/11/08

More Info


When it comes to understanding lipoma surgery, there are several important considerations and questions that patients often have. Lipomas are benign tumors made up of fat tissue, and while they are generally harmless, they can sometimes cause discomfort or become bothersome, leading to surgical intervention. Here’s a comprehensive overview based on your questions:
1. Can multiple lipomas be treated in one surgery?
Yes, it is often possible to remove multiple lipomas in a single surgical procedure, especially if they are located in close proximity to each other. However, the decision to do so depends on various factors, including the size and location of the lipomas, the patient's overall health, and the surgeon's assessment. If the lipomas are small and easily accessible, a surgeon may prefer to remove them all at once to minimize recovery time and anesthesia exposure. However, if there are concerns regarding complications or if the lipomas are large, the surgeon may recommend staged procedures.

2. Is it necessary to have someone accompany me for the surgery?
It is generally advisable to have someone accompany you for the surgery, especially if you will be receiving anesthesia. Most lipoma surgeries are performed under local anesthesia, which allows you to remain awake and alert during the procedure. However, if sedation or general anesthesia is used, you will need someone to drive you home afterward, as the effects of anesthesia can impair your ability to operate a vehicle or make decisions. Having a friend or family member with you can also provide emotional support and assistance during the recovery process.

3. Should I remove or trim hair around the lipoma before seeing the doctor?
It is usually not necessary for you to remove or trim hair around the lipoma before your appointment. Surgeons are accustomed to working around hair and will typically shave the area if needed just before the procedure. If you are concerned about irritating the lipoma, it’s best to leave the area as is and discuss your concerns with your surgeon during your consultation. They will provide guidance on what is best for your specific situation.

4. Are there dietary considerations before and after lipoma surgery?
Generally, there are no specific dietary restrictions before lipoma surgery unless you are instructed otherwise by your surgeon, especially if you will be undergoing sedation or general anesthesia. In such cases, you may be advised not to eat or drink anything for a certain period before the surgery. After the surgery, maintaining a balanced diet can aid in recovery. Staying hydrated and consuming nutrient-rich foods can help your body heal. It’s also wise to avoid alcohol and smoking, as these can impede the healing process.

In conclusion, while lipoma surgery is typically straightforward and safe, it is essential to have a thorough discussion with your surgeon regarding your specific case. They will provide personalized recommendations based on the size, location, and number of lipomas, as well as your overall health. Understanding the process, having support, and following pre- and post-operative instructions will contribute to a smoother surgical experience and recovery. Always feel free to ask your healthcare provider any questions you may have to ensure you feel comfortable and informed about your treatment.

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