Is It Normal for a Surgical Cyst to Feel Hard After Removal?

The lipoma feels hard even after surgery?

Dear Doctor, I had an axillary lipoma surgery on January 25, 2022, and returned for suture removal two weeks later.
However, it still feels hard to the touch.
Is this normal? During my follow-up appointment, the doctor mentioned that there might still be some accumulated tissue fluid inside, which would resolve over time.
However, I still feel the hardness (but it is not painful).
Thank you.

Kuan Ma, 30~39 year old female. Ask Date: 2022/02/16

Dr. Li Zhonghuai reply Surgery

Hello! During the tissue repair phase, it may feel somewhat firm, but it will gradually soften over the course of 1 to 2 months.
As for the accumulation of tissue fluid beneath the wound, it will be absorbed naturally over time; if it does not, it can be aspirated with a fine needle.
Wishing you well! Changhua Hospital cares about you!

Reply Date: 2022/02/16

More Info

After undergoing surgery for a cyst removal, it is not uncommon to feel a hard area at the surgical site, especially several weeks or months post-operation. This hardness can be attributed to several factors related to the healing process and tissue response.

1. Normal Healing Process: After surgery, the body goes through a healing process that involves inflammation, tissue remodeling, and scar formation. During this time, it is typical for the area around the incision to feel firm or hard. This is often due to the accumulation of collagen fibers as the body repairs itself. The hardness may persist for weeks or even months as the tissue continues to heal and remodel.

2. Scar Tissue Formation: The formation of scar tissue is a natural part of the healing process. Scar tissue can feel different from the surrounding tissue, often being firmer or thicker. This is particularly true in areas where the skin has been cut and sutured. Over time, scar tissue may soften and become less noticeable, but it can take a significant amount of time for this to occur.

3. Possible Fluid Accumulation: Your doctor mentioned the possibility of residual fluid accumulation, which can also contribute to a feeling of hardness. Sometimes, after surgery, fluid can accumulate in the area, leading to a condition known as a seroma. While seromas can resolve on their own, they may take time to dissipate. If the area remains hard but is not painful, it may simply be a result of this fluid buildup.

4. Infection or Complications: While the absence of pain is a good sign, it is essential to remain vigilant for any signs of infection or complications. If you notice increased redness, warmth, swelling, or discharge from the surgical site, it would be prudent to consult your healthcare provider. These could indicate an infection or other complications that may require intervention.

5. When to Seek Further Evaluation: If the hardness persists beyond a few months or if you develop any new symptoms, it would be advisable to follow up with your surgeon. They can perform a physical examination and, if necessary, imaging studies to assess the area further. This will help determine if the hardness is a normal part of the healing process or if there are other underlying issues that need to be addressed.

In conclusion, while it is generally normal to feel hardness at the site of a surgical cyst removal, it is essential to monitor the area for any changes. If you have concerns or if the hardness does not improve over time, do not hesitate to reach out to your healthcare provider for further evaluation and peace of mind. Your health and comfort are paramount, and your doctor can provide the best guidance tailored to your specific situation.

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