and Treating a Bump on Your Buttocks: Surgical Options Explained - Surgery

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A lump has developed on the skin of the buttocks?


Hello Dr.
Lin: Over the past six months, I have noticed a protruding growth near my right hip close to the waist, resembling a lipoma, approximately 2 centimeters in size.
However, it is not growing outward but has a slightly raised appearance on the surface of the skin.
I need to squeeze it to feel a more pronounced lump (it feels somewhat hard or like a pimple), but it is neither painful nor itchy.
I would like to ask if this can be evaluated by a surgeon or if surgical removal is an option.
To be honest, it is not very aesthetically pleasing, and I am currently unmarried.
Additionally, if surgical removal is possible, how long would the procedure take? Is it complicated? (I would prefer not to draw attention to any abnormalities.) Thank you.

sing, 20~29 year old female. Ask Date: 2006/10/11

Dr. Lin Kecheng reply Surgery


Hello Sing: Based on your description of the lump's location, size, shape, and texture, it is likely a lipoma (I must admit that your observation and description skills are quite impressive, comparable to those of a physician).
It can usually be surgically excised, which can be completed in about 20 minutes under local anesthesia.
You can go home after the outpatient procedure, and taking oral pain relievers and anti-inflammatory medication for one day should suffice.
Wishing you good health.

Reply Date: 2006/10/11

More Info


Hello! Thank you for reaching out with your concerns regarding the bump on your buttocks. Based on your description, it sounds like you may have a lipoma, which is a benign tumor made up of fat tissue. These are generally soft, movable, and painless, and they can occur anywhere on the body, including the buttocks. While they are not harmful, many people choose to have them removed for cosmetic reasons or if they become bothersome.


Surgical Options for Lipoma Removal
1. Consultation with a Surgeon: The first step is to consult with a general surgeon or a dermatologist who specializes in skin lesions. They will examine the bump and may perform an ultrasound or other imaging studies to confirm the diagnosis. This is important to ensure that the bump is indeed a lipoma and not another type of growth, such as a cyst or a more serious tumor.

2. Surgical Removal: If the bump is confirmed to be a lipoma and you wish to have it removed, surgical excision is the most common method. This procedure is typically performed under local anesthesia, meaning you will be awake but the area will be numb. The surgeon will make a small incision over the lipoma, remove it, and then close the incision with stitches.

3. Procedure Duration: The surgical removal of a lipoma is usually a straightforward procedure that can take anywhere from 15 minutes to an hour, depending on the size and location of the lipoma. Since your bump is about 2 centimeters, it should be a relatively quick procedure.

4. Recovery: Recovery from lipoma removal is generally quick. Most patients can return to their normal activities within a few days. The incision may be sore for a short period, but pain is usually manageable with over-the-counter pain relievers. You will likely have a small scar, but it should fade over time.

5. Post-Operative Care: After surgery, it’s important to keep the area clean and dry. Your surgeon will provide specific instructions on how to care for the incision site. Follow-up appointments may be necessary to monitor healing and remove stitches if non-dissolvable ones were used.


Considerations
- Cosmetic Concerns: Since you mentioned that the bump is not painful but is cosmetically concerning for you, surgical removal is a reasonable option. Many people feel more confident after having such growths removed.

- Non-Surgical Options: While surgical excision is the most definitive treatment, there are non-surgical options like liposuction for smaller lipomas. However, this method may not completely remove the lipoma and could lead to recurrence.

- Insurance and Costs: If you have health insurance, check with your provider to see if the procedure is covered, especially if it is deemed medically necessary. If it’s purely cosmetic, you may need to pay out of pocket.


Conclusion
In summary, it sounds like you have a benign lipoma that can be easily removed through a minor surgical procedure. It’s advisable to consult with a healthcare professional to discuss your options and any concerns you may have. The procedure is typically quick, with minimal downtime, and can significantly improve your comfort and confidence. If you have any further questions or need assistance with the next steps, feel free to ask!

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