Struggling with Recurring Lipomas: Seeking Solutions for Persistent Skin Issues

Q: Struggling with Recurring Lipomas: Seeking Solutions for Persistent Skin Issues

Hello： A sebaceous cyst, also known as an epidermoid cyst, occurs when the opening becomes partially obstructed, leading to the formation of a tumor from the follicular epithelium. <br>If you have previously had it excised but it has recurred, it indicates that there may still be

I have a lipoma on my buttocks?

Hello Doctor: I am someone who has been suffering from a sebaceous cyst! About four years ago, a large cyst suddenly appeared on my buttocks, and it often burst, causing significant bleeding.
Approximately three years ago, I visited a general clinic's dermatologist, who diagnosed it as a sebaceous cyst and performed an excision surgery.
However, this issue still persists! Two years after the surgery, it recurred in the same location.
I would like to ask if sebaceous cysts can ever be completely cured! Today, the cyst on my buttocks has recurred again! I really don't know what to do...
I have already undergone surgery twice.

Xiao Qiu, 20~29 year old female. Ask Date: 2012/10/28

Dr. Lin Xinpeng reply Dermatology

Hello: A sebaceous cyst, also known as an epidermoid cyst, occurs when the opening becomes partially obstructed, leading to the formation of a tumor from the follicular epithelium.
If you have previously had it excised but it has recurred, it indicates that there may still be residual follicular epithelium in the dermis, or it could be due to newly developed folliculitis or injury that has caused the cyst to form again.
It is recommended to consider the use of oral antibiotics and surgery to reduce the recurrence rate, as theoretically, complete removal and precise dissection of the cyst should lead to a cure.
However, the growth of sebaceous cysts can also be influenced by lifestyle, medications, hormonal secretions, bacterial infections, and pore obstruction.
Therefore, in addition to surgery, it may be beneficial to identify the factors that trigger the growth of your cysts.

Reply Date: 2012/10/28

More Info

Lipomas, commonly referred to as fatty tumors, are benign growths of adipose (fat) tissue. They are typically soft, movable, and painless, and they can occur anywhere on the body, including the buttocks, as you have experienced. While they are not harmful, they can be bothersome, especially if they recur or cause discomfort.

From your description, it seems that you have undergone surgical removal of a lipoma, but it has returned. This recurrence can happen for several reasons. One possibility is that the lipoma was not completely excised during the initial surgery. If any part of the lipoma remains, it can grow back. Another reason could be that lipomas can develop in multiple locations, and new ones can form after the removal of an existing one.

Unfortunately, there is no guaranteed way to prevent the formation of new lipomas. They tend to occur more frequently in individuals with a family history of lipomas, suggesting a genetic predisposition. Additionally, certain conditions, such as lipomatosis, can lead to multiple lipomas developing over time.

If you are struggling with recurrent lipomas, here are some steps you can consider:
1. Consult a Dermatologist or Surgeon: Since you have already had surgeries, it may be beneficial to consult with a specialist who has experience in treating lipomas. They can evaluate the current lipoma and discuss the best surgical approach to ensure complete removal.

2. Consider Imaging Studies: In some cases, imaging studies like ultrasound can help determine the size and depth of the lipoma, which can guide surgical planning.

3. Discuss Surgical Options: If surgery is recommended, ensure that the surgeon discusses the technique they will use to minimize the risk of recurrence. Techniques like excisional biopsy, where the entire lipoma is removed, may be more effective than other methods.

4. Monitor for New Growths: Keep an eye on your body for any new lumps or growths. Early detection can lead to timely intervention.

5. Lifestyle Considerations: While there is no specific diet or lifestyle change proven to prevent lipomas, maintaining a healthy weight and overall health can be beneficial. Regular exercise and a balanced diet may help manage body fat levels, although they won't necessarily prevent lipomas.

6. Seek Support: Living with recurrent lipomas can be frustrating. Consider joining support groups or forums where you can share experiences with others who have similar conditions.

In summary, while lipomas can be removed surgically, they may recur, and new ones can develop. Consulting with a specialist and discussing your options is crucial for managing this condition effectively. Remember that while lipomas are benign and not harmful, your comfort and quality of life are important, and addressing your concerns with a healthcare provider can help you find the best path forward.

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