Minimally Invasive Lipoma Surgery: Options, Costs, and Recovery Insights - Surgery

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I have a lipoma approximately 13 centimeters in size located between the back of my thigh and my buttock.
It is not painful or uncomfortable.
I would like to ask: 1.
Besides traditional surgical excision, is it possible to perform a minimally invasive procedure to aspirate and remove the lipoma, thereby reducing the size of the incision and the recovery time? (I am mainly concerned about postoperative care and recovery speed.) 2.
(With health insurance) what would be the cost of the surgery and the duration of the procedure? 3.
Can this surgery be performed in an outpatient setting? Which department should I consult?

Mr. Li, 30~39 year old female. Ask Date: 2014/08/07

Dr. Xu Kaixi reply Surgery


For a lipoma or other benign tumors measuring 13 centimeters, it is recommended to use general anesthesia.
The size of the incision and the duration of the traditional excision surgery depend on the depth and location of the tumor.
The incision size is approximately equivalent to the size of the tumor, and the surgery typically takes about half an hour.
Recovery takes one to two weeks.
Health insurance coverage is provided according to the regulations, and patients should register at the surgical outpatient clinic for examination and to arrange for surgery.

Reply Date: 2014/08/07

More Info


When considering minimally invasive surgery for a lipoma, especially one as large as 13 cm located between the thigh and buttock, there are several factors to take into account regarding options, costs, recovery, and overall surgical approach.

1. Surgical Options: Minimally invasive techniques, such as liposuction or vacuum-assisted excision, can indeed be employed to remove lipomas. These methods involve making smaller incisions compared to traditional open surgery, which can lead to less postoperative pain, reduced scarring, and quicker recovery times. However, it’s important to note that while liposuction can effectively remove fatty tissue, it may not always completely excise the lipoma, especially if it has a fibrous capsule. Therefore, if complete removal is desired to prevent recurrence, a small incision may still be necessary to ensure the entire lipoma is excised. Discussing these options with a qualified surgeon will help determine the best approach for your specific case.

2. Costs and Duration: The cost of surgery can vary widely depending on the healthcare facility, the complexity of the procedure, and whether you have insurance coverage. Since you mentioned having health insurance, the out-of-pocket expenses may be significantly reduced. Typically, minimally invasive procedures can be performed in an outpatient setting, and the surgery itself may take anywhere from 30 minutes to a couple of hours, depending on the technique used and the size of the lipoma. It’s advisable to contact your insurance provider to understand your coverage and any potential costs you might incur.

3. Surgical Setting and Specialties: Most lipoma removals can be performed in an outpatient clinic or surgical center, and you would typically need to see a general surgeon or a plastic surgeon specializing in soft tissue surgery. When scheduling an appointment, you can request to see a surgeon who has experience with minimally invasive techniques. They will evaluate your lipoma and discuss the most appropriate surgical options based on its size, location, and your overall health.

In terms of recovery, minimally invasive procedures generally allow for a quicker return to normal activities. Patients often experience less pain and swelling, and many can resume light activities within a few days. However, it’s crucial to follow your surgeon’s postoperative care instructions to ensure proper healing and minimize the risk of complications.

In summary, minimally invasive surgery for a lipoma can be a viable option that offers benefits such as reduced scarring and quicker recovery. It’s essential to consult with a qualified surgeon to discuss your specific situation, including the best surgical approach, costs, and recovery expectations. This will help you make an informed decision that aligns with your health needs and lifestyle.

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