Background.
Lipomas are benign
tumors of mature fat cells. They can be removed by
liposuction, yet this technique is seldom employed because of concerns that removal may be incomplete and recurrence may be more frequent than after conventional excision. Objectives. We assessed the short- and long-term clinical outcomes and recurrence of combined
liposuction and limited surgical excision of subcutaneous
lipomas. Methods. From 2003 to 2012, 25 patients with 48
lipomas were treated with
liposuction followed by direct excision through the same incision to remove residual lipomatous tissue. Initial postoperative follow-up ranged from 1 week to 3 months, and long-term outcomes, complications, and recurrence were surveyed 1 to 10 years postoperatively. Results.
Lipomas on the head, neck, trunk, and extremities ranged from 1 to 15 cm in diameter. Early postoperative
hematoma and
seromas were managed by aspiration. Among 23 survey respondents (92%), patients were uniformly pleased with the cosmetic results; none reported recurrent
lipoma. Conclusions. The combination of
liposuction and excision is a safe alternative for
lipoma removal;
malignancy and recurrence are uncommon.
Liposuction performed through a small incision provides satisfactory aesthetic results in most cases. Once reduced in size, residual lipomatous and capsular tissue can be removed without expanding the incision. These favorable outcomes support wider application of this technique in appropriate cases.