American Society of Plastic Surgeons
For Medical Professionals
 
simon C
2 years ago
Answered

Lipoma

Hi,

I present multiple lipomas, and 35 need to be removed.

I have had about 30 removed in the past.

Does a biopsy of each lipoma is mandatory ?

This procedure raise so considerably the cost of the surgery...

Thank you

Procedure: Cosmetic Surgery
Location: brooklyn, NY

Replies 5

Douglas Monasebian
ASPS Surgeon
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Thank you for your question. Dr. Monasebian, our Board Certified Plastic Surgeon, will be able to address your concerns. He would have to see you in person to examine the lipomas and all options can be discussed. We would be happy to see you if you are in the New York City area. Medical insurance may help cover the costs of the procedure if deemed medically necessary which can be determined at your consultation. We look forward to meeting you soon.

Regards, Dr. Monasebian and Park Avenue Plastic Surgery.

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Steven Wallach
ASPS Surgeon

Lipomas are usually sent out to a pathology lab to make sure that they are not cancerous.

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Larry Weinstein
ASPS Surgeon
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I usually do 10 to 15 at a time in our private ambulatory surgery center. Not all lipomas need to be sent for pathology. If they appear to be benign and encapsulated then histologic examination can be passed. Of course if one is rapidly increasing in size , I would recommend a pathologist examine the specimen removed. See a board certified plastic surgeon for best results.

good luck...

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Nelson Castillo

Thank you for sharing your question. If the lipomas have been stable in size, not all need to be sent to pathology. Hope this helps.

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Robert Buchanan
ASPS Surgeon
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Lipomas that have been stable, especially in someone with multiple lipomatosis, do not require pathology as long as you agree. In fact, I frequently try to treat them with liposuction, which is almost always discarded. Make sure you discuss this with your surgeon.

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