Complete Lipoma Removal Guide
Causes, Diagnosis & 15-Min Micro-Surgery
Lipoma micro-surgery controls incision size to under 20% of tumor diameter. Liusmed Clinic uses ultra-minimal incision technology, removing 10cm giant tumors through just 2cm incisions in only 15 minutes, with complete capsule removal and less than 1% recurrence rate.
Table of Contents
What is Lipoma?
Lipoma is a benign soft tissue tumor composed of mature fat cells, the most common soft tissue tumor in adults. It feels soft, movable, and usually painless.
脂肪腫は皮下組織に位置し、成熟脂肪細胞で構成され、完全な被膜に覆われています
Causes & Risk Factors
The exact cause of lipoma is unclear but is related to genetics, trauma, and metabolic abnormalities. Common in adults aged 40-60, slightly more in males. Higher risk with family history. Usually found in subcutaneous tissue of trunk, limbs, and neck.
Lipoma vs Cyst: Key Differences
Lipoma is located in deep subcutaneous layer, feels soft and movable, with no opening. Epidermal cyst (sebaceous cyst) is in superficial skin layer, often has a central black dot opening, and may have odorous discharge when squeezed. Different treatments are required.
When to Remove?
- Tumor continues to grow, affecting appearance or daily activities
- Compressing surrounding nerves or blood vessels, causing pain or numbness
- Located in visible areas (neck, forehead, arms) affecting aesthetics
- Suspected malignancy requiring pathological examination
- Multiple lipomas affecting quality of life
Surgical Technique Comparison
Why Choose Liusmed <20% Ultra-Minimal Incision?
| Surgical Technique | Incision Ratio | Scar Visibility | Recurrence | Source/Standard |
|---|---|---|---|---|
| Traditional Excision | 100% | High | 1-2% | Standard Surgery |
| MIE International | 25-50% | Medium | 1-2% | JAMA 2014 |
| MOTIF Korea | 33% | Medium | 1-2% | Korea 2021 |
| Liusmed <20% Ultra-Minimal | <20% | Very Low | <1% | Liusmed Original |
Note: Incision ratio refers to incision length vs tumor diameter. Data from international journals and Liusmed clinical statistics.
Liusmed <20% Ultra-Minimal Incision Technique
According to the latest international clinical surveys, current minimally invasive techniques (MIE, MOTIF) have incision ratios of about 33% to 50%. Liusmed has successfully broken through this limit, controlling incisions to under 20% of tumor diameter.
Quantifiable Promise
Incision < 20% of tumor diameter, verifiable
Proven Results
10cm tumor requires only 2cm incision
Complete Capsule Removal
Zero recurrence, 15-year tracking record
Minimal Scarring
Preserves skin appearance, greatly reduces scar risk
麗式クリニックの定量的約束：切開は腫瘍直径の20%未満
10cm Tumor = 2cm Incision
This means a giant 10cm lipoma can be completely removed through just a 2cm micro-incision. Procedure takes about 15-30 minutes, same-day discharge.
Importance of Complete Capsule Removal
Lipoma recurrence is mainly caused by incomplete capsule removal. Dr. Liu insists on "Clean First" philosophy, using special dissection techniques to ensure complete capsule removal, keeping recurrence rate below 1%. This is our quantifiable promise to every patient.
低侵襲手術は腫瘍直径の20%未満の切開で、腫瘍と被膜を完全に切除します
Surgical Process
Professional, Safe, and Fast Micro-Surgery Experience
Professional Consultation
Detailed tumor assessment, ultrasound examination to confirm size, depth, and relationship with surrounding tissues
Pre-op Preparation
Precise surgical marking, tumescent local anesthesia, virtually painless procedure
Micro-Excision (15 min)
Using <20% micro-technique, complete dissection of lipoma and capsule, minimal incision
Post-op Care
Same-day discharge, detailed care instructions, suture removal in 7-10 days
Post-Operative Recovery Guide
Most patients resume light activities in 1-2 days, normal activities after suture removal in 7-10 days
- •Keep wound absolutely dry for first 3 days
- •After 3 days, can shower with waterproof dressing
- •Avoid strenuous exercise or wound tension for 1-2 weeks
- •Use antibiotic ointment as prescribed to prevent infection
- •Gradually resume normal activities after suture removal
About the Author
Dr. Ta-Ju Liu
Director, Liusmed Clinic
- Over 15 years of clinical micro-surgery experience
- Over 10,000 successful micro-surgery cases
- Board-certified Dermatologist
- Pioneer of <20% ultra-minimal incision technique
"The smallest incision for the greatest health and beauty. This is our quantifiable promise to every patient."
Frequently Asked Questions
Can such a small incision really remove the lipoma completely? Will it recur?
Yes, it can. Dr. Liu uses a special dissection technique to completely remove the lipoma along with its capsule through a small incision. As long as the capsule is completely removed, recurrence rate is extremely low (less than 1%). In our 15-year clinical follow-up, cases with complete capsule removal have shown no recurrence.
For giant lipomas over 10cm, is local anesthesia really sufficient?
Yes. We use a special "Tumescent Anesthesia" technique. Even for giant lipomas over 10cm, surgery can be safely completed under local anesthesia. Patients remain fully conscious, avoiding the risks and recovery time associated with general anesthesia. The procedure takes about 15-30 minutes.
How much does the minimally invasive surgery cost? Is it covered by insurance?
Traditional surgery may be covered by health insurance, but minimally invasive surgery is a self-pay procedure (including technical fees and special materials). Cost varies based on tumor size, location, number, and complexity. We recommend an in-person consultation for accurate pricing.
How soon after surgery can I shower or exercise?
Sutures are typically removed in 7-10 days. Keep the wound absolutely dry for the first 3 days, then you can shower with waterproof dressing. For strenuous exercise, wait until after suture removal and recovery assessment. Normal activities can usually resume after 2 weeks.
Can multiple lipomas be removed in one surgery?
Yes. If multiple lipomas are located in nearby areas, we can remove them all in a single surgery, saving time and recovery period. A complete pre-operative assessment will determine the optimal removal sequence and plan.
Do giant lipomas (over 10cm) require special treatment?
Giant lipomas are our specialty at Liusmed Clinic. Our <20% ultra-minimal incision technique allows complete removal of 10cm tumors through just 2cm incisions. Pre-operative ultrasound precisely locates tumor size, depth, and relationship with surrounding tissues to ensure safe and complete removal.
脂肪腫について詳しく見る
粉瘤は自然に消える？聞きづらい10の質問にお答えします
粉瘤（表皮嚢胞）は自然に消えることはなく、唯一の根治法は嚢壁の完全摘出手術です。本記事では粉瘤に関する10のよくある質問にお答えします：潰してもいい？癌になる？手術は痛い？費用はどのくらい？
感染した粉瘤：ドレナージか完全摘出か — 治療のタイミング
感染した粉瘤はドレナージすべきか、完全摘出すべきか？鍵は炎症の程度です。劉医師が解説：軽度の炎症であれば直接摘出可能、重度の感染はまずドレナージを行い、4〜6週間後に完全摘出します。
脂肪腫術後の回復ガイド：7日間の創部ケアタイムライン
脂肪腫手術後の最初の7日間は、最適な治癒のために極めて重要です。本ガイドでは、日ごとの創部ケア、入浴方法、活動の目安、注意すべき警告サインを詳しくお伝えします。
成功事例
すべての症例を見る
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