Safe, expert removal of benign lumps with minimal scarring

Lipoma Removal in London

Lipomas are soft, slow-growing lumps made up of fatty tissue that form beneath the skin. They are benign (non-cancerous) and usually harmless, but can sometimes grow large, become uncomfortable, or cause cosmetic concern.

At her London practice, Dr Nicki Bystrzonowski performs precise lipoma removal using refined surgical techniques that ensure complete removal and smooth, natural healing. As a plastic surgeon, she combines medical accuracy with aesthetic expertise, ensuring both the health and appearance of the skin are preserved.

Lipoma removal is a simple, outpatient procedure carried out under local anaesthetic. It provides a permanent solution, with low recurrence risk and minimal downtime.

What Is Lipoma Removal?

A lipoma is a benign fatty lump that can appear anywhere on the body, most commonly on the shoulders, arms, back, neck, or thighs. Although lipomas are not dangerous, they may become larger over time or cause discomfort, particularly if located near a joint or under tight clothing.

Lipoma removal involves making a small incision over the lump and carefully excising the fatty tissue from its capsule. The tissue can be sent for histopathology analysis to confirm its benign nature and provide medical reassurance.

The procedure is quick, safe, and highly effective. With careful closure and wound management, most patients heal with minimal scarring and no recurrence.

Key Information

DetailSummary
Procedure Time30–60 minutes (depending on size and location)
AnaestheticLocal anaesthetic
Hospital StayDay case (outpatient)
Recovery Time3–5 days for minor cases; longer for larger lipomas
ScarringMinimal; incision placed along natural skin lines
Results VisibleImmediate removal; swelling resolves over 1–2 weeks
LongevityPermanent if completely removed
Follow-UpOptional wound check or pathology review

How Lipoma Removal Works

Consultation and Assessment

Every procedure begins with a consultation with Dr Nicki Bystrzonowski, who examines the lump and confirms that it is a lipoma through physical examination. In some cases, ultrasound imaging may be recommended to assess its size, depth, and position.

Anaesthetic and Preparation

A small amount of local anaesthetic is injected to numb the area completely. The procedure is performed in a sterile outpatient setting and typically takes less than an hour.

The Procedure

A short incision is made over the lump. The lipoma is gently separated from the surrounding tissue and removed in one piece to reduce the risk of recurrence. If the lipoma is large or positioned deeper under the muscle, a slightly longer incision may be required.

Closure and Healing

Once the lipoma is removed, the skin is closed with fine sutures to ensure smooth healing. The site is then dressed with a sterile bandage. Dr Nicki provides aftercare instructions to promote healthy recovery and reduce the chance of scarring.

Long-Term Results

Once healed, the skin appears flat and even, with little to no trace of the incision. The results are permanent, as the lipoma does not grow back when fully excised.

Frequently Asked Questions

What causes lipomas to form?
Lipomas are benign lumps made of fatty tissue. Their exact cause isn’t always known, but they can run in families and sometimes appear after minor injury. They are not linked to weight or diet. Most are harmless, but they can increase in size over time or become uncomfortable, especially if pressing on nearby structures.
When should a lipoma be removed?
Lipomas are often removed if they cause discomfort, restrict movement, or grow noticeably in size. Many patients also choose removal for cosmetic reasons, particularly if the lump is visible or positioned awkwardly. Dr Nicki assesses each case individually and advises whether removal is recommended.
Is lipoma removal painful?
No. The procedure is performed under local anaesthetic, meaning the area is completely numb. Patients may feel light pressure but no pain. Mild soreness or tightness afterward is normal and usually settles within a few days.
Will I have a scar after lipoma removal?
A small scar will remain where the incision is made, but Dr Nicki places it carefully along natural skin creases and uses fine sutures for minimal visibility. Over time, the scar fades and becomes barely noticeable.
What happens to the tissue after it’s removed?
If there’s any uncertainty about the diagnosis, or if the lipoma is large or atypical, the tissue is sent for histopathology analysis. This confirms that the lump is benign and provides complete medical reassurance.
How long does it take to heal?
Healing usually takes 1–2 weeks, depending on the size and location of the lipoma. Most patients return to normal activities within a few days. Stitches, if not dissolvable, are removed at a short follow-up visit.
Can lipomas come back after removal?
Recurrence is uncommon when the entire lipoma, including its capsule, is fully excised. However, some people may develop new lipomas elsewhere over time due to a genetic tendency.