63 year-old man treated with lipoma removal
The patient had an 8.5 x 8.5 cm lipoma on his right upper back for years. MRI showed a benign appearance. The Lowen technique was used to remove the lipoma through a 2 cm incision, by freeing it from the surrounding subcutaneous fat by scissors dissection just outside the capsule, followed by debulking with fine cannula power-assisted liposuction within the capsule, This reduced the lipoma to a malleable, plastic mass, soft enough to be mobilized by traction, dissection, release of attachments and extrusion through the small incision in almost one piece. The cavity was inspected to ensure complete removal, a drain was placed, and quilting sutures for the dead space to get reattachment quickly. A membrane dressing was applied so the patient could shower normally. Drainage was gone by day five, and the seroma catheter was removed at seven days, the day these pictures were taken. There is band aid spot over the small hole where the drain was removed.