25 year old woman treated with lipoma removal
This 25 year-old woman had a slowly growing lipoma of her right lateral flank for five years. An MRI confirmed it was benign. It was unusually large: 9 x 21 cm, or 3.5 x 8.25 inches. Nevertheless, using the Lowen technique, it was completely removed through a 1.5 inch incision, almost in one piece. The Lowen technique, which can be viewed in a video on my website and You Tube, is done under local anesthetic, in the office operating room, avoiding a long scar and general anesthesia. Debulking with a fine cannula, using power-assisted liposuction allows the lipoma to be surgically dissected free of surrounding tissue, between its capsule and the subcutaneous fat, and removed through a small incision, imitating the plasticity and malleability of an octopus. Complete removal is confirmed by examining the cavity with headlight illumination and magnifying loupes. A seroma catheter is placed, and quilting sutures are placed to decrease the dead space. The drain is removed in a week, and the membrane dressing allows the patient to shower and live normally, just avoiding strenuous exercise for 10-14 days.