The Serpent Lipoma

I thought this lipoma would pop right out, but boy was I wrong! It just kept slithering its way back in! 🐍💥

If an area of the skin this size needs to be locally anesthetized it’s common to use the “tumescent technique” which is the same way I numb people when I perform body liposuction. Essentially, this is when we dilute the lidocaine, in saline (with epinephrine and bicarb as usual), so we can spread it out to a wider area. Lidocaine in large volumes in our body is actually life threatening, so we always monitor how much lidocaine we are administering if we know we need to anesthetize a large area.

Lipomas are slow-growing, benign (non-cancerous) growths of fat cells. These cells are contained in a thin capsule that creates the appearance of a “bump” right under the skin. Lipomas are typically not tender, move around easily, and don’t require treatment. However, some lipomas may sit in places that cause discomfort to the patient, which is why some people may request removal. Appearance is another reason people may request removal as well. Often a small incision can be made over the lipoma and they can be “popped” out easily, which is a simple in-office surgical procedure under local anesthesia.

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This video may contain dermatologic surgical and/or procedural content. The content seen in this video is provided only for medical education purposes and is not intended to be a substitute for professional medical advice, diagnosis, or treatment.

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