Background. Lipomas are benign tumors of mature fat cells. They can be removed by liposuction, yet this technique is seldom\nemployed because of concerns that removal may be incomplete and recurrence may be more frequent than after conventional\nexcision. Objectives.We assessed the short- and long-term clinical outcomes and recurrence of combined liposuction and limited\nsurgical excision of subcutaneous lipomas. Methods. From 2003 to 2012, 25 patients with 48 lipomas were treated with liposuction\nfollowed by direct excision through the same incision to remove residual lipomatous tissue. Initial postoperative follow-up ranged\nfrom 1 week to 3 months, and long-term outcomes, complications, and recurrence were surveyed 1 to 10 years postoperatively.\nResults. Lipomas on the head, neck, trunk, and extremities ranged from 1 to 15 cm in diameter. Early postoperative hematoma and\nseromas were managed by aspiration. Among 23 survey respondents (92%), patients were uniformly pleased with the cosmetic\nresults; none reported recurrent lipoma. Conclusions.The combination of liposuction and excision is a safe alternative for lipoma\nremoval; malignancy and recurrence are uncommon. Liposuction performed through a small incision provides satisfactory\naesthetic results in most cases. Once reduced in size, residual lipomatous and capsular tissue can be removed without expanding\nthe incision. These favorable outcomes support wider application of this technique in appropriate cases.
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