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LipoDissolve Injections For The Treatment Of Lipomas

info@eppleyplasticsurgery.

By Dr Barry Eppley Category: 0

Submit your Articles Here!

info@eppleyplasticsurgery.com.


Best regards

Dr Barry Eppley
http://www.eppleyplasticsurgery.com

LipoDissolve Injections For The Treatment Of Lipomas
LipoDissolve, or the introduction of a chemical formulation
by injection to treat spot areas of undesired fat for
cosmetic purposes, remains a controversial and non-FDA
approved procedure at this point in time. Despite these
issues, I have found in the past 3 years in my practice a
role for LipoDissolve if it is used judiciously and with
good patient selection. I have not experienced any of the
complications or problems that I have read about on the
internet and I suspect that rigid patient selection,
keeping the injections less than 100 per session, and good
sterile technique are the reasons why. One application that
I have found LipoDissolve injections particularly useful is
in the treatment of lipomas.

Lipomas are fatty tumors that can appear anywhere on the
body from the scalp to the legs. They are soft, easily
moveable (non-adherent) masses beneath the skin that are
always round in diameter. They are usually right under the
skin and are very slow growing. Most patients seen usually
just have one in isolation. There are, however, some
patients who have a familial lipomatosis syndrome in which
they develop many lipomas throughout their body continously
over their lifetime. Lipomas are traditionally treated by
excision which removes them in their entirety, establishes
their pathology by visual and microscopic examination (if
sent to a pathologist) and leaves a residual scar. In some
locations, and at the desire of some patients, a scar is
not wanted nor is any type of surgical procedure if
possible. LipoDissolve offers a non-surgical alternative to
traditional excision for some lipomas. If the excision will
leave a scar over a prominent area (e.g., the shoulder of a
woman) and you are fairly certain that the mass is a lipoma
by examination and history, then injection treatment are an
option.

I have found that full-strength LipoDissolve injections can
work quite well in the nearly 15 lipomas that I have
treated thus far in the past two years. The concept is that
it is a series of injections, spaced four to six weeks
apart, to either reduce the size of the lipoma or
completely remove it. In the nine patients (14 lipomas)
that I have treated, the average number of injection
sessions is nearly 5 (4.8) per patient. This does not take
into account that the largest of the lipomas that I have
treated (14 x 10 cms) took eight injection sessions while
very small ones (2 x 2 cms) may take only one or two
injections. Patients will experience a large amount of
swelling for the first week and some discomfort which is
typical but not lifestyle-limiting.

Since lipomas represent a concentrated nucleus of fat, it
is not surprising that LipoDissolve injections can be
effective. Its use, however, is not as efficient as surgery
(and insurance does not cover the procedure) but it does
save a scar and, in large lipomas, the risk of a fluid
build-up after surgery or the need for postoperative
drains. Before treatment, one has to be fairly certain that
the mass is indeed a lipoma. An MRI may be done if
necessary to establish the diagnosis in larger lipomas. I
have not yet seen a recurrence in any lipomas that I have
treated but it is too early to be absolutely certain of
that in my present patient series.


----------------------------------------------------
Dr Barry Eppley, board-certified plastic surgeon of
Indianapolis, operates a private practice at Clarian North
and West Medical Centers in suburban Indianapolis. He
writes a daily blogs on topics and trends in plastic
surgery at http://www.exploreplasticsurgery.com


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