SKIN TUMOURS: LIPOMA, SEBACEOUS CYST, NEVUS, BALL UNDER THE SKIN
Benign skin tumors (lipomas, cysts, nevi) are a common reason for consultation in cosmetic surgery in Paris. These lesions can be easily removed under local anesthesia and are not considered harmful.
- Non-pejorative skin tumors
- Lipoma = fat ball
- Simple treatment: surgical removal under local anaesthetic
- Leaves a scar depending on the size of the lesion
- Simple dressing care
Your Questions
Frequently Asked Questions in Consultation
WHO CAN REMOVE THIS TYPE OF TUMOUR?
Minor dermatological surgery is available to dermatologists and dermatologists' surgeons. plastic surgeon or plastic.
These surgeries can be performed in the office or in the operating room, under the supervision of a surgeon. local anesthesia.
When the lipoma is too large, or the patient has a facial cyst, the surgeon prefers to perform the operation in the operating theatre, rarely under general anaesthetic.
CAN A LIPOMA BE REMOVED BY LIPOSUCTION?
Technically, yes, it is possible to empty the lipoma by liposuction.
But this is not desirable, as the liposuction would enable fat cells to be aspirated, but would not prevent the risk of lipoma recurrence.
To avoid this risk, it is necessary to remove the entire lipoma with its envelope. Only a scar with a direct approach to the lesion allows this.
CAN SEVERAL TUMORS BE REMOVED IN ONE OPERATION?
Yes, it's quite possible.
This requires local anesthesia of the various lesions. Thanks to anesthesia, the operation is generally painless.
However, the amount of anesthetic used is limited according to the patient's weight. A second procedure is possible if the patient has a lot of lesions.
If the lesions are too extensive or too numerous, an operation under general anaesthetic is also possible. Indeed, some patients may have lipomas covering their entire body.
WHAT KIND OF SCAR TO EXPECT?
In general, the scar is approximately equal to the diameter of the lesion.
The scar is usually a thin line the size of the lesion.
On the other hand, some areas are less conducive to healing. This is particularly true of the back, arms and thighs, which are areas of high tension.
WHAT ARE THE INSTRUCTIONS AFTER SUCH SURGERY?
Post-operative care is relatively straightforward.
You can shower with mild soap the day after the operation.
After drying the wound with a warm compressThe patient replaces a clean dressing.
Healing is complete after about two to three weeks.
During this period, bathing and swimming should be avoided to prevent maceration.
As soon as healing is complete, the wound can be left in the open air.
IS EXCISION OF THESE TUMORS COVERED?
Yes.
Social security reimburses part of the cost of these procedures, particularly for facial cysts or lipomas. Whether the procedure is related to aesthetic reasons doesn't matter.
However, in cosmetic surgery and dermatology practices, doctors usually charge a higher fee.
The coverage of this excess fee is borne in part or in full by the mutual insurance company. Whether the operation is performed for aesthetic reasons or not is not taken into consideration.
In this way, the patient may have to pay for the remainder of the costs.
Find out more about Social Security coverage of skin tumors.
Dr. Jérémy Djian is a plastic surgeon based at 5 Square Thiers, near the Victor Hugo roundabout in Paris's 16th arrondissement.
He trained in Paris and remains affiliated with the hospital in the prestigious department headed by Prof. Laurent Lantieri.
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