Which doctor should you see if you have a lipoma?

Lipoma is a benign neoplasm caused by abnormal growth of adipose tissue. In most cases, lipoma does not pose a threat to health and life, but occasionally it can become inflamed and degenerate into liposarcoma. The wen can be accidentally injured by clothing. The growth itself is clearly visible to others and negatively affects a person’s external attractiveness. Therefore, many people faced with this problem are looking for which doctor to see if they have a lipoma to remove the tumor. The answer to this question depends on the clinical picture of the disease.

Lipoma

This is a benign formation consisting of adipose tissue. In essence, it is a local accumulation of adipose tissue under the skin. Lipoma is a benign tumor, although in rare cases liposarcoma, a malignant formation, can develop under its mask.

Lipomas manifest themselves in the form of soft-elastic subcutaneous formations, mobile, painless, and can slowly increase in size. The skin over lipomas is not changed and easily moves over them. Small lipomas are not visible at all; they can only be detected by palpation. Larger lipomas stand out as “bumps” of round or oval shape. The size of lipomas is very variable - from 1-2 cm to 20 cm or more. Lipomas never become inflamed or suppurate.

Contraindications for surgery

Surgical removal of a lipoma, like any other surgical intervention, has a wide range of contraindications.

1. Thus, surgical removal of wen is not performed on women in an “interesting” position, or during breastfeeding. Doctors recommend refusing surgery during “critical days.”
2. Herpes, recent colds or infectious diseases are also reasons to undergo surgery.
3. It is highly undesirable to perform surgical removal of a wen if the patient has been diagnosed with diabetes.
4. Surgical removal is also fraught with complications due to secondary immunodeficiency - in other words, reduced body resistance.

Atheroma

The origin of atheroma is fundamentally different from lipomas. Atheroma develops from the sebaceous glands of the skin. For various reasons, the gland duct becomes clogged, secretion accumulates in the gland, which gradually begins to increase in size. Atheroma is defined as a small (from 0.5 to 2 - 3 cm) formation, which always rises somewhat above the skin and is always fused to it (i.e. the skin above the atheroma does not move), and can grow slowly. Atheroma always has a capsule and contains atheromatous masses resembling crushed lard.

Because The atheroma is connected to the external environment by a duct; there is always a threat that it will become infected through the duct and suppuration will occur. In this situation, moderate pain appears in the area of ​​the previously “quiet” atheroma, the formation quickly (over several days) increases in size, redness appears around it, and body temperature may rise. Suppuration of atheroma requires urgent surgery.

Which doctor should I go to with a wen?

Lipoma does not pose any health risks. The indications for its removal are rather aesthetic - often the tumor is located on the face or neck. It can be removed either by a cosmetologist or dermatologist in a beauty salon, or by a surgeon in a hospital, depending on the size of the tumor and its location. Removal methods are different - from injections into the wen itself to endoscopic surgery.

If the skin is affected by wen, consultation with specialists in various fields may be required.

When do you need a doctor for wen on the body?

You should go to the doctor immediately when the tumor has just appeared on the skin. Lipoma is called a benign formation that does not degenerate and does not cause inconvenience. The fatty tissue does not go away on its own, and over time it becomes larger in size.

If this happens, you should immediately seek medical help. You should not self-medicate or try to puncture or squeeze out a lipoma. However, it can become infected.

If a wen on the head has ruptured and its contents have leaked out, you should collect the discharge for histological examination and visit a doctor.

Lipoma can be recognized by the following signs:

• no pain even when pressing on the lipoma;
• absence of temperature that would indicate an inflammatory process;
• mobility of education.

Wen occurs mainly in the following cases:

• sedentary lifestyle;
• poor nutrition;
• hormonal disbalance;
• diseases of the liver, endocrine system;
• addiction to alcohol;
• genetic predisposition.

Who to contact: which doctor treats

A surgeon or cosmetologist can remove a tumor on the body, depending on the size of the tumor. It happens that people can live with wen for years. They can be localized outside and inside the body.

When they grow, they cause compression and deformation of internal organs. A specialized specialist will help you deal with such lipomas.

Most often, formations occur under the skin, in places where there is little adipose tissue:

• on the neck;
• on the scalp;
• on the back;
• on the face.

Cosmetologist or dermatologist?

A cosmetologist or dermatologist can solve the problem when the diameter of the wen is from 0.5 mm to 1 cm.

Fat deposits are removed using electrocoagulation - a high-frequency current cauterizes the soft tissue of the formation and thus it resolves.

Chemical peeling will help care for the skin after removal of the formation. This procedure treats the sebaceous ducts, preventing the lipoma from reoccurring.

Surgical intervention

If the wen is on the head, face or in the genital area, you need to seek help directly from a medical institution to a specialized surgeon. After using methods with excision of the capsule, the fat does not recur. The operations take place without complications and take from 15 to 100 minutes. Execution techniques:

• Laser method - the skin is cut with a surgical laser, the capsule with the lipoma is peeled off and sutured.
• Endoscopic method - used if there is a wen on the eye, forehead or any other noticeable place. An incision is made on the body through which the endoscope is inserted. The incision can be made not at the site of the tumor, but nearby - on healthy skin, which hides the scar.
• Surgical method - the doctor removes the formation by performing a conventional operation and removing the lipoma capsule along with the contents.
• Medication - a drug is injected into the tumor using a syringe, the purpose of which is to break down fats. Afterwards a relapse is possible.

The main specialist in lipomas in the hospital is a dermatologist.

Specialist

The doctor who can make an accurate diagnosis is a dermatologist. Having ordered additional tests, the doctor will determine which specialist should be contacted in the future.

When the wen is inside the body, only a specialized specialist can help get rid of it.

If the lipoma is in the lungs, a thoracic surgeon will remove it; if it is in the brain, a neurosurgeon will remove it; if it is in the neck, a maxillofacial specialist will remove it.

Symptoms

Identifying the problem in both cases is usually not difficult.

Signs of lipoma:

• mobile and painless, sizes can range from a few millimeters to 10-15 cm;
• to the touch - doughy or dense;
• not fused to the skin - the skin easily moves over the formation;
• never becomes inflamed – i.e. There is no redness or swelling of the skin above the lipoma.

Most often, lipomas are located on the limbs, head and torso; they are almost never on the face.

Symptoms of atheroma:

The formation is in the form of a tubercle, painless, mobile, fused to the skin, you can often see the opening of the excretory duct of the gland. Most often, the “bump” is located on areas of the body where there is hair: on the face, scalp, in the genital area, on the legs, on the back, and is found on the face. If a suppurating atheroma appears, the formation increases in size over several days, the skin on the affected area may turn red and become painful, and the temperature may also rise.

Wen: which doctor to see

A fatty tissue, also known as a lipoma, is a benign accumulation of adipose tissue. And when people start to worry - “Oh, I have a wen, which doctor should I see,” then, as a rule, they do not know what is the reason for its formation

.

In principle, the wen is harmless, but it can cause some discomfort, especially if it appears on a certain area of ​​the body:

• on the head;
• on the face;
• on the eyelid;
• on the forehead.

In general, where it is noticeable to others, and, therefore, lowers the moral status of the owner. Therefore, we will consider the doctors to whom to contact with a wen

.

Let's find out possible methods of treatment and removal of lipoma.

The first specialist that most people can recommend to you is a surgeon. Indeed, this doctor is engaged in removing wen surgically. But although this is an effective method, it is not at all gentle.

In fact, you only need to see a doctor or surgeon to remove the wen if it is inflamed. There are other, more gentle methods of treatment in the world. If the lipoma becomes inflamed, then you should consult a doctor, especially if the inflamed lipoma begins to hurt. Unpleasant sensations arise due to the fact that putrefactive processes begin inside the formation.

An additional danger of the situation is that the affected area seems to be overgrown with a special protective layer that prevents the penetration of antibodies into the wen. As a result, the body is unable to deal with the disease-causing problem on its own. Therefore, lipomas of this kind must be removed. Most people prefer to go to a surgeon with a wen.

This is an opportunity to quickly and completely remove the formation. But surgical intervention is not entirely acceptable, especially if you need to get rid of a wen on the face or eyelid. In this case, you should contact a cosmetology clinic. The services of a cosmetologist may cost more than traditional methods of treatment, but this is justified by the quality of the operation performed.

After all, the tool that removes a wen on the neck or forehead will not be a cold, metal scalpel, but a high-tech laser that does not leave postoperative scars. In addition, the laser not only removes the main problem, it also removes pigment spots from the treated skin.

Still not sure which doctor to go to with a wen, then consider a treatment method such as radio wave technique. In essence, this is also a surgical intervention, but on a completely different level. A radio wave scalpel removes lipoma using an electric field.

The advantages of this technique include:

• short period of tissue recovery;
• absence of postoperative scars;
• lack of blood;
• selectivity;
• non-contact;
• gentle influence.

But if you are not comfortable with even innovative treatments that would involve surgically damaging your body, then conservative treatment should be considered.

With a young wen, you can go to a therapist. In some cases, especially with minor formations, the doctor prescribes non-contact treatment without surgical intervention. In this case, the specialist will inject a special medication into the area of ​​the wen that will absorb the adipose tissue. Treatment of this kind is possible only under medical supervision. After all, the doctor will need to periodically examine the skin and monitor the state of the process using ultrasound.

Remember, a wen in a child and an adult is one and the same. Therefore, you need to contact the same specialists when dealing with lipoma:

1. If you need complete and complete removal of the wen with a laser, go to a cosmetologist.
2. If the lumps are on the back or other hidden areas of the body, then you can contact a surgeon.
3. There is no desire to put a lipoma under a scalpel - go to a therapist for a referral for conservative treatment.

You can remove lipoma yourself. But firstly, we were in vain considering which doctor to contact with a wen, and secondly, treatment without medical assistance has its disadvantages:

• you can get infected;
• increased risk of injury;
• the wen root will remain.

Therefore, think twice - do the removal of the wen yourself or contact doctors who have undergone special training

. Similar publications.

My legs are cramping which doctor to choose.

Who to contact if your hands go numb. Asepsis rules.

“,”author”:NULL,”date_published”:NULL,”lead_image_url”:”//4.bp.blogspot.com/-qO6LUG-Vsp8/WJmx7_ptjkI/AAAAAAAAC7A/PAU9Mk-wp2cfvog7H1xTg91d3eXWqv0dACLcB/w1200-h630-pk-no- nu/k-kakomu-vrachu-obratitsya-s-zhirovikom.jpg”,”dek”:NULL,”next_page_url”:NULL,”url”:”//www.kakomu-vrachu.ru/2017/02/zhiroviki- k-kakomu-vrachu-obratitsja.html”,”domain”:”www.kakomu-vrachu.ru”,”excerpt”:”options ¸Ñ‚ÑŒÑ Ñ Ñ Ð¶Ð¸Ñ€Ð¾Ð²Ð¸ÐºÐ¾Ð¼, критерии выбора доРºÑ‚ора в завР¸Ñ Ð¸Ð¼Ð¾Ñ Ñ‚Ð¸ от вида липомы,”word_count”:570,”direction”:”ltr”,”total_pages”:1,”rendered_pages ":1}

Source: //www.kakomu-vrachu.ru/2017/02/zhiroviki-k-kakomu-vrachu-obratitsja.html

Treatment

Now that we have figured out the difference between a lipoma and an atheroma, let’s move on to the next question: is it necessary to remove the lipoma or remove the atheroma? Let's start with the fact that conservative treatment of lipoma, as well as treatment of atheroma, is absolutely futile. Moreover, aggressive influence on these formations using various “folk” remedies can cause suppuration of atheroma, as well as malignancy (malignancy) of lipoma.

Tactical approaches to the treatment of lipoma are as follows: if the lipoma is small (2-3 cm), does not grow and does not cause any inconvenience (does not rub against clothes, is not a cosmetic defect, etc.), then it does not need to be removed. In case of growth (especially rapid growth), it is better to go for surgery. If the lipoma grows, then sooner or later you will still have to remove it, but it is better to do this while it is small in order to avoid large incisions and traumatic intervention. Any removed lipoma should be sent for histological (under a microscope) examination.

As for atheroma, it is recommended to remove it in any case, because practice shows that sooner or later they fester, and during surgery against the background of inflammation it is not always possible to completely remove the atheroma capsule, which is fraught with relapse (reappearance of the formation). In addition, when suppuration occurs, the wound is almost never sutured; it heals by secondary intention, which often leads to the formation of a rough scar. If, after removing the atheroma, it turns out that the formation does not have a capsule and does not contain atheromatous masses, it should be sent for histological examination to exclude dermatosarcoma, which is sometimes similar in appearance to atheroma.

How to get rid of it?

Since the presence of a wen may indicate diseases of the internal organs, it is recommended to undergo a comprehensive examination . This will prevent possible relapse in the future.

Currently, various methods of getting rid of lipomas are practiced, including: drug therapy, surgical removal, treatment with traditional medicine.

Drug therapy

Drug treatment at home is applicable only if the wen is small in size (no more than 3 cm) . In other situations, qualified medical assistance will be required.

The following drugs are commonly used as therapeutic agents:

• Vishnevsky ointment - a small amount of ointment is applied to a cotton swab, which is applied to the affected area for 10-12 hours and secured with an adhesive plaster. After the specified time, a new compress is made. The procedure is repeated for 3 days , after which they take a one-day break and again extend the treatment for a three-day period. The natural components in the product (birch tar and castor oil) penetrate into the deep layers of the skin and draw the contents of the wen out. Average cost: from 30 rubles.
• Ichthyol ointment - has an anti-inflammatory and antiseptic effect, penetrating the lipoma tissue and freeing the skin layers from fat accumulations. Use in the same way as in the above example with Vishnevsky ointment. Average price: about 100 rubles.

• Ointment "Vitaon" (Karavaev's balm) is an effective antiseptic and regenerating agent, which contains natural components of plant origin (extract of pine buds, St. John's wort, mint, yarrow, rose hips, etc.). The product is available in the form of ointment and balm. The ointment is applied in the form of compresses until completely dry, which are replaced less than 3 times a day. The balm is used spot-on, lubricating the area of ​​the wen 2 times a day. The drug will clean out the subcutaneous tissue within two weeks (at least). Approximate cost: from 200 rubles and above.

• Ointment "Videstim" - thanks to the content of retinol, the product breaks down the tumor, reducing it in size. The drug should be used in the form of compresses 2-3 times a day. Replacing one compress with another should be done as it dries completely. Average price: from 100 rubles.

Important! Some patients use a method such as piercing the wen with a needle. However, experts categorically do not recommend doing this at home, since this can introduce an infection under the skin and cause sepsis.

Treatment with folk remedies

To treat wen, you can use the following time-tested recipes.

Recipe using aloe leaves

Cut off the large fleshy leaf of the plant, rinse with water and cut in half. Apply the inner side to the sore spot and secure with a band-aid. Leave the product overnight. Use until complete recovery.

Thick mask of sour cream and honey

Mix thick country sour cream, honey and salt in equal proportions (you can take 1 tablespoon of each). Then apply to the wen and leave for 1-1.5 hours. Use 2-3 times a day until complete recovery.

Onion mask

Chop a fresh onion, add honey and flour (1 tablespoon each) and mix thoroughly. Apply to the affected area and leave for up to one hour. Rinse off with warm water. Use 2 times a day until the size of the lipoma decreases.

Compress with sunflower oil

Mix sunflower oil (unrefined) and vodka (1 tablespoon each), then soak a cotton swab in the prepared mixture and apply to the wen for one hour. Use 2-3 times a day. The product has anti-inflammatory and antibacterial effects.

Attention! It is advisable to carry out treatment with folk remedies in complex therapy with medications and under the supervision of a doctor .

How to delete?

The following types of operations are used to remove wen:

• Liposuction is the dissection of a lipoma followed by drawing out the contents of the growth using a vacuum tube.
• Laser therapy is the coagulation of fat cells using high-frequency laser radiation.
• Surgical method - used if the wen is large in size, as well as when inflammation and suppuration of the tissues have begun.
• Radio wave coagulation is carried out using special devices that produce high-frequency radiation of radio waves, with the help of which the tumor is removed.

To summarize all of the above, we can say:

1. Lipoma and atheroma are benign formations of different natures - lipoma simply consists of altered adipose tissue, and atheroma is made of a sebaceous gland with a capsule filled with secretion - sebaceous atheromatous masses.
2. Conservative, incl. Treatment of lipoma with folk remedies, as well as treatment of atheroma, is absolutely ineffective and often harmful.
3. A small (2-3 cm) lipoma can not be operated on, but observed. In case of growth, as well as any discomfort, surgery to remove the lipoma is indicated.
4. Removal of atheroma is always desirable, because they tend to increase in size and fester.
5. If you find a subcutaneous formation in yourself, you need to consult a doctor, because... under the guise of a lipoma or atheroma, other formations can develop - dermatosarcomas, liposarcomas, hygromas, lymphadenitis, etc.

Doctor Elshansky I.V. For many years he has been engaged in the diagnosis and surgical treatment of benign formations of the skin and subcutaneous tissue.

Reasons for appearance

The causes of wen are not fully understood. But experts identify a number of the following factors that contribute to the formation of benign lipomas:

• Thickening of the consistency of sebum and its stagnation in certain places.
• Increased oily skin.
• Gastrointestinal diseases.
• Genetic factor.
• Metabolic disorders and excess weight.
• Liver and kidney diseases.
• Malfunction of the endocrine system.
• Diabetes.
• Thyroid diseases.
• Failure to comply with hygiene rules - in the absence of frequent water procedures, sebum released outward contributes to blockage of the ducts of the sebaceous glands, eventually forming wen.

Important! In the case of a genetic predisposition, wen can appear out of the blue in a healthy person. So, if one of the parents (or both) is prone to the formation of lipomas, then there is a high probability that the child will also have them. Subcutaneous formations can appear spontaneously and disappear just as unexpectedly. In this case, only the skin is subject to treatment.

Removal of lipoma, removal of atheroma - cost of services

* - price depends on the size and location of the formation

When removing several formations, a discount may be provided.

The operation is most often performed on the day of treatment.

Clinic address:

Moscow, Milyutinsky lane, 15.

A detailed route map can be found here.

To make an appointment with Dr. Elshansky Igor Vitalievich, you need to call

8-495-532-57-12

Make an appointment from 9-00 to 20-00 daily. Opening hours can be found here.



Treatment methods for lipoma on the head

Patients often do not rush to see a doctor when a lipoma is detected. The logic is simple: it doesn’t hurt, which means it doesn’t require treatment. However, those with lesions affecting the neck, face and head are more likely to consult with specialists. More because of aesthetic discomfort, and not because of concern for your health.

The only recommendation that a doctor can give a patient is to remove the lipoma. Today, this field of medicine has expanded and offers safe surgical techniques with good practical and aesthetic results.

The doctor will recommend one of the methods depending on the size of the wen, its location and structure. It is also important to take into account concomitant pathologies and contraindications.

Methods for removing lipoma on the head:

1. Traditional. The most reliable way to get rid of lipoma forever is through conventional surgery. The doctor cuts the skin, removes the capsule and stitches the wound. All this is carried out on an outpatient basis under local anesthesia. When operating on a wen on the head, the hair is usually not shaved off, and a small scar does not prevent it from growing. The traditional method is not beneficial when removing lipoma from the eyelid, forehead, neck, and cheek.
2. Endoscopic. The method involves a small incision and sucking out the contents using an endoscope. The reliability of the method remains in doubt, but a good cosmetic result is guaranteed.
3. Laser. The most progressive and advantageous method when it is necessary to remove fatty deposits on the face. Laser surgery is bloodless, reduces the risk of infection and leaves no marks. However, the laser is indicated only for wen up to 1 cm, so you need to consult a doctor at an early stage of development of the structure.
4. Liposuction. During the procedure, the doctor sucks out fat from the formation through a special tube, which allows you to make a minimal incision. Liposuction is dangerous because it often ends in relapse of the disease.

Sometimes, when the wen is localized in a delicate place, doctors resort to resolving the structure with antitumor solutions. Their effectiveness is rather doubtful; the result is observed only after several months from the start of treatment. In addition, solutions can ensure the resorption of only small lipomas.

How to cure lipoma yourself

Treating a wen at home does not involve squeezing or cutting out the structure. You should absolutely not try to remove a lipoma on your own, because only a doctor can completely remove the contents and capsule.

The home effect on the wen occurs differently. It is recommended to use ointments and compresses, although their effectiveness also remains in question. The shell of the wen is very dense, so these products simply cannot effectively affect the structure.

Before using any products, you should consult a specialist. This is due to the fact that many supposedly healing recipes can greatly harm a person and lead to the growth of a wen.

Traditional medicine recipes for lipoma on the head:

1. Golden mustache. The leaves of the herb are used to prepare a compress: you need to peel the leaves from the film and apply the cut to the cone, securing it with a band-aid. The compress should be worn for five hours twice a day. Golden mustache has anti-inflammatory properties and is effective against metabolic pathologies.
2. Garlic. To prepare the product, you need to make a paste of garlic and mix it with vegetable oil. You need to rub the paste into the bump for a week. This product improves blood flow and promotes resorption of the formation.
3. Celandine. The product with celandine should be used where there is no hair. Celandine is very caustic; if it comes into contact with a lipoma, it will lead to the formation of a wound. Vishnevsky ointment will help draw out the contents of the wen.

Danger and types of lipofibroma

The disease cannot be ignored, despite the benign nature of the tumor on the soft tissues. In the absence of treatment and medical control, calcium salts begin to be deposited inside the capsule. Connective tissue and fat are converted into cartilage, which, when in contact with the skin and skeleton, causes pain and impairs motor activity.

Statistics show that fibrolipoma is not prone to degeneration into cancer. But twisting the stem of the cone, physical impact and trauma can trigger the transformation of cells into cancer cells.

It is necessary to identify the problem in the early stages and correct it in a timely manner.

From the point of view of histological structure, there are two types of fibrolipomas:

• hard, which contains a large amount of connective tissue, collagen fibers and a minimal amount of fat. On palpation, increased density is noted;
• soft, which is formed from fibrous cells of connective soft tissue. When palpated, it resembles jelly.

Often patients are diagnosed with a mixed type.

Diagnostics

• physical examination. The doctor probes the location of the fibrolipoma, checks its structure, density, and level of mobility. When located in hard-to-reach areas, hardware tests are used;
• X-ray. Used to study growths located deep under the skin. The rays make it possible to carefully study the structure of cells;
• Ultrasound of soft tissues. A diagnostic measure that allows you to determine the degree of echogenicity of fibrolipoma and determine the presence of a capsule;
• biopsy. A thin needle is used to sample the internal contents of the shell for a laboratory study of its composition and nature.

Life prognosis and risk of complications

Soft tissue lipofibroma is treatable. With therapeutic extraction in the early stages, the prognosis is positive. Complications and relapses are rare.

Consequences after surgery for soft tissue fibrolipoma:

• transformation into oncological liposarcoma;
• inflammatory process inside pathologically altered tissues, as evidenced by the accumulation of fluid at the site of its dislocation, pain when palpated, bright red color;
• displacement of internal organs and tissues located near the cyst.

Timely consultation with a doctor and therapy will help avoid consequences. Fibroids do not pose a threat to human life and health, but can interfere with leading a normal lifestyle, causing psychological discomfort. The formation can be detected at any age. Medicine has not yet created a more effective treatment than surgical excision of the tumor. The operation is recommended to be carried out immediately after diagnosis, until the dimensions allow the seal to be eliminated without leaving a trace. It is impossible to prevent the appearance of new fibrolipomas in other places in the body; it is difficult to establish the cause of the pathological growth of adipose tissue.

Features and differences of soft tissue fibrolipoma from other formations

A benign tumor is formed from mature adipose tissue, in which layers of connective tissue can be traced. The two components may be present in different percentages, affecting the size of soft tissue fibrolipoma, which ranges from 2 to 10 cm.

Compared to the usual one, this variety is denser in consistency and contains a large number of segments covered with a shell. The density and shape of fibrolipoma depends on its location. When pressed, the bulge moves freely in the cavity.

Unlike malignant tumors, fibrolipoma localized on soft tissues has a smooth surface. It develops slowly over several years. The seal is painless. The only exception is trauma or too large a size, when compression of nerve endings, muscles or nearby internal organs occurs. High blood pressure causes swelling and hyperemia, which can cause a necrotic process.