Lipoma & Cyst Removal

Recovery

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Lipomas and cysts are in general easy to remove under local anesthesia. Local anesthesia lasts about 1-1.5 hours or longer and we thoroughly inject the area around the skin lesion to ensure the skin is sufficiently numb so that the removal will be comfortable for you. When the local anesthetic wears off there is usually some discomfort but this is easily treated with acetaminophen (e.g., Tylenol) or ibuprofen (e.g., Advil).

We have excised hundreds – if not thousands – of these lesions. In our experience recurrence of lipomas and cysts is thankfully rare. However, despite taking the appropriate precautions and utilizing advanced techniques, there is always a theoretical risk that these lesions can return. The risk is thankfully rare at our clinic.

Lipomas and cysts are deep in the skin and we do need to cut into the skin to remove them properly. As a result, we do need to close the skin afterwards with nylon sutures. Due to the depth these lesions go, we commonly will use absorbable suture to close the deeper layers in the skin so as to prevent causing an indented scar.

Lipomas and cysts are usually painless and symptomless. Patients usually want to remove them for cosmetic reasons. As such, removal of these lesions is not generally covered by OHIP. If a cyst is infected and is hot, red, swollen and painful, OHIP does cover incision and drainage of the cyst followed by packing with gauze for healing. Unfortunately, however, this does not remove the sac of the cyst which remains in the skin –resulting in possible risk of recurrence of the cyst.

If you have private insurance, you may have a “Health Spending” or “Flex Spending” account which may cover the cost to remove the cyst – part or in whole. The Mole Clinic can provide you with a written quotation which you can submit to insurance for pre-approval. This requires in-person assessment so we can assess the skin lesion and determine the best method of removal.

When a cyst or lipoma is removed at our clinic, we usually recommend leaving the stitches in for 14 days – it depends on the location of the cyst or lipoma. On the face we may remove the stitches as soon as 7-10 days. Our physicians will tell you when they recommend the stitches to be removed. Once the stitches are removed, healing occurs over 2-4 weeks.

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