FOREARM LIPOMAS
On the forearm, there is essentially only the natural layer of subcutaneous fat tissue beneath the skin from which lipomas usually originate. Between this fat layer and the forearm fascia (a flat, tendinous sheath covering the arm muscles), there is a thin plane with fine, longitudinally running sensitive nerve bundles responsible for the sensitivity of the forearm and hand, fine arterial blood vessels, larger veins (from which blood is usually drawn by doctors), and delicate lymph vessels. Often, lipomas of the forearm are fibrously connected to underlying nerves (tendon-like), or lymph vessels may run over the surface of the tumor's capsule. Larger veins and arterial vessels can also be "integrated" with the lipoma capsule. It is better to microsurgically separate them from each other to preserve them optimally. Scars are important on the forearm because they are in an area frequently not covered by clothing (short-sleeved shirts or blouses). Therefore, especially here, an optimized postoperative treatment is recommended to achieve as inconspicuous scars as possible.
Example of a 38-year-old patient with multiple lipomas on the left forearm
Photos: Dr. Roman Fenkl, with the written consent of the patient
This very likable 38-year-old patient suffers from numerous lipomas inherited through his family affecting his entire body. His left forearm was his primary concern, and it was the first body region operated on following the "one limb rule."
Since he is an educated individual who primarily works at a desk professionally, the lipomas on the ulnar aspect, which is the part of the forearm that rests on the desk's edge, were particularly bothersome.
Photos 1 and 2: Preoperative surgical planning.
The dotted lines represent the palpable boundaries of the lipomas. The numbers denote each individual lipoma to be removed so that there can be an exact correlation between the examined tumor from the pathologist and its location on the body. This can be especially important if, in a very rare case, a lipoma degenerates into a liposarcoma, is recognized as such by the pathologist, and targeted reoperation at that site becomes necessary. The solid lines indicate the intended length and direction of the incisions along the skin tension lines (STL) for optimal aesthetic scarring results. The incisions were strategically placed so that at least lipomas 1 and 2, as well as 3 and 4, could be removed with minimal scarring from each incision.
Photo 3: The surgical wounds closed with aesthetic intracutaneous sutures. There are minimal bruises present.
OP-PHOTOS
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Why do we show you surgical photos?
Many people believe that surgeries are robust, blood-rich, and chaotic.
Not with us!
We operate delicately, gently, with very little blood, and with the best possible overview,
displaying all anatomical structures optimally.
We want to showcase this.
This is our surgical quality.
And this is also the reason why we have an almost "zero" complication rate in surgeries.
We aim to provide the best possible transparency for visitors to our website.
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Overview of Surgical Therapies for Lipomas by Body Regions
Here you will find an overview by body regions of all the issues and treatment methods related to "Lipomas" described on this website.
Your Appointment in Our Practice
I would be pleased to meet you in my practice for a consultation in Darmstadt-Griesheim. Please book an appointment telephonically. Please mail us for further information under info(at)dr.fenkl.de.
For a personal consultation call the number below at any time between 08:00 – 18:00 from Monday to Thursday
Tel. 0049 6155 - 87 88 84
ROMAN FENKL, MD
Plastic & Aesthetic Surgery
Moselstraße 1
64347 Griesheim
Phone: 0049 - 6155 / 87 88 84
Fax: 0049 - 6155 / 87 88 86
E-Mail: info(at)dr-fenkl.de
Internet: www.dr-fenkl.de
Opening Hours of our Practice
| Mo | 8:00 am | - 6:00 pm |
| Tu | 8:00 am | - 6:00 pm (operation day) |
| We | 8:00 am | - 6:00 pm |
| Th | 8:00 am | - 6:00 pm (operation day) |
| Fr | Special consultation hour |
You can find reports about our practice and my work on Jameda.de
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