THIGH LIPOMAS

66-year-old patient with numerous, some painful, lipomas on both thighs. Due to the persistent and painful symptoms, she requested the removal of as many lipomas as possible. We adhered to the 1-limb rule, performing the procedure under local (tumescent) anesthesia, and began with the left thigh.

Surgical planning on the morning of the operation for the left thigh. The lipomas were carefully palpated and marked (red lines). Within each lipoma group, "strategic incisions" were planned (green lines) to capture as many lipomas as possible with each incision. The incisions were placed – optimized for aesthetics – precisely along the Skin Tension Lines (STL) to ensure the best possible scar healing.

The same patient 6 days postoperatively, still swollen, hardly any hematoma formation.

The scar appearance 18 days postoperatively during the optimizing scar aftercare at our clinic.

The same 66-year-old patient after planning for her right thigh as part of the 1-limb surgery. Once again, we have strategically planned the procedure.

The same patient 6 weeks postoperatively. The aesthetically stitched scars are typically still red but will significantly fade and eventually be barely noticeable as fine, light lines.

39-year-old man with numerous lipomas all over his body, shown here on the front (ventral) and side (lateral) of the right thigh, in sizes and extent that are physically burdensome.

The preoperative planning with a "strategic incision" involving only one skin incision. However, as anticipated, this wasn't quite enough, and an additional incision had to be added intraoperatively on the outer (lateral) side to reach as many lipomas as possible. The entire procedure was performed on an outpatient basis under local (tumescent) anesthesia. A total of 16 large lipomas were removed. The operation lasted for 8 hours of "cutting-stitching time" (in addition to preparation and aftercare).