Lipoma and cyst removal in Calgary

Lipoma and Cyst Removalat Rejuvenation Dermatology Calgary South.

A lump under the skin is usually a lipoma, a soft capsule of fat, or a cyst, a sac with a wall that fills with keratin. Both are benign and both are removed whole through a small incision under local anaesthetic, in a single visit, so they do not come back. At Rejuvenation Dermatology Calgary South, Dr. Paul Kuzel, a board-certified dermatologist, confirms what the lump is before removing it, sends it to pathology, and closes the wound for the finest scar the site allows.

14Years of training FRCPCRoyal College certified VPAlberta Society of Dermatologists
What they are

Fat in a capsule, or a sac with a wall.

The two lumps feel different, behave differently and are removed differently. Telling them apart is the first step.

LipomaA slow-growing, soft, rubbery lump of fat under the skin, usually on the trunk, shoulders, neck, arms or thighs. Painless, mobile, and harmless. Removed when it is large, growing, tender, or in the way. It has a thin capsule and is delivered whole through an incision smaller than the lump.
Epidermoid cystA firm dome under the skin, often with a central pore, filled with keratin. Common on the face, neck, chest and back. It can inflame, rupture and become infected. Removed with its wall intact, because a cyst wall left behind grows a new cyst.
Pilar cystA smooth, firm cyst of the scalp arising from the hair follicle. Often several. Removed whole through a small incision; the wall shells out cleanly.
Removal or something else

Drainage, injection, watching and waiting.

Excision is the definitive treatment. An inflamed cyst is calmed first and removed later.

Inflamed

Steroid injection

A red, tender, swollen cyst is injected to settle the inflammation. Excision follows six to eight weeks later, when the wall can be removed cleanly.

Infected

Incision and drainage

An abscessed cyst is drained and treated with antibiotics for relief. Drainage does not remove the wall, so the cyst is excised once it has healed.

Boils, cysts and styes
Small and quiet

Leaving it alone

A small lipoma or cyst that does not bother you and has been diagnosed with confidence needs no procedure. Dr. Kuzel says so when that is the answer.

Not a lipoma

Imaging and referral

A deep, fast-growing, fixed or painful lump is imaged before surgery and, if it is not a simple lipoma, referred. Rare, but the reason every lump is examined first.

Why a dermatologist

The lump is diagnosed before it is cut.

Most lumps are what they seem. The training is in knowing which are not, and in removing the rest with the smallest scar.

Examination firstLipomas and cysts are diagnosed by feel and history, and imaged when anything is atypical. A lump that does not fit is not excised in a clinic.
Whole, not piecemealA cyst removed with its wall does not recur. A lipoma delivered whole through a small incision leaves a scar a fraction of its size. Both depend on technique.
TimingAn inflamed cyst is settled before surgery, because operating on inflamed tissue leaves a worse scar and a higher recurrence rate.
Pathology and follow-upEvery specimen is examined. Dr. Kuzel reads the report and sees you for suture removal and wound review.
What is removed

Lipomas, epidermoid cysts, pilar cysts and more.

Lumps under the skin, anywhere on the body.

Fat

Lipomas

Single or multiple, small or large. Removed when growing, tender, or unwanted, through an incision smaller than the lump.

Keratin

Epidermoid cysts

The commonest cyst, on the face, neck and trunk. Removed with the wall intact after any inflammation has settled.

Boils, cysts and styes
Scalp

Pilar cysts

Firm scalp cysts, often several, shelled out through a small incision with the hair left in place.

Recurrent

Boils that keep returning

A boil that recurs at the same site often has a cyst beneath it. Once the infection has settled, the cyst is excised so it does not come back.

Boils, cysts and styes
Other

Dermatofibromas and other nodules

Firm lumps in the skin rather than beneath it are removed by lesion excision.

Lesion excisions
Around the eye

Chalazia and styes

Blocked eyelid glands are treated medically first and drained or excised when they persist.

Boils, cysts and styes
Your visit

Examination, removal, sutures, report.

Most lipomas and cysts are removed at the first or second visit and take twenty to forty-five minutes.

ConsultationHow long the lump has been there, whether it has grown, hurt or inflamed, and your medications and allergies.
ExaminationDr. Kuzel examines the lump and confirms the diagnosis. Anything atypical is imaged first. The procedure and the scar are explained; cosmetic removals are priced.
ProcedureLocal anaesthetic. A small incision, the lump delivered whole, the wound closed in layers, a pressure dressing applied. You drive yourself home.
SuturesOut at five to seven days on the face, ten to fourteen on the body. The wound is checked at the same visit.
ReportThe pathology result is reviewed with you.
Aftercare

A sutured wound, a pressure dressing.

The cavity left by a lump wants to fill with fluid. A firm dressing for two days prevents that.

After the procedure

  • Pressure dressing on for forty-eight hours, then daily washing and ointment under a fresh dressing until sutures are out
  • No heavy lifting or exercise that pulls on the wound until sutures are out; longer for the back and shoulders
  • Bruising and a firm ridge under the scar are normal and settle over weeks
  • Simple analgesics if needed
  • Silicone gel or tape on the scar from two weeks and SPF 50 for six months
  • Contact the clinic for a swelling that returns quickly, bleeding that does not stop with pressure, spreading redness, pus, or a wound that opens
  • Blood thinners are usually continued; tell Dr. Kuzel what you take

Booking and fees

Removal of a symptomatic, inflamed, infected or growing lump is medical and covered by Alberta Health Care with a referral. Removal of a small, quiet lump for appearance is cosmetic and priced per lesion, quoted at consultation.

Referrals by fax to (403) 225-2914. Call (403) 286-6888 for current pricing.

What to expect

Gone for good when removed whole.

A lipoma removed with its capsule, or a cyst removed with its wall, does not return at that site. New lipomas or cysts can appear elsewhere in people who are prone to them, and are removed the same way.

The scar is a fine line shorter than the lump was wide, pink for a few months and pale by a year. Where a large lipoma has stretched the skin, a small dip or laxity can remain and usually settles over months.

A cyst excised while inflamed has a higher recurrence rate and a worse scar, which is why an inflamed cyst is calmed first and removed later.

1Procedure for most lumps 20 to 45Minutes 100%Specimens sent to pathology
Questions

Questions about lipoma and cyst removal, answered.

How much does lipoma or cyst removal cost in Calgary?

Medical removal is covered by Alberta Health Care with a referral. Cosmetic removal is priced per lesion by size and site and quoted at consultation. Call (403) 286-6888 for current pricing.

How do I know if it is a lipoma or a cyst?

A lipoma is soft, rubbery and mobile, usually on the trunk or limbs. A cyst is firmer, often has a central pore, and can inflame. Dr. Kuzel confirms the diagnosis at consultation and images anything atypical.

Can it be squeezed or drained instead?

Squeezing a cyst empties it temporarily and often inflames it. Drainage relieves an abscess but leaves the wall, so the cyst returns. Only excision with the wall is permanent.

My cyst is red and painful. Can it be removed now?

It is injected or drained first to settle the inflammation, then excised six to eight weeks later. Operating on an inflamed cyst gives a worse scar and a higher recurrence rate.

Does it hurt?

The anaesthetic injection stings briefly. The procedure is painless. The site is sore for a day or two afterward and simple analgesics are enough.

How big will the scar be?

Shorter than the lump was wide, as a fine line along a natural skin fold. A large lipoma can leave a small dip that settles over months.

Will it come back?

Not at that site when removed whole. New lumps can form elsewhere in people who are prone to them.

Is it sent to pathology?

Yes. Every specimen is examined, and Dr. Kuzel reviews the report with you.

Do I need a referral?

For medical removal, a referral from your family physician allows Alberta Health Care to cover it. For cosmetic removal, no referral is needed.

Who performs the removal?

Dr. Paul Kuzel, MD FRCPC, a board-certified dermatologist and the founder and Medical Director of Rejuvenation Dermatology Calgary South, examines every lump and performs every removal personally. He sees patients in English and Czech.

Begin here

Book a consultation.

Book a consultation with Dr. Kuzel. A referral covers medical removal; none is needed for cosmetic removal.

Rejuvenation Dermatology Calgary South
10201 Southport Rd SW #102
Calgary, AB T2W 4X9
Two blocks west of the Delta Hotel

(403) 286-6888
Referrals by fax: (403) 225-2914

Open seven days a week, with early mornings and evenings on weekdays.

Contact Rejuvenation Dermatology

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