Treatment: No therapy is required for these benign skin tumors. Solitary lipomas can be treated with a simple excision or with liposuction. Subfrontalis lipomas are more difficult to remove, because the surgeon must dissect below the frontalis muscle to locate the lipoma. Small lipomas have been treated with intralesional steroid injection to take advantage of the steroid’s atrophogenic effects. Injections with deoxycholate have also been effective. Large, fast-growing lipomas should be removed to rule out malignant transformation into a liposarcoma. Compared with lipomas, liposarcomas are typically faster growing, firmer, and tender in nature.
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