Excision of a Large Lipoma on the Shoulder using Tumescent Technique

This lovely patient drove a few hours to come see me. She has had this lipoma removed in the past but it grew back. As you can see it’s pretty big in size. Perhaps the largest lipoma I have ever removed. If an area of the skin this size needs to be locally anesthetized it’s common to use the “tumescent technique“ which is the same way I numb people when I perform body liposuction. Essentially, this is when we dilute the lidocaine, in saline (with epinephrine and bicarb as usual), so we can spread it o