Fatty tissue removal
Fatty tissue can occur at all ages and periods of life and at all places on the body. Fatty tissue can be divided according to the structure and the cells into two types – lipoma and atheroma. Patients usually feel a them like beads beneath the skin. Also, the development of fatty tissue is not accompanied by pain unless atheromas become inflamed or lipoma rapid growth.
Mostly fatty tissues have size from 5 mm up to several centimeters and the number of changes that may occur is individual. Some people have a genetic predisposition and then there are multiple lipomas but their formation is undependent from the levels of cholesterol and triglycerides in the blood nor of any diet.
Removal of atheroma
Atheroma or fatty tissue are dermal cysts and consist of elastic capsule which collects thick fat content. Such content is the product of secretion of the sebaceous glands, and often has a very bad smell. Depending on the size, location and condition atheroma may be removed in three ways.
Removal of atheroma with radiowaves
Removal of atheroma or fatty tissue with radiowaves is performed under local anesthesia. The intervention consists of opening the capsule atheroma, with complete removal of the fat content and coagulation prospecting atheroma. After the intervention is not required bandaging. Hygiene with soap and water is recommended 24 hours after the intervention and at the place where it was previously atheroma remains smaller crust. Scars after intervention are minimal. This way is suitable to remove atheromas with diameter up to 7mm.
Surgical removal of atheroma or fatty tissue
Atheroma or fatty tissue removal surgery is the most common method of removing atheroma. This intervention is performed under local anesthesia. Surgical instrument make a thin resection line along the top of the atheroma. After, capsule is released from the surrounding tissue so that the incision in the skin remains almost twice smaller than the original size of the atheroma. After that, surgeon remove the contents and put stitches. At the site of intervention remains sterile gauze. Changing the gauze is recommended 24 hours after the intervention and wetting intervention place is possible after 48 hours. Stitches are removed after 5-12 days depending on location of intervention.
Incision atheroma setting with drainage and daily folding and cleaning the purulent content removal method that is applied exclusively in patients with the inflammatory process took so long that the purulent content spread widely beyond the original size of the atheroma. This intervention also performed under local anesthesia, but very often the patient may feel discomfort due to a weaker effect of anesthesia. Usually, during curetting fatty content atheroma capsule also removed. Rarely after calming inflammation must repeat surgical intervention to the capsule completely removed.
Only with the complete removal of atheroma capsule full recovery occurs and at that point you can no longer appear fatty tissue. Atheromas should be removed as soon as it is noticed, and while they are still small. Any delay leads to an increase problems. It is not good to try to supplant content like pimples because it can lead to the initiation of the painful inflammatory response and emergency medical intervention.
Lipomas are compared to atheromas completely different type of fatty tissue. Lipomas do not contain capsule that clearly separates them from the surrounding tissue and they consist of fatty tissue cells that are rapidly increased by creating a ball under the skin. Lipomas are always moving relative to the surrounding skin and may cause pain only if its growth presses neuronal structures. Lipomas are removed only surgically under local anesthesia. With this type of fatty tissue is slightly higher chance of recurrence (relapse) than in atheroma. The reason is unclear boundaries of fat cells.
The situation is rare during the intervention when surgeon decides to sample that removes send for histopathological analysis. This occurs when the tissues under the skin structure does not match the structure of atheroma or lipoma that are clearly defined. In this way, it is clearly eliminates the possibility of the existence of some types of cancer subcutaneous tissue.
Spec. Dr. Svetlana Djurisic, dermatologist
Dermatological clinic DERMATIM, Belgrade, Serbia