Procedure for removal A lipoma may typically be surgically removed. Making a tiny slit in the skin and then squeezing out the lipoma is one way. During the surgery, the patient is normally sedated and should be able to go home the same day. There are different techniques that can be used for removal including simple excision or more extensive procedures such as liposuction or laser therapy. Lipomas are usually found under the skin of the shoulder, upper arm, chest, or back. They are slow-growing tumors that consist primarily of fat cells. The cause of most lipomas is not known. However, some researchers believe they may be connected to mutations or changes in genes that control cell growth. Lipomas are more common in older people; men and women are affected about equally. People often complain about the discomfort caused by lipomas. Although most are only slightly painful if at all, some patients report severe pain with movement or even during rest. Other symptoms include tightness or constriction around the neck, throat, or chest. This is usually due to muscle spasms caused by pressure from the tumor on surrounding nerves. Lipomas can grow large enough to cause problems for their owners. These problems include cosmetic embarrassment and anxiety over possible health consequences such as cancer. Surgery is the best treatment for lipomas.