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47 year old woman with a soft lump on her forehead that had slowly developed over the past 4 years.  She had 2 similar lesions removed from her forearm and abdomen about 6 years ago.  Her medical history includes mild hypertension controlled on HCTZ and pre-diabetes which is managed with diet and exercise.  She is premenopausal.


What is your diagnosis?
Diagnosis:

Lipoma

Treatment Course:
She developed significant keloids at the site of the removal of the other 2 lipomas, previously mentioned and was very concerned about a surgical approach with possible keloid formation on her forehead.  We decided to try Lipodissolve.  We did monthly injections of Phosphatidyl Choline (25mg/cc), Deoxycholic Acid (2.1%), of 0.5cc’s of this mixture  directly into the lipoma.  We did 3 injections, 4-6 weeks apart.  We massaged the area with ultrasound for 5 minutes before and after each treatment.  The after picture represents 9 months after the initial treatment.  She did experience some mild post-inflammatory hyperpigmentation of the area months 2-6 that faded acceptably by month 9 with TriLuma.

Case of the Month
Case of the Month
BeforeAfter

Lipodissolve treatments for unwanted adipose tissue have received much attention over the past few years. For additional information and discussion please see:

Lipodissolve for body sculpting: Safety, effectiveness and patient satisfaction.  Journal of Clinical and Aesthetic Dermatology.
Vo. 5, #10, pages 27-30, October, 2012.

 

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Crutchfield Dermatology
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