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A surgical procedure called excision is the primary removal method. Lipomas are fatty lumps that develop under your skin. They're common , and most lipomas are harmless and don't need to be removed. Surgery is sometimes used to remove lipomas for cosmetic reasons or if they're causing pain. Liposuction can be used to remove small or large lipomatous growths, particularly those in locations where large scars should be avoided. Complete elimination of the growth is difficult to achieve with liposuction.