About Fat Lumps On The Back There are different types of lumps or lumps that can appear on the back and are commonly called lumps of fat. However, its appearance can respond to different causes. In fact, the definitive diagnosis must be given by the pathologist when analyzed under a microscope.
“The most frequent injury is epidermoid cysts that are actually filled with keratin,” says Angela Hermosa, a dermatologist who is a member of the Piel Sana Foundation of the Spanish Academy of Dermatology and Venereology (AEDV). Specifies that these cysts are lesions “round in shape, of elastic consistency and mobile on palpation. They usually have a central hole that sometimes drains a white or yellowish material with a characteristic odor. ” He also explains that they usually appear mainly on the face or in the upper back.
They are different from fat lumps or lipomas, elastic subcutaneous lesions that can be displaced a little. “These are very frequent benign tumors that are formed by an excessive proliferation of adipocytes, cells of fatty tissue. Generally, it does not present symptoms nor become inflamed or infect ”, explains José Luis Ramírez Bellver, dermatologist at the International Dermatological Clinic (CDI). Hermosa stresses that “these lipomas manifest as poorly defined lumps of soft consistency.”
There are other injuries that may appear on the back or other parts of the body and may also be called lumps of fat. Ramírez cites seborrhea keratosis as an example, lesions present on the surface of the skin. In this case, they can be treated by cryotherapy (liquid nitrogen), laser or electric scalpel.
What Everybody Else Does When It Comes To Fat Lumps On The Back: What Causes It To Appear? And What You Should Do Different
Symptoms and precautions Skin lipomas appear as a round lesion that can measure from millimeters to even several centimeters. They usually do not produce symptoms, except for small discomforts due to friction or pressure, although if their inner capsule breaks, it can cause an inflammatory reaction and superinfection, causing severe pain.
If this happens, you should go to your GP. “There they will be in charge of draining pus, healing the area and prescribing antibiotics until their resolution. Once the inflammation is controlled, it is advisable to remove it so that it does not cause problems again, “says Ramírez.
These types of lumps are usually hereditary and can appear at any age and indistinctly in both men and women. “Some studies find that lipomas are somewhat more frequent in women,” says the CDI specialist. Although the AEDV spokesperson disagrees: “They are statistically more frequent in men and tend to become evident after the age of 40”.
What both do agree on is that both cysts and lipomas cannot be prevented. “In patients with severe acne or nodule-cystic acne, treatment with isotretinoin can decrease the frequency of cysts onset,” says Ramírez. “On the other hand, seborrheic keratoses, although they also have a genetic component that we cannot act on, are thought to appear as a consequence of accumulated sun damage,” added Hermosa.
In any case, specialists insist that since they are benign lesions, it is not necessary to remove or treat them, except in cases that cause discomfort, such as the itching or rubbing that is common in seborrheic keratosis. And the aforementioned intense pain caused by the rupture of the capsule in a lipoma, which must be adequately treated by the doctor and subsequently removed.
Both to treat cysts and lipomas, the lesions are usually removed by surgery, although liposuction can also sometimes be used. “An incision is made, the cyst or lipoma is removed, and the skin is closed with stitches again,” says the CDI dermatologist. And he warns: “When these lipomas appear on the back, we must be especially careful because it is an area that, due to its powerful muscles, does not heal excessively well”. Therefore, relative rest of the intervened area is recommended until stitches are removed, thus preventing the scar from opening.
“To prevent infection of the surgical wound, proper hygiene is recommended and avoid sun exposure so as not to develop hyperpigmentation or darkening of the skin,” Hermosa continues. From Ramírez’s point of view, the use of silicone patches or gels help to improve healing, “and if we see that the wound bulges and becomes very red, we must go to the doctor to proceed to burn it with laser and thus preventing the development of a hypertrophic scar or a keloid ”.