Lump, Cyst & Lipoma Removal Surgery in Nashik

Common swellings we treat

• Lipoma - a soft, rubbery, movable lump of fatty tissue, usually on the back, shoulders, neck, arms or thighs.
• Sebaceous (epidermoid) cyst - a round lump with a small central pore, common on the face, scalp, neck, back and behind the ears. It can become red, painful and infected.
• Ganglion cyst - a jelly-filled swelling near the wrist, back of the hand or fingers.
• Fibroma, dermatofibroma and other benign skin nodules.
• Lipoma-like swellings that need a scan first, such as deeper or fast-growing lumps.

Lipoma or Cyst? Common Myths vs the Facts

Because lumps are so common, a lot of confusing advice circulates about them. Separating myth from fact helps you make a calmer, better-informed decision.

• Myth: "Any lump could be cancer, so I should panic and get it removed immediately." Fact: the overwhelming majority of soft-tissue lumps that plastic surgeons see are benign. Panic is not useful, but a proper examination is, because it is the only way to be sure.
• Myth: "A lipoma will eventually turn into cancer if I leave it." Fact: an ordinary lipoma does not transform into a malignant tumour. Very rarely, a fatty lump can be a different, deeper growth that needs imaging to distinguish from a simple lipoma, which is exactly why atypical or fast-growing lumps are scanned before surgery.
• Myth: "Squeezing or bursting a cyst at home will make it go away." Fact: squeezing a sebaceous cyst can push infected material deeper, cause more inflammation, and make the eventual surgical removal harder and more scarring. It does not remove the cyst wall, so the lump usually returns.
• Myth: "Cream or medicine can dissolve a lipoma or cyst." Fact: no topical product shrinks or removes these growths permanently. Surgical excision remains the only reliable way to remove the swelling completely.
• Myth: "All lump removal surgery leaves a big scar." Fact: most lumps are removed through an incision only slightly longer than the lump itself, placed along a natural skin crease, which is why plastic surgery training specifically emphasises scar placement and closure technique.

Who Is a Good Candidate for Removal?

Most healthy adults and children with a bothersome lump are reasonable candidates for day-care removal. You are likely a good candidate if the swelling is growing, tender, cosmetically bothersome, repeatedly getting infected, or simply nagging at you every time you notice it. People who are otherwise fit for a short procedure under local anaesthesia rarely need to delay surgery for medical reasons.

Some situations call for a slower, more cautious approach rather than immediate surgery. If a cyst is actively inflamed or discharging pus, it usually needs to settle first with drainage and antibiotics before definitive excision, because operating through active infection raises the chance the swelling returns. If a lump is unusually hard, fixed to deeper tissue, growing quickly over a period of weeks, or larger than around 5 cm, it is safer to image it first rather than proceed straight to surgery, so that the surgical plan is based on a clear diagnosis. Patients on strong blood thinners, those with poorly controlled diabetes, or anyone who forms keloid scars easily are not turned away, but the plan and timing are adjusted around these factors, and this is discussed openly at the consultation.

Preparing for Your Consultation

A little preparation helps Dr. Nerkar assess your lump accurately at the very first visit. It is useful to bring or note down:

• How long the lump has been present and whether it has changed in size recently.
• Whether it is painful, itchy, or has ever discharged fluid or become red and hot.
• Any previous removal of the same lump, and whether it returned afterwards.
• A list of current medicines, especially blood thinners, and any known allergies.
• Any relevant scans, blood reports or previous biopsy results, if you already have them.
• Whether you, or a close family member, tend to develop thick or raised (keloid) scars after cuts or injuries.

Wearing loose clothing that allows easy access to the area being examined also makes the visit smoother, particularly for swellings on the back, shoulder or thigh.

When Should a Lump Be Removed?

Not every lump has to come out. Removal is usually recommended when a swelling is growing, painful, repeatedly infected, cosmetically bothersome, rubbing against clothing or affecting movement, or when the diagnosis is unclear.

Please book a review soon if a lump is hard and fixed in place, has grown quickly over weeks, is larger than about 5 cm, is painful without an obvious cause, has come back after earlier removal, or has skin changes over it. These features do not mean something serious, but they mean the lump should be examined and, if needed, imaged before surgery.

Your Consultation: Diagnosis Comes First

The visit starts with a careful history and physical examination. We note the size, depth, mobility, skin attachment and how long the lump has been present. For anything deep, large or atypical, an ultrasound or MRI is advised so the surgical plan is based on facts, not guesswork.

If a cyst is currently infected, surgery is usually delayed. The infection is settled first with drainage and antibiotics where required, and the cyst is excised once inflammation has calmed, because operating on an inflamed cyst raises the chance of recurrence.

How the Surgery Is Done

Most swellings are removed as a day-care procedure under local anaesthesia. Larger or deeper lumps may need sedation or general anaesthesia.

1. Marking

   the incision is planned along a natural skin line wherever possible so the scar blends in.

2. Anaesthesia

   the area is numbed so the procedure is painless.

3. Excision

   the lump is removed completely. For cysts, the entire cyst wall (sac) must come out, otherwise the cyst can return. Lipomas are removed with their thin capsule.

4. Closure

   fine sutures, often in layers, close the wound. A drain is used only for larger cavities.

5. Testing

   the removed tissue can be sent for histopathology so that the diagnosis is confirmed.

Very large lipomas can sometimes be removed through a smaller opening with liposuction-assisted techniques, which can mean a shorter scar. Whether this is suitable depends on the lump.

Anaesthesia and Safety

Most lump and cyst removals are done under local anaesthesia, meaning only the small area around the swelling is numbed while you remain fully awake and comfortable. This is generally the safest option for a minor procedure, since it avoids the added considerations of sedation or general anaesthesia altogether. Before any injection, you will be asked about allergies, especially to local anaesthetic drugs, and about any bleeding disorders.

For larger, deeper or multiple lumps, or for children and particularly anxious patients, sedation or general anaesthesia may be recommended so the procedure is more comfortable. When that is the plan, a pre-operative anaesthesia review is arranged, covering your general health, current medicines and fasting instructions, so the anaesthetist can plan safely around your specific situation. Whichever option is used, you are monitored throughout, and clear instructions are given for eating, driving and returning home afterwards.

Recovery Timeline

• Same day

  you walk home after a short observation. Expect numbness for a few hours.

• Days 1-3

  mild tenderness. Simple painkillers are usually enough. Keep the dressing clean and dry.

• Days 7-14

  sutures are removed (about 5--7 days on the face, longer on the back or limbs).

• Weeks 2-6

  most people return to normal activity. Avoid heavy strain on the operated area until cleared.

• Months 3--12

  the scar softens and fades. Sun protection and silicone gel help.

Most people return to desk work within one to three days. Your surgeon will give exact instructions based on the lump location.

Lifestyle Factors That Support Healing

The surgery itself is only part of the outcome; how the wound is looked after over the following weeks shapes the final scar. A few simple habits make a genuine difference. Eating a balanced diet with adequate protein supports the tissue-repair process, while staying well hydrated keeps the healing skin supple. Smoking measurably slows wound healing because it narrows small blood vessels and reduces oxygen delivery to the skin edges, so cutting down or stopping around the time of surgery is genuinely helpful, not just generic advice. Direct sun exposure on a fresh scar can cause it to darken permanently, so covering the area or using sunscreen once the wound has closed is important, particularly for scars on the face, neck or arms. Finally, avoiding heavy stretching, lifting or friction over the wound until your surgeon confirms it has healed reduces the chance of the scar widening.

Long-Term Outlook

Once a lump has been completely excised, most patients simply move on without giving it another thought. By around three months, the scar has usually settled from pink and slightly firm to flatter and paler, and by six months to a year it typically continues fading further, especially with consistent sun protection and, where advised, silicone gel. For the vast majority of patients whose swelling was a straightforward lipoma or cyst removed with the whole capsule or sac intact, there is no ongoing monitoring needed once the wound has healed and any histopathology report, if sent, has confirmed a benign diagnosis. If a lump was left partially behind in the past by another provider, or if you are simply prone to forming new lipomas in other areas, mentioning this history helps your surgeon plan the most complete removal possible the next time around.

Follow-Up Care After Lump Removal

A short follow-up visit is usually arranged around the time sutures are due to be removed, so the wound and scar can be checked and any concerns addressed early. If histopathology testing was sent, the report is reviewed with you at or before this visit. Beyond that, most simple lump removals do not need a structured long-term follow-up schedule, though you are always welcome to return if the scar thickens, if a new swelling appears nearby, or if you simply want the area reviewed.

When to Seek Urgent Medical Attention After Surgery

Contact the clinic promptly, rather than waiting for your scheduled review, if you notice increasing redness spreading outward from the wound, fever or chills, a wound that reopens or gapes, pus or foul-smelling discharge, rapidly increasing swelling or a tight, throbbing pain that is not controlled by the painkillers you were given, or heavy bleeding that soaks through the dressing. These signs are uncommon after a routine lump removal, but catching them early makes treatment simpler and protects the final result.

Risks and How We Reduce Them

Lump removal is a minor procedure, and serious problems are uncommon. Possible risks include bleeding or a collection of fluid (haematoma or seroma), infection, wound opening, a visible or thickened scar, temporary numbness, and recurrence, particularly if a cyst wall is left behind. Dr. Nerkar reduces these risks with complete excision, careful haemostasis, layered closure and clear aftercare instructions. Let us know if you tend to form keloid scars, take blood thinners, or have diabetes so that we can plan around them.

Cost of Lump and Cyst Removal in Nashik

The cost depends on the size and depth of the swelling, the number of lumps, the location, the type of anaesthesia, whether imaging and histopathology are needed, and whether the procedure is done in the clinic or an operation theatre. A single small cyst on the skin is a very different procedure from a large deep lipoma. After examination, you will receive a clear written estimate before you decide.

Why Choose Aakar Aesthetics

Plastic surgeons are trained in the finest closure techniques, so scars from lump removal are planned to be as inconspicuous as possible. Dr. Kiran Nerkar trained at B. J. Medical College, Pune, and completed super-speciality training in plastic and reconstructive surgery at MTH, Cochin, Kerala. Every lump is examined properly, tested when needed, and explained to you in plain language.

Surgical Removal of Body Swellings: Frequently Asked Questions

Have a lump that is growing, painful or simply bothering you? Book a consultation at Aakar Aesthetics, Mumbai Naka, Nashik,

Call +91 9890844400