Cyst & Lipoma Removal London

  • 82 Harley Street, London
  • Award Winning Surgeon
  • 20+ Years Experience
  • Same-Day Cyst & Lipoma Removal

Surgical excision is a highly effective treatment for cysts and lipomas that become symptomatic.

We have removed thousands of Cysts & Lipomas. We are committed to providing the highest standard of care for cyst & lipoma removal. Dr Braham’s techniques ensure minimal scarring and optimal results. We take the time to discuss your concerns and explain each step of the procedure, ensuring your complete comfort and confidence throughout the process.

What are Skin Cysts?

Skin cysts are common, fluid- or keratin-filled lumps that form just beneath the skin’s surface. Usually round, smooth, and white or yellow, they often feature a visible central opening (punctum) that can discharge material. Most cysts are harmless, but any that become painful, inflamed, or change in appearance should be checked by a professional to rule out infection or other conditions.

Types of cysts include epidermoid, sebaceous, pilar, acne, and pilonidal cysts. These can form due to blocked hair follicles, trauma, hormonal changes, or keratin build-up. Pilar cysts, often found on the scalp, may have a genetic link and can run in families. Epidermoid cysts are the most common and typically appear on the face, chest, or shoulders. While uninflamed cysts are usually painless and slow-growing, inflamed ones can become red, swollen, and tender, resembling boils.

In most cases, cysts will not go away on their own and need removal, especially if they’re infected, interfere with daily life, or affect self-esteem. Since cyst removal is often classed as cosmetic and not always available on the NHS, The Braham Institute provides a trusted private alternative.

Dr Braham performs surgical excision under local anaesthetic, removing the entire cyst and sac to minimise recurrence. The procedure is quick and minimally invasive, with same-day discharge and personalised aftercare to support healing and reduce scarring.

Portrait photograph of Dr Braham Ouali in a suit facing the camera

Meet Your Surgeon

Dr Braham Ouali is a UK-trained plastic surgeon with over 20 years’ experience, known for his precision, professionalism, and compassionate care. Trusted worldwide, he is a member of the British Association of Cosmetic Surgeons and the American Academy of Cosmetic Surgery. Book your consultation today with The Braham Institute.

What are Lipomas?

Lipomas are benign (non-cancerous), fatty lumps that form beneath the skin. Composed of adipose (fat) tissue, lipomas can appear anywhere fat cells are present, most commonly on the neck, shoulders, arms, back, abdomen, or thighs. These soft, rubbery, and moveable lumps tend to grow slowly over time and are usually painless. Lipomas are relatively common, affecting approximately one in every 100 individuals. They most commonly affect adults between the ages of 40 and 60. The development of more than one or two lipomas is uncommon, except in cases of rare inherited conditions such as familial multiple lipomatosis or Dercum’s disease, which can cause widespread lipoma formation.

Although most lipomas are harmless, some may enlarge or form deeper beneath the skin, potentially pressing on nerves or surrounding tissues. This can lead to discomfort, limited mobility, or aesthetic concerns. In such cases, or if the lump changes in size, texture, or appearance, professional assessment and removal may be recommended.

Many individuals choose to have lipomas removed for cosmetic reasons, to ease discomfort, or to confirm the diagnosis and rule out other conditions.

Cyst Removal Before and Afters

Lipoma Removal Before and Afters

What Causes Cysts?

Cysts are common, fluid- or semi-solid-filled sacs that can form just beneath the skin. They come in many types and can affect anyone, but certain factors increase the likelihood of developing one.

You’re more likely to develop a skin cyst if you:

  • Have gone through puberty

  • Have a history of acne

  • Have injured your skin, particularly around hair follicles

Most skin cysts form due to a process similar to acne. They are often linked to overactive sebaceous (oil) glands, hormonal fluctuations, and sometimes bacterial infections. As a result, cysts can recur, especially in individuals prone to breakouts or oily skin.

At the root of many cysts is a change in the normal behaviour of skin cells. Typically, surface skin cells that produce keratin (a protein that gives skin its strength and flexibility) rise to the surface and are naturally shed. However, when these cells become trapped beneath the skin—often due to a blocked hair follicle or gland—they can form a small sac. This sac gradually fills with keratin, creating a thick, yellowish substance and resulting in a cyst.

Understanding the underlying causes of cysts is key to managing them effectively and reducing the risk of recurrence.

In most cases, cysts will not go away on their own and need removal, especially if they’re infected, interfere with daily life, or affect self-esteem. Since cyst removal is often classed as cosmetic and not always available on the NHS, The Braham Institute provides a trusted private alternative.

What Causes Lipomas?

The exact cause of lipomas isn’t fully understood, but they often run in families. If a close relative has had a lipoma, you may be more likely to develop one too.

In some cases, certain health conditions can lead to the growth of multiple lipomas across the body. These include:

  • Dercum’s disease – A rare disorder that leads to painful lipomas, usually on the arms, legs, or trunk. It’s sometimes called adiposis dolorosa or Anders’ syndrome.

  • Gardner syndrome – A genetic condition linked to familial adenomatous polyposis (FAP) that can cause lipomas along with other health issues.

  • Hereditary multiple lipomatosis – Also known as familial multiple lipomatosis, this inherited disorder causes several lipomas to form.

  • Madelung’s disease – More common in men who drink heavily, this condition (also called multiple symmetric lipomatosis) often leads to lipomas developing around the neck and shoulders.

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What Does Cyst and Lipoma Removal Surgery in London Involve?

Cyst or Lipoma removal surgery is a minor surgical procedure in which a doctor removes a lump from beneath the skin. Surgical excision is an effective option when a cyst or a lipoma becomes tender, infected, or cosmetically concerning.

After numbing the area with local anaesthetic, allowing patients to remain awake and comfortable throughout without experiencing pain, a small incision is made over the lump allowing careful extraction of the cyst or the lipoma.

Once removed, the area is closed with sutures and covered with a sterile dressing to protect the wound and minimise the risk of infection or bleeding.

Recovery is usually quick, and most patients can resume normal activities soon after. However, it is recommended to avoid strenuous physical activity until the area has fully healed to ensure optimal recovery. While a small scar may remain, proper aftercare helps minimise its appearance. 

We offer an experienced excision of your cyst or lipoma with minimal scarring and optimal results. We take the time to discuss your concerns and explain each step of the procedure, ensuring your complete comfort and confidence throughout.

What are the Risks Involved in Cyst & Lipoma Removal London?

95% of Dr. Braham cases proceed without complications; however, complications may occur and can include:

  • Infection – The wound may become infected, especially if not kept clean or the post-op instructions are not followed. However, this could be treated with antibiotics.
  • Bleeding – Some bleeding is normal, rarely excessive or prolonged bleeding may occur during or after the surgery.
  • Scarring – Most surgical removals leave a scar which should fade away over time.
  • Recurrence – If the entire lump is not fully removed, the lump may return.
  • Nerve damage – If the lump is close to a nerve, there is a small risk of nerve injury, which may result in temporary or permanent numbness, tingling, or paralysis.
  • Pain or discomfort – Mild pain or tenderness is expected after surgery, however this is very easily controlled with painkillers.
  • Allergic reaction – Some people may have an allergic reaction to the local anaesthetic or materials used during surgery.
  • Poor wound healing – Factors such as diabetes, smoking, or poor aftercare can lead to delayed or impaired healing.
  • Swelling or bruising – Temporary swelling or bruising around the surgical site is common but usually subsides within a few days.
  • Unsatisfactory cosmetic result – The final appearance may not meet aesthetic expectations, especially if the lump was large or located in a visible area.

While most lumps removal procedures are straightforward and low-risk, it’s important to discuss these possibilities with your healthcare provider beforehand.

What is the Aftercare Process?

Discharge: After your lump removal, you’ll go home on the same day. It’s helpful to have someone with you, especially if you’ve had local anaesthetic, as you might feel briefly groggy.

Wound Care: Keep the area clean and dry, avoid soaking it, and follow all instructions for dressings, ointments, and any prescribed medications.

Nutrition and Rest: Eat a diet rich in vitamins A, C, E, zinc, and protein to support healing, and get plenty of rest to aid recovery.

Activity and Sun Exposure: Avoid stretching the area or intense activity, protect the site from sun exposure to prevent darkened scars, and focus on stress-reducing routines for overall wellness.

Common Symptoms: Mild swelling, bruising, or pain is normal for a few days. Over-the-counter pain relief is usually effective, and rest is advised for the first 24–48 hours.

Physical Activity: Light activity can resume within a few days, but avoid strenuous movement until the area heals—typically within 1 to 2 weeks, depending on the lump’s size and location.

When to Seek Help: Watch for signs like increased redness, swelling, warmth, pus, fever, or fatigue, and contact your doctor if they occur.

Follow-up: Sutures are usually removed after 7–10 days. Attend follow-up appointments to ensure proper healing and avoid complications.

Cyst/Lipoma Removal London – Frequently Asked Questions

Can I get my cyst or lipoma removed on the NHS?

NHS does Not remove Cysts & Lipomas anymore as it is no longer funded by the government. The only lumps removed on the NHS are those which have suspicious features of cancer.

What’s the difference between cysts and lipomas?

Cysts are fluid-filled sacs beneath the skin that can resemble lipomas. To differentiate between the two, consider the following characteristics:

* Cysts are closer to the skin’s surface, while lipomas are deeper.

* Cysts have a little punctum on the top, which does not exist in Lipomas.

* Cysts are firm to the touch, whereas lipomas are soft and dough-like.

* In some cases, the skin surrounding a cyst may be inflamed (red and swollen), whereas this is not typically observed with lipomas.

Is cyst/lipoma removal painful?

The procedure itself is usually painless, as it’s performed under local anaesthetic. You may feel some pressure during the surgery. Mild pain or tenderness can be expected after the anaesthetic wears off, but this is usually manageable with over-the-counter pain relievers.

How long does the procedure take?

Lump removal surgery typically takes between 20 and 45 minutes, depending on the size and location of the lump. Patients go home the same day.

Will the lump come back after removal?

If the entire lump is successfully removed, recurrence is unlikely. However, if any part of the sac remains, the cyst could return over time.

What is the recovery time after lump removal?

Most people recover within 1 to 2 weeks. You may be advised to avoid heavy lifting or strenuous activity for a few days to prevent irritation or disruption to the healing site.

Will there be a scar after lump removal?

Yes, there will be initially a small scar, but it usually fades over time. The size of the scar depends on the size of the lump, its location, and how well the wound heals. Proper aftercare can minimise scarring.

How do I care for the wound after surgery?

You’ll be advised to keep the area clean and dry, change dressings as instructed, and avoid submerging the wound in water. Watch for signs of infection such as redness, swelling, or discharge.

When should I contact a doctor after surgery?

Contact your doctor if you notice increased pain, redness, pus, swelling, fever, or if the wound is not healing as expected. These may be signs of infection or complications that require attention.

Speak to a Patient Coordinator

Leave your details and we’ll call you back to discuss your options and next steps.