I have had four seperate "harvesting" of lipomas. The first time was done by a general surgeon with tripple the incision size necessary. This is because the surgeon didn't know what he was lookin at. This was 37 years ago and there was not much awareness of lipomas, so the rule was: treat the lumps like cancer.
Since then I have had one other surgery by a GP/surgeon but with much smaller scars. and two surgeries done by a plastic/reconstructive surgeon. The plastic surgeon used excision and lipo because of the large number of lipomas being removed on his first attempt. And then 10 years later( 2 years ago) he used excision exclusively. The last two surgeries left minimal obvious scars, but they are definately there.
I prefer the scars to the lumps in my case because the lumps were/are very large. I have them on my back primarily but have had beny removed from my arms and torso too.
I am about to try the "holistic" herbs and Glucan approach, mainly because I have given up hope of expecting surgery to solve my condition. there are just too many of them to keep cutting out.
If you or anyone has just a few ( twwo or three) then surgery might be for you. Originally there was some thought that if the surgery was not done right that the lipomas could "spread." Now years later, the feeling is that improper surgery techniques does not cause "spreading." In the end, for me it was a cosmetic appearance issue.... I prefer a small scar to a bulging and sometimes painful lump everyone asked me about.
Now not too many people ask about my scars.
Hope this helps.
B