Minimal One-Third Incision and Four-Step (MOTIF) Excision Method for Lipoma

Area of Science:

• Dermatologic Surgery
• Surgical Oncology

Background:

• Lipoma excision is standard, but patients seek minimal scarring.
• Small incisions can lead to increased complications and hypertrophic scars.

Purpose of the Study:

• To evaluate the efficacy and safety of the minimal one-third incision and four-step extraction (MOTIF) method for lipoma excision.
• To compare complication rates and scar quality across different lipoma sizes using the MOTIF method.

Main Methods:

• Retrospective analysis of 112 lipomas excised using the MOTIF method (January 2016 - December 2018).
• Comparison of complication rates and Vancouver Scar Scale (VSS) scores for lipomas <3 cm, 3-6 cm, and >6 cm.

Main Results:

• Complete excision was achieved in all cases.
• Low complication rates observed: two seromas, two hematomas, one nerve injury.
• No significant difference in complication rates or VSS scores among lipoma size groups.

Conclusions:

• The MOTIF method is a reliable, cost-effective, and cosmetically favorable approach for lipoma excision.
• This technique is applicable to lipomas of all sizes and locations with consistent outcomes.