Minimally Invasive Surgical Excision of 101 Lipomas in Familial Multiple Lipomatosis: A Case Report

Familial multiple lipomatosis (FML) is a rare autosomal dominant condition characterised by multiple subcutaneous lipomas affecting the trunk and extremities. Although benign, the aesthetic and functional burden of multiple lipomas often prompts patients to seek treatment. We present a 57-year-old male with a 15-year history of FML who underwent minimally invasive surgical excision of 101 forearm lipomas through 34 strategically placed incisions. The patient recovered well, returned to manual work within one week, and reported high cosmetic satisfaction. At the two-year follow-up, only three asymptomatic recurrences were noted on the left forearm. This case highlights a minimally invasive technique that optimises cosmetic outcomes while maintaining effective lesion clearance in patients with multiple lipomas.