This patient presented with tender bump on posterior scalp that was getting irritated by wearing hats. Deep lipoma directly over skull bone (you can see in video). Deep large pocket exposed. Excision and removal with horizontal mattress stitch closure. 2 week follow up for suture removal. Healed very well as expected, patient happy with results and back to wearing hats. 😎 Hair will start to regrow in area as pressure from below on the follicles has been stopped by removal of lipoma. Thanks to my patient for sharing his procedure. Dermatology procedure. Dermatology Physician Assistant. Scalp excision. MrPopZit.