Figure 1: A 33-year-old male with a lipoma of the upper arm. The MRI shows a lesion with a high-intensity signal on T1-weighted images, and the signal pattern is similar to subcutaneous adipose tissue. A: Retaining ligaments are demonstrated as lines with low-intensity signal. B: In the operation, a one-inch incision is made at the center of the lipoma. C: Detachment of the lipoma from the retaining ligaments is performed bluntly with a finger. D and E: The released lipoma is extracted in a piecemeal fashion or by using a “squeeze technique”. F: Compote resection can be confirmed visually through the incision given the skin laxity. Residual lipomas can be easily removed with forceps.