Keywords: TEL; acquired lipoma; adipocyte; fat; fat hypertrophy; fibroblast; fibrolipoma; idiopathic fat hypertrophy; lipoma; liposuction; liposurfoma; low-intensity trauma; microtrauma; preadipocytes; prone paddling; sports injury; subcutaneous fat; surf bump; surf knot; surf nodule; surfer; surfers bump; surfers knot; surfers’ nodule; surfer’s bursa liposuction; surfing; tumescent anesthesia; tumescent epinephrine lidocaine; tumescent liposuction; tumescent local anesthesia.