In a new Youtube video, aka, dermatologist and snips at a stubborn that just wont seem to let go of its hosts shoulder. Dr. Pimple Popper decides to nickname this particular growth The Lumpia Lipoma, a cheeky play on the patients conversation about the famous Filipino dish during the extraction procedure.

According to The American Academy of Orthopaedic Surgeons, a lipoma is a made up of fat tissue. The growths are usually painless and commonly grow on the upper back area, as with the patient in . What can be painful, however, is wresting with a lipoma, which is why Dr. Pimple Popper first uses a local anesthetic to numb her patient. The brave patient later says the procedure tickles, leading Dr. Lee to call her a pro.

At first, Dr. Lee tussles with the fatty tissue with her finger in an attempt to loosen the mass and pop it out. Though some lipomas pop with ease, this Lumpia Lipoma is particularly stubborn and wont budge. When Plan A fails, Dr. Pimple Popper decides to snip at the tissue bit by bit to . As always, Dr. Pimple Popper wins the fight against the lipoma, stitching up her patient expert precision.

Season 3 of Dr. Pimple Popper will return to TLC later this year.

Watch the video here: