• In Dr. Pimple Popper's new Instagram video, she helps a patient with a massive lipoma.
• The dermatologist slices into her patient's back before tugging at the large lipoma stuck under the skin.
• Dr. Pimple Popper squeezes, pulls, and chops until the first half of the lipoma comes out.

Dermatologist Sandra Lee, MD, a.k.a. Dr. Pimple Popper , is here to please. She's bringing joy to her fans and her patients, alike. In her latest Instagram video, that joy comes from a massive lipoma removal.

This one comes with surprises for everyone. Dr. Pimple Popper added in her caption: "A surprisingly big lipoma and its still going! "

First, the dermatologist made a sizable incision to reach the lipoma underneath. Then, she pulled and squeezed on the lipoma. "I'm just tugging and squeezing you," Dr. Pimple Popper tells her patient mid-surgery. Clearly, there's a lot more than that going on. Dr. Pimple Popper gets a solid chunk through the opening. It looks like she's all set, but the doc tells the room, "half of him is out."

Dr. Pimple Popper grabs her scissors and cuts straight through the middle of the lipoma. One fan is already impressed and writes, "Wowwwww, its very big." Her job is far from over, though. The dermatologist goes back in for yet more squeezing but she reserves that portion for her All Access subscribers. The video cuts short of the complete removal, at least for now.

You can also hear someone speaking Spanish in the treatment room. Some fans think this is a previous patient who has returned for the lipoma removal after losing some weight.

Her fans heaped gratitude in the comments. One commenter wrote, "Thanks for keeping up with the posts." Another Popaholic wrote, "Thank God there's people like you helping so good...." Kudos to Dr. P!