Background: Lipomas are common benign masses that occur mostly in the cephalic part of the body. Although extremely rare in the temporal region, it can pose a challenge surgically due to cosmesis. In this case report, we have discussed the surgical anatomy and management of lipoma at this uncommon site. Case Report: A 29-year-old female presented with complaints of swelling in the right temporal region for the past one year. On examination, a prominent well-defined swelling appeared above the zygoma on clenching teeth. NCCT head revealed a well-defined thick-walled round hypodense lesion measuring 26 × 22 mm in the right temporal region with calcific foci within. The patient underwent complete excision of the mass through a cosmetic hairline incision and has recovered well. Conclusion: Despite lipoma being categorised as a benign disease, it can present in various different regions of head and neck that can pose a challenge anatomically and cosmetically. Careful clinical evaluation, informed written consent and adequate clearance is necessary to avoid recurrence.