We report a rare case of spindle cell lipoma of the cheek. The patient was a 67-year-old man who visited our department because of a painless mass of the left cheek. A clinical examination revealed a mobile, painless mass of the left cheek, measuring 30 mm × 15 mm. Magnetic resonance imaging showed a well demarcated, internally homogeneous mass. The tumor was removed surgically under general anesthesia. Histopathological examination of the surgical specimen showed a spindle cell lipoma. There have been no signs of recurrence in the approximately 1 year since the operation.