Breast Fat Transfer

I had my first fat transfer to the breasts 2 weeks ago. Is it normal for the breasts to feel tight and lumpy at this point. Do the breasts eventually feel softer and move more natural? I am also wearing the brava bra postoperatively for increased circulation to the new fat.

Doctor Answers 7

Fat transfer to the breasts.

Based on the fact you are using the Brava system, I'm assuming you underwent a large volume of fat transfer for breast augmentation. In small volume scenarios, lumpiness is rare because the fat is distributed in very small channels and eveness is the goal. In larger volumes, lumpiness is almost unavoidable. Although the Brava bra can stimulate (according to it's proponents) increased blood flow, this flow increase would be limited to areas of existing blood vessels. Lumpiness is usually due to an uneven distribution of the fat within an area of the breast. This can be concerning due to fat necrosis, oil cysts, or persitent firmness in the breast over time. Careful follow up is necessary to identify these issues and caution is advised when seeking out these types of surgeries. Multiple grafting procedures over a long period of time are typically necessary to limit complications by not trying to transfer as much fat as possible in 1 surgery. Although "settling down" of lumpy areas occurs, this is probably more likely due to the fat in that area lysing and being absorbed than it revascularizing and flattening out.

Boca Raton Plastic Surgeon
5.0 out of 5 stars 12 reviews

Have a question? Ask a doctor

Fat transfer

i guess i am in the minority, but i agree with dr tholen. i worry about the long term consequences of fat transfer as the breast.  lumps , bumps and calcifications all do occur. when the risk of breast cancer is1 out of 8 now, why do anything that may confuse the picture in the future.

Jonathan Saunders, MD
Newark Plastic Surgeon
5.0 out of 5 stars 43 reviews

Lumpy breasts post fat transfer

Yes if you are only 2 weeks post fat transfer this is totally within the range of normal.This lumpness can take several months to go down so don't fret.i

Robert Brueck, MD
Fort Myers Plastic Surgeon
5.0 out of 5 stars 35 reviews

Breast fat transfer

Fat transfer to the brest can feel foirm and lumpy during the first few weeks. It usually settles down, Follow closely with yoru doctor.

Steven Wallach, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 18 reviews

Fat TRansfer to Breast

what you are experiencing to this point sounds normal -just keep your foillow-up appts to make sure you are on the right track

Edward J. Bednar, MD
Charlotte Plastic Surgeon
5.0 out of 5 stars 63 reviews

Fat transfer to breasts

It is quite normal to feel tight at two weeks after fat transfer. The more the fat transfered the tighter they feel. Lumpiness may be some concern although it is only two weeks and hopefully they will settle down. Wearing BRAVA cup will help. Be ptient and talk to your surgeon.

Raj Chowdary, MD (retired)
Allentown Plastic Surgeon
4.0 out of 5 stars 5 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.