Right Butt Cheek Hard and Lumpy After Fat Grafting

Hi there- In the Brazilian Butt Lift technique, fat is removed from one area of the body and grafted into the buttocks to improve shape and projection. This fat is dependent on the diffusion of nutrients from the surrounding tissues for the time it takes for new blood vessels to form that will nourish the new tissue in the long term. If some of the grafted fat cells don't get enough blood flow, they will either be absorbed by the body (which should be expected to some extent with this... more

If one cheek feels perfectly fine and the other has a hard lump it is most likely a hematoma or some fat necrosis. There is no good way to resove these surgically and you may want to massage and apply moderate heat. If you are numb there do not apply heat for fear of burning yourself. Over a long period of time you should see gradual improvement. Best, Talmage J. Raine MD FACS

From the description that you have given, it is possible that you may have a fat necrosis in that area. This is one of the possible complications after a Brazilian Butt lift. The most important thing to do is to follow up with your plastic surgeon, show them the area, inform them of your concerns, and ask for their advice. They may recommend an aspiration or biopsy of the area or other modalities. Also let a plastic surgeon know if the size of this area has changed as well. For more... more

This is probably FAT NECROSIS. If it has not gone by now then you will need surgery to remove the fat that has not taken, This can be done with ultrasound liposuction. This will leave you with minimal if any scar. Wait till healed then do another fat grafting to equalize you.

The hard area is likely fat cells that did not take or become vascularized. At this point I would simply massage as much as possible. It will take some time and it should resolve over time with the massage. There is possibility that it may not resolve with time. But I would give it atleast a year before start worrying about it. Good luck.