Is It Dangerous if the Fat Necrosis on Butt is Not Removed After Several Years?

Fat necrosis is not common after a well-performed Brazilian butt lift. The management is dictated by your symptoms and the size of the indurated area.  Fat necrosis can present as an area of hardening and pain. If there is pain in the area of indurations, then, direct excision or ultrasonic liposuction will be necessary to remove the affected area. Certainly, the fat can get infected and can be managed with surgical drainage and antibiotics.  An abscess is not aspirated but surgically drained.  This will prevent significant bacteria (bacteria in your blood) from causing you to get very sick.


Now, if the area of induration is not causing any problem, then, no treatment will be necessary and you will  be closely followed.

Hi there-

It sounds like you have experienced consecutive complications, both of which should be VERY rare in the hands of experienced Brazilian Butt Lift surgeons.

I would recommend you find someone with a lot of experience in the procedure to help you manage the problem, understanding that it may be difficult to find a surgeon willing to take on another's complications.

Fat necrosis by itself should not be a long-term problem it should just cause scarring and possibly a firm area. Your previous problem with infection this may be the real problem. There are atypical infections like fungal infections and Mycobacterium infections that may persist for months or even years. And this is something that you must rule out.

If you have persistent redness  or low-grade fevers with pain in the area then you must consider one of these infections. If that's the case you should consider an infectious disease specialist. If you're having no pain no redness and no fever then you may just have scar tissue from the previous problems. If this is the case then the scar tissue should not give your problem in the future. Be diligent and watch these areas if you have any suspicion that there's still a problem get checked.