Does Post-op Fat Necrosis of Breast Tissue Usually Resolve?

It’s not unusual for patients who undergo breast lift or
breast reduction surgery to develop areas of fat necrosis. This occurs when
globules of breast tissue lose their blood supply and undergo necrosis. This
results in lumps and bumps beneath the skin which are well circumscribed.These lesions are often the source of significant
anxiety and for this reason are rigorously investigated. It’s not unusual for
patients to undergo ultrasound and mammography to evaluate these lumps.In the vast majority of patients who have fat necrosis,
resolution occurs without surgery. These lesions induce an inflammatory
response which results in their dissolution. In some cases massage may be
helpful, but even with this maneuver the majority will take 3 to 6 months to
resolve.

Fat necrosis (dead fatty tissue) can develop in breasts after an augmentation and lift.  If these areas become symptomatic (painful) you may consider having your surgeon biopsy or remove the tissue.  If there appears to be changes on your mammogram that are suspicious, you should also have these areas biopsied.  It is not unusual for this to happen after surgery as it is caused by a disruption in the breast's blood supply.

Consult with a board certified plastic surgeon for a complete examination and review of your treatment options.

Best wishes,

Dr. Bruno

Fat necrosis is a risk of any breast lift procedure and will often become softer with time.  I am glad that you love the appearance of your breasts after surgery.  Give it some more time and see how things are in a year.

Fat necrosis is a non-specific sign seen on mammogram that may represent transient post surgical changes.  Your surgeon should keep a close eye on these areas to ensure that they do not represent any cystic or tumorous process.  If it is indeed fat necrosis, it will most likely disappear or turn into fibrosis. 

Fat necrosis after breast lift or reduction is occasionally seen.  It, by itself, is no a health problem but a lump in a woman's breast is always a source of concern.  Almost always the lump will gradually dissolve, usually over several months.  If a lump persists, most patients would want it removed.  This can usually be done with local anesthesia.  It is seldom required.