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Hard Breast 9 Weeks After 2nd Breast Reduction?

Had repeat breast reduction 9 weeks ago. Right breast is firm mound - nipple is concave and breast looks sort of like a volcano with top blown off. (note: left breast feels and appears very normal for this stage of reduction.) Wondering if firm mound on right breast could be massive fat necrosis ? post surgical pics attached to recent review

Doctor Answers 7

Revision breast reduction works.


Hard to tell what happened, but it does not sound like you will have a good outcome, unfortunately.  Wait four months and maybe get another opinion. You may need another revision.

Manhattan Plastic Surgeon
5.0 out of 5 stars 9 reviews

875 Park Ave at 78th Street
New York, NY 10075

Fat Necrosis after Revision Breast Reduction

   Fat necrosis after breast reduction is a concern.  Skin changes with drainage may be suggestive of nipple areola compromise.  In general, the exam is critical at this time.  You should be assessed for tissue viability, fat necrosis, hematoma, fluid collection, and infection.

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
5.0 out of 5 stars 334 reviews

435 North Roxbury Drive
Beverly Hills, CA 90210

Breast reduction issues

It would be great to see photos, but it sounds like you may have tissue necrosis and need to be followed closely by your surgeon.

Steven Wallach, MD
New York Plastic Surgeon
4.5 out of 5 stars 20 reviews

1049 Fifth Ave
New York, NY 10028

Fat necrosis with breast reduction

What you describe certainly sounds like fat necrosis, however other things may be going on.

You don't mention how you are feeling.  Specifically, any fever, chills, sweats?  Is the firm breast just firm, or is there also local heat, redness, swelling, drainage?

If it is massive fat necrosis, another operation is likely.  You need to have a frank chat with your ps so you know how to prepare.

Best of luck to you.



Scott E. Kasden, MD
Dallas Plastic Surgeon
4.5 out of 5 stars 64 reviews

2813 W Southlake Blvd
Southlake, TX 76092

Breast reduction revisions can have healing issues

Your description of your post operative status is not a normal outcome for revisionary breast reduction surgery. I would visit your plastic surgeon early and often to make sure that your breast heals with an acceptable outcome. Revisionary breast reductions can be challenging procedures, and healing problems, fat necrosis etc. sometimes occur. Good luck.

Scott C. Sattler, MD, FACS
Seattle Plastic Surgeon
5.0 out of 5 stars 50 reviews

4915 25 th Ave NE
Seattle, WA 98105

Repeat breast reduction problems

It is quite unusual to need to repeat a breast reduction.  It is possible that fat necrosis is present and your best gude to what is going on is to stick close to the doctor who actually did your surgery as they know you inside and out.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon
4.5 out of 5 stars 57 reviews

1135 116th Ave. NE
Bellevue, WA 98004

Fact Necrosis after Breast Reduction?

Thank you for the question and the graphic description of your right breast; the description does some consistent with fat necrosis.  Of course, your plastic surgeon will be in the best position to advise you about exactly what is going on.  This assessment is much better made after in person evaluation, as opposed to online (even with the help of photographs).

 Management of  fat necrosis will vary depending on its severity and whether there is a secondary infectious process involved. Unfortunately, if fat necrosis is present, it may take several months to gradually resolve ( liquefy);  additional surgery may or may not become necessary.

 Again, your plastic surgeon is in the best position to advise you most precisely.

 Best wishes.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 1,051 reviews

8851 Center Drive
San Diego, CA 91942

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.