Hi I Had a Bbl 12 Weeks Ago I Have a Soft Lump on my Left Butt Cheek is This Fat Necrosis? (photo)

It’s not unusual for patients to note asymmetry in the
post-operative period. This problem can be caused by a variety of factors including
fat necrosis. Immediately after surgery the most likely cause is differential
swelling. When asymmetry persists for longer periods of time, structural causes
should be considered. Following Brazilian butt lift surgery the most likely
structural causes are fat necrosis and asymmetric fat collections.It
typically takes time for fat necrosis to develop. When it does occur, the area
is characterized by a hard palpable lump. In contrast asymmetric fat grafting
is characterized by a diffuse fullness which is noted once swelling has
resolved.The
diagnosis typically becomes clear with the passage of time. In some cases, it
may take up to six months to become clear. Under these circumstances, it’s
important to be patient.It’s also
important to consult a surgeon who can clarify the issue with a physical
examination. Once this has occurred appropriate treatment can be instituted.

Thank you for your question! The hard lump is probably a larger area of fat graft as fat necrosis takes time to become noticable. If you have furtheir questions make sure you go see your plastic surgeon to address your concerns.  Best of luck! Dr Dhaval PatelDouble Board Certified Plastic Surgeon Chicago Hoffman Estates Oak Brook

It is impossible to say what that lump is without examining you.  The plan of a touch up liposuction and fat grafting should solve your concerns.

I would wait a little longer and some of the fat uneveness will even out.  The hard lump is probably a larger area of fat graft as fat necrosis takes time to become evident.  Small little tweaks are not uncommon with liposuction so I would not hesitate to discuss this with your surgeon.  Best wishes!!

   The lump may be fat necrosis, but this will usually resolve.  However, I must say that as common as one would think this would be after Brazilian buttlift, I do not see it very often.  With regard to the other issues, I think you have a nice result.  However, I cannot fully evaluate without preoperative pictures.

The lump that you are referring to could definitley be some fat necrosis. With time it may go away or it may not. I would wait at least another 3 months before having another procedure. 12 weeks after surgery, you are still swollen so the asymmetry could correct itself.

A hard lump can certainly be fat necrosis. While people are often concerned with fat necrosis after a BBL, this usually results in fat loss, not hard lumps. You should see yoru surgeon and see what he/she thinks. You may benefit from additioanl fat transfer for asymmetry. Make sure yoru surgeon is a board certified plastic surgeon.

That may be a good solution. Please follow up with your doctor as these issues require the attention of a plastic surgeon.

During the fat grafting process, the same amount of fat is
usually transferred to each side.  After
the fat is transferred the majority of the fat cells will attach to the blood
supply and become part of the tissue in your buttocks.  However if one side retains 70% of the
transferred fat and the other side retains more or less than 70% of the
transferred fat asymmetry of the buttocks could occur.  At 12 weeks you could still be a little
swollen so I would recommend giving yourself a couple more months before having
a repeat procedure.  If a repeat transfer
is needed your plastic surgeon could liposuction your hip areas to contour the
areas that you are concerned with.  In
regards to the small lump you describe it could possibly be fat necrosis but
without a physical exam it is hard to say. Small amounts of fat necrosis can resolve
themselves but I would recommend scheduling some time with your plastic surgeon
to have that area evaluated. Be well and good luck!@norrisplastic

Hello,

Thank you for the question and the photos.  The "lump" may be fat necrosis but it may also be viable fat just in too much quantity in one area.  Since you noticed this from the begining the second scenario is certainly possible.  The good news is that it does not appear to be infected.  You have several options including waiting longer to see what happens with additonal healing, liposuctioning the lump area, or providing additinoal fat in the smaller buttock half.

All the best,

Dr Remus Repta