Depending upon the extent of fat necrosis, it may require nothing to requiring surgery to remove the firm tissue.
Fat necrosis occurs when the fat does not have good blood supply, hardens and can calcified. It is often palpable because of these calcifications. It is not always visible. Fat necrosis can occur with many different types of surgery not only fat grafting. Often early treatment would be massage to soften and improve the appearance. In extreme cases excision can be done. Necrosis is a scary term but this is not dead or decaying tissue inside of you that must be removed. Discuss this your surgeon as to what approach is best for you.