Lump one year after BBL. How do I fix this? (Photo)

Question

I really want to figure out how to fix this. I had a BBL done a year ago. This lump started to appear after the swelling went down. It is soft to the touch and sinks in(disappears) when I lay down. I went to the surgeon who did the BBL and he injected it with a steroid. It went down a little but came right back and a small white dot appeared. I thought it was a seroma so I went to a dermatologists and was told it was not. Please I need some guidance and feel terrible about it.

Kenneth Hughes, MD · Answer

Hello, thank you for your question. Lumps after BBL could represent fat necrosis. Given that you are a year after surgery, the lump requires an evaluation. The likely treatment would be to excise that block of necrotic fat. Continue to follow up with your board certified PS as the white dot may become less noticeable.

Daniel Barrett, MD · Answer

Dear Alahvee101,I understand your concern. However, without a proper assessment it would be difficult to determine what is wrong. It is best that you visit your plastic surgeon for further assessment. Only after thorough examination you can get proper recommendations and advice.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Douglas Taranow, DO, FACOS · Answer

It is difficult to properly answer this question without a physical exam.  The light area which appeared after the injection is a known side effect of steroid injection (called hypopigmentation).  The lightness will often re-color after several months.  If not, you may have a tattoo artist color it in.
The lump is another issue.  It might be a lymph node or scar tissue.  In the photo it almost looks like excess fat in one area, but if it moves in and out and is firm, does not correlate.
Dr T

Mats Hagstrom, MD (license on probation) · Answer

I suggest you continue to follow up with your plastic surgeon.
Something that compresses and goes away with pressure temporarily is not normal.
If that’s the case this could be a vascular malformation such as a venous malformation.
An examination would certainly help. To diagnose something unusual do you need some type of radiographic study like an ultrasound or potentially MRI.

People who have a flat spot on the lower inner pressure point of your buttocks sometimes fail to get projection in this area from the BBL while the surrounding areas expand nicely.
It would’ve been better if you posted before and after pictures so we can see what it looks like before your procedure.

Regardless I suggest you follow up with your provider.

He or she is ultimately responsible for the outcome of your procedure.

Best,

Mats Hagstrom MD

Linea Nova Body Contouring

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Lump one year after BBL. How do I fix this? (Photo)

Answers (4)

Answer: Concerns regarding outcome of BBL

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