Large lump after breast fat transfer - what is the best course of action for this?

Question

3 months after my breast fat transfer, I noticed a large, firm lump in one of my breasts. 5 months post-op, my surgeon attempted to drain it while doing a second fat transfer (the first one didn't take). I am now almost 7 months post op (from my initial procedure) and one month after my 2nd procedure. The lump is still there, and it is now painful anytime I move my arm a certain way. Will massaging it help? If not, what would be the best course of action to take for this?

Daniel Barrett, MD · Answer

Dear Lisa172,
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 or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Ronald J. Edelson, MD · Answer

This is one of the problems with fat transfer. The breast getting lumpy. It should improve with time but I also think you should consider getting a mammogram to be on the safe side

Bryan Curtis, MD · Answer

A large lump following breast fat transfer could potentially indicate several issues, including the formation of a seroma (accumulation of fluid), hematoma (collection of blood), or adipose tissue necrosis (death of transferred fat cells). Here's a recommended course of action:1. Consultation with the Surgeon: The first step should be to contact the plastic surgeon who performed the fat transfer procedure. They will be familiar with your medical history, the specifics of the surgery, and any potential complications that may have arisen. They can provide the most accurate assessment and guidance based on their expertise.2. Physical Examination and Imaging: The plastic surgeon may conduct a physical examination to assess the lump and may recommend imaging studies such as ultrasound, MRI, or mammography to further evaluate the area. These imaging studies can help determine the nature and extent of the lump.3. Treatment Plan: Depending on the cause of the lump, the plastic surgeon may recommend different treatment options:• If it's determined to be a seroma or hematoma, drainage may be necessary to remove the accumulated fluid or blood.• If adipose tissue necrosis is suspected, the lump may resolve on its own over time as the body reabsorbs the dead fat cells. In some cases, the plastic surgeon may recommend massage or other techniques to aid in the resolution of the lump.• In rare cases where there are concerns about infection or other complications, surgical intervention may be necessary to address the issue.4. Follow-Up: It's important to follow the plastic surgeon's recommendations for post-treatment care and attend any follow-up appointments to monitor the healing process. This allows for early detection of any complications and ensures proper management.5. Patience and Monitoring: Recovery from complications following breast fat transfer can take time, and it's essential to be patient and allow the body to heal. Keep the plastic surgeon informed of any changes or concerns during the recovery process.Overall, prompt communication with the plastic surgeon and adherence to their recommendations are crucial for addressing and resolving any issues that may arise following breast fat transfer surgery.

Connie Hiers, MD, FACS · Answer

I would first get an ultrasound or mammogram to make sure this is fat necrosis and nothing else. Then, it may need to be surgically removed since if it is fat necrosis which is not liquid. Otherwise, you can keep it and keep an eye on the area that nothing else pops up near it.

George Lefkovits, MD · Answer

I am not surprised that draining the lump didn't help because these lumps after fat transfer are usually masses of fibrous scar tissue. They may improve with time ( although not a high probability). Injection of steroids into the mass may help. And, sometimes actual surgical removal may be necessary. You should discuss this with your plastic surgeon. Good luck!

Large lump after breast fat transfer - what is the best course of action for this?

Answers (7)

Answer: Lump

Answer: Lump

Answer: Large lump after breast fat transfer - what is the best course of action for this?

Answer: Large lump after breast fat transfer - what is the best course of action for this?

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Everything you need to know about Breast Fat Transfer

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Large lump after breast fat transfer - what is the best course of action for this?

Answers (7)

Answer: Lump

Answer: Lump

Answer: Large lump after breast fat transfer - what is the best course of action for this?

Answer: Large lump after breast fat transfer - what is the best course of action for this?

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Recommended reading

Everything you need to know about Breast Fat Transfer

Our mission is to create a world where every investment in modern beauty is Worth It.