1 year question after breast reduction; marble sized knot at the Center of the T closure?

1 year post op after breast reduction I have a marble sized knot at the Center of the T closure. I had it ultrasound which they wanted to do a biopsy. The needle aspiration came back fluid filled sisk with fatty narcosis. Grown this yr from 1.4 cm to 2.3 cm, now I will do core biopsy next wk. is it normal after having breast reduction surgery to start having lumps that grow? What is happening to cause this

Doctor Answers 6

Fat Necrosis

It sounds that you may have some fat necrosis in your healing breast reduction surgery.

These are not serious, but need excision to remove them.

Marin Plastic Surgeon
5.0 out of 5 stars 18 reviews

Fat necrosis

Fat necrosis can occur with any surgical procedure. This is not that uncommon. Best of luck.............

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 28 reviews

Fat necrosis

It may be easiest to consider removal of this just to 100% confirm what it is. It is likely to be related to scar tissue / fat necrosis and it will also take away the underlying concerns you have. 

Gary L. Ross, MBChB, FRCS
Manchester Plastic Surgeon
5.0 out of 5 stars 164 reviews

Lesion one year after breast reduction surgery?

I am sorry to hear about the problem you are experiencing but I am happy to hear that you are undergoing a workup and biopsy. In other words, best not to assume that the lesion is  related to the previous breast reduction surgery.

 Having said that, it is most likely that the results of the biopsy will show fat necrosis plus/minus scar tissue.

 Best wishes.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 1,486 reviews

Fat necrosis

It is sensible to have a core biopsy, but this sounds like an area of fat necrosis which then does feel harder than the surrounding tissues. The fat dies back when it does not have enough blood supply, and the area furthest from the original blood supply of the breasts is the tissues around the T closure, so is a more common area for fat necrosis to occur.

Anthony Barabas, MBBS
Cambridge Plastic Surgeon
5.0 out of 5 stars 19 reviews

1 year question after breast reduction; marble sized knot at the Center of the T closure?

During the healing from a breast reduction, some small areas may not have adequate blood supply to heal normally and heal by scarring (fatty fibrosis/necrosis). They can also form these fluid filled cysts that you describe. Your body will normally work to resolve these areas and remodel them into normal tissue, although this can take up to 2 years, and even then some scarred areas may remain.

Nevertheless, it's always appropriate to rule-out any possible tumor growth and biopsy is clearly indicated.

David Dellinger, DO, FACOS
Austin Plastic Surgeon
5.0 out of 5 stars 21 reviews

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.