I have fat necrosis, what should I do? It's painful when sitting or lying the right. Cheek w/ the necrosis is very large.(photo)

Question

Had a CT Scan done which verifies that I have a large disc-shape area of fat necrosis that is 5cm of thickness and 15cm in diameter due to trauma or injection. My right cheek is larger and unportion than the left cheek. Will removal of the fat necrosis make my cheeks even and portioned. Why did the size of my right cheek change dramatically?

Erika Sato, MD, FACS · Answer

It is always best to see your PS and ask them for their recommendations. Fat necrosis will usually run its own course. Fat necrosis usually feels hard to touch. Over time your body can absorb the fat necrosis and that side of your buttocks will shrink. Because you have a lot of swelling and pain, please see your PS to make sure you don't also have an infection. If it does not run it's own course, the fat necrosis can be liposuctioned out, but this could lead to worsened asymmetry or a frank defect in that buttock.

Erica Anderson, MD · Answer

Fat necrosis can occur after fat grafting to the buttock if the grafts are not spread evenly over the treated area or too many grafts are placed in an attempt to make a very large buttock. If it is painful to sit, I would recommend removal though it would mean a scar placed on your buttock. Time may soften the area as well so it is not unreasonable to wait before addressing. It just depends on how much pain you are in. I recommend you discuss further with your surgeon. Best of luck .

I have fat necrosis, what should I do? It's painful when sitting or lying the right. Cheek w/ the necrosis is very large.(photo)

Answers (2)

Recommended reading

Everything you need to know about Brazilian Butt Lift

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

I have fat necrosis, what should I do? It's painful when sitting or lying the right. Cheek w/ the necrosis is very large.(photo)

Answers (2)

Browse related questions

Recommended reading

Everything you need to know about Brazilian Butt Lift

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