How can I treat fat necrosis two years after BBL?

Question

Hello I’ve had my bbl about two years ago I have a visible lump and now it’s has been giving pain…I contact my doctor but I’m actually afraid to let him work on my body again because of the unprofessional things I went threw can anyone give me options on who I can get to remove it without particularly involving him

Kenneth Hughes, MD · Answer

Dead fat, unlike living fat, cannot be removed by liposuction, or removal of fat through a cannula by pressure extraction. The dead fat hardened by calcium must be removed in total through an incision in the skin, much like a cyst or a tumor is removed. If the removal is extensive, reconstruction with additional fat grafting may be necessary as well. Thus, the issue of fat necrosis requires an expert skill set to create the optimal result. The goal is both optimal removal of the dead fat while sparing any living adjacent tissue to minimize the overall defect and allow for the best possible reconstruction.

Daniel Barrett, MD · Answer

Dear Gorgeous970691,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went 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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Darryl J. Blinski, MD · Answer

Must obtain a scan of buttock initially to determine size of fat necrosis area. In my experience the method to improve is directed liposuction with small caliber cannula. then some lipo with nano fat graing to area. Expect fees in the $6,500.

M. Shuja Shafqat, MD · Answer

Good morning,
It is difficult to tell without an in person examination. Typically areas of fat necrosis that have not improved in 2 years would need to be removed. This can leave a divot and a scar. Depending on how things heal, you can have fat transfer again to correct it but it is a challenging issue. 
You would need to be seen in person by a board certified plastic surgeon to determine your options. Good luck!

Douglas Taranow, DO, FACOS · Answer

You have basically two options:
One is to inject steroids into the lump;  up to three injections 4-6 weeks apart
Two, excise the lump under local anesthesia.
Best wishes.
Dr. Taranow

How can I treat fat necrosis two years after BBL?

Answers (7)

Answer: Fat Necrosis

Answer: Fat Necrosis

Answer: Painful Lump

Answer: Painful Lump

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.

How can I treat fat necrosis two years after BBL?

Answers (7)

Answer: Fat Necrosis

Answer: Fat Necrosis

Answer: Painful Lump

Answer: Painful Lump

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.