Fat necrosis with pain. What are my options? (photos)

Is it common for fat necrosis post-reduction to be painful? I had a reduction June 15th. My R breast has two large areas of necrosis, that are visible and make the breast look deformed. I am having difficultly lifting my arm above my head, stretching or reaching with the right arm, as the pain is quite severe. One area is above my nipple, larger than a golf ball, and lifting my breast up from the chest wall. I have been massaging for months, with no real change. What are my options?