Fat Necrosis and Fibrosis After Buttock Augmentation? (photo)

Thank you for your question.  Fat necrosis can occur after any fat transfer surgery.  Fat necrosis may improve over time, but there can be some areas that will not absorb.  Discuss your concerns with your surgeon.  Best wishes.  

Thank you for your question! You will have many questions post BBL, just make sure you address these issues with your plastic surgeon.  Best of luck!Dr Dhaval PatelDouble Board Certified Plastic Surgeon Chicago Hoffman Estates Oak Brook

The treatment of fat necrosis might be challenging but breaking the fibrosis and caveating the area would be the only solution. on the other hand, a second round would proceed

Fat necrosis is not uncommon after Brazilian Butt Lift. As with any fat transfer surgery, where fat cells are harvested from donor areas and injected into the areas we want to enhance, not all the fat cells survive. The fat cells that are unable to create new blood supply die and are absorbed into the body.
In your case, if the lumps and hardness you feel are due to fat necrosis, you may require liposuction or a surgical excision to remove them. A Brazilian Butt Lift may also be repeated to perform the necessary correction and further augmentation, if you desire it. I recommend speaking to your surgeon regarding your concerns and what they advise for correction. 

Fat necrosis probably happens in 100% of patients undergoing fat grafting in any part of the body regardless of the surgeon performing the task as it is impossible for 100% of the fat to survive but most of the time it can only be seen on an MRI and not visible to your eye or to the touch.Other times there can be fat necrosis for a variety of reasons that is visible or you can feel it and in my experience it can take many years to disappear and other times it will not resolve on its own and needs to be excised or cut out.I don't have experience with mesotherapy directly, but from what I know, I would just be careful as that treatment can also cause fat necrosis! Also, it is designed to kill fat and not necessarily remove dead fat. The dead fat is calcified and may best be removed directly.

This looks like bruising after the injection. Please follow up with your doctor as these issues require the attention of a plastic surgeon.

If the lumps and hardness is due to fat necrosis. They may not respond to mesotherapy or accoustic wave therapy.

An MRI will confirm if it is fat necrosis. Then through physical exam will decide if liposuction will remove it or direct surgical excision and subsequent repeat of the Brazilian Butt Lift for correction of deformity and further enhancement