Why do I have hard (marble size) balls In my butt after BBL?

Question

I had my BBl in December 2015. About 4 months post op I felt these small marbel size balls underneath the skin of my butt. There were at least 5 in each butt check. They didn't hurt but I called my PS and the nurse said to massage my butt. I did that and I'm 8 months post op and not only has that NOT worked but the balls hurt now & I can't sit down for more than 5 minutes without being uncomfortable. My Gyno felt them & said they are very hard, massages will not work & I will need a cat scan.

Mansour Bendago, FRCSC · Answer

Hi There,Most likely you have scarring, or granuloma formation around the injected/transferred fat. It could be due to your body’s reaction. Sometimes it can be ischemia (lack of blood-flow to the areas of fat transfer). I recommend an ultrasound to diagnose the size and exact location, and then 2 options to resolve this. One would be to do a localised liposuction. The second would be to make an incision and remove them completely. Good luck!

Nathan Kludt, MD · Answer

Thank you for your question. Without a physical exam it is impossible to determine, but they are likely small areas of fat necrosis (dead fat that didn't survive and has now formed little areas of scarring). I would recommend you be seen by a board certified plastic surgeon to help you determine what is going on and what options are available for treatment. Best of luck, Dr. Kludt

Steven Wallach, MD · Answer

The lumps you are experiencing may be fat necrosis. Sometimes these go away over time, massage, and sometimes they require excision.  Best of luck.

Jules Walters, MD · Answer

I suggest revisiting with your plastic surgeon so that he or she can evaluate you.  This sounds like areas of fat necrosis where the fat transfer did not survive.  I doubt that a CT scan is necessary.  See your plastic surgeon first.  Best wishes.

Why do I have hard (marble size) balls In my butt after BBL?

Answers (4)