Hi, I had lipofilling after explantation 3 years ago. Unfortunately I developped oil cysts. What could be the cause? I went to another surgeon and he told me that fat transfer to the breast is not safe because it may cause cancer. Is that true? Another surgeon told me that research had proven that the fat disappears after Some time. What is your experience? Thanks
November 25, 2023
Answer: Oil cysts, after fat grafting The development of oil cysts or palpable fat crosses is usually a sign. The procedure was not done correctly. This sometimes happens when too much fat is grafted close together. The complication is technique dependent. Having had a previous fat transfer is not going to increase your chance of developing breast cancer. Having fat grafting to the breast, can potentially be visualized on mammogram testing. So far to my knowledge radiologist I’m not concerned about the ability to differentiate the signs of fat necrosis compared to the appearance of breast, cancer, and mammograms. still, theoretically, anything that causes a change in your mammogram reading, could theoretically be viewed as an undesirable event. in reality, I’ve never heard of someone’s breast cancer being missed because they had breast fat transfer. I do know there are patients I may have ended up having breast biopsies because of mammogram changes or lumps, noticed after fat grafting. Delivering consistent quality, liposuction and fat transfer results is much more difficult than most people realize. The number of plastic surgeons who truly mastered this procedure are in a small minority. Anybody considering breast fat transfer should be highly selective when choosing providers.This may require having a significant number of consultations to properly, vetting plastic surgeons regarding Skillin experience during those consultations I generally encourage any patient seeking this or any other plastic surgery procedure to schedule multiple in person consultations before choosing a provider or scheduling surgery. During each consultation, ask each provider to open up their portfolio and show you their entire collection of before and after pictures of previous patients, who have similar body characteristics to your own name. Look very carefully at both Liposuction and fat transfer outcomes. Fat transfer can be a bit deceptive because early results can look very impressive but early results do not represent final results. Because of a drastic change in outcome patients see during the first three months after fat grafting they should always confirm that when reviewing before and after pictures, the after pictures were always taken a minimum of three months, but preferably six months or longer from the date of the procedure Never is sermon when reviewing before, and after pictures of the after pictures represent mature, long-term outcomes. It’s unfortunate providers would show early results as their outcomes for this procedure since doing so highly misleading, and creates a false sense of optimism in regards to what this procedure can, and cannot accomplish. Oil cysts are not that difficult to manage and can be drained either by a plastic surgeon in their office or better yet by an interventional radiology. Having oil cysts if they’re not causing problems for you isn’t all that big of a deal. When getting second opinions, make sure you’re consulting with plastic surgeons who have extensive experience with fat grafting. Best, Mats Hagstrom, MD
Helpful 1 person found this helpful
November 25, 2023
Answer: Oil cysts, after fat grafting The development of oil cysts or palpable fat crosses is usually a sign. The procedure was not done correctly. This sometimes happens when too much fat is grafted close together. The complication is technique dependent. Having had a previous fat transfer is not going to increase your chance of developing breast cancer. Having fat grafting to the breast, can potentially be visualized on mammogram testing. So far to my knowledge radiologist I’m not concerned about the ability to differentiate the signs of fat necrosis compared to the appearance of breast, cancer, and mammograms. still, theoretically, anything that causes a change in your mammogram reading, could theoretically be viewed as an undesirable event. in reality, I’ve never heard of someone’s breast cancer being missed because they had breast fat transfer. I do know there are patients I may have ended up having breast biopsies because of mammogram changes or lumps, noticed after fat grafting. Delivering consistent quality, liposuction and fat transfer results is much more difficult than most people realize. The number of plastic surgeons who truly mastered this procedure are in a small minority. Anybody considering breast fat transfer should be highly selective when choosing providers.This may require having a significant number of consultations to properly, vetting plastic surgeons regarding Skillin experience during those consultations I generally encourage any patient seeking this or any other plastic surgery procedure to schedule multiple in person consultations before choosing a provider or scheduling surgery. During each consultation, ask each provider to open up their portfolio and show you their entire collection of before and after pictures of previous patients, who have similar body characteristics to your own name. Look very carefully at both Liposuction and fat transfer outcomes. Fat transfer can be a bit deceptive because early results can look very impressive but early results do not represent final results. Because of a drastic change in outcome patients see during the first three months after fat grafting they should always confirm that when reviewing before and after pictures, the after pictures were always taken a minimum of three months, but preferably six months or longer from the date of the procedure Never is sermon when reviewing before, and after pictures of the after pictures represent mature, long-term outcomes. It’s unfortunate providers would show early results as their outcomes for this procedure since doing so highly misleading, and creates a false sense of optimism in regards to what this procedure can, and cannot accomplish. Oil cysts are not that difficult to manage and can be drained either by a plastic surgeon in their office or better yet by an interventional radiology. Having oil cysts if they’re not causing problems for you isn’t all that big of a deal. When getting second opinions, make sure you’re consulting with plastic surgeons who have extensive experience with fat grafting. Best, Mats Hagstrom, MD
Helpful 1 person found this helpful