What can cause Liquid fat to bust through my skin, 5 and 6 weeks post op? (photos)

Question

I had a brazilian butt and thigh lift 7 weeks ago. Some fat was injected into my outer thigh areas to fill in some defects. Post op I kept having these low grade temps and ended up taking 3 wks of antibiotics. Week 5 an area in my right outer thigh became extremely painful, the skin started peeling, fluctuant. Went to see the ps and lanced it, with oily fluid came out, no odor. The very next day my right butt started acting the same. Fat started coming out. I saw the ps again, he sent cultures

Carmina Cardenas, MD · Answer

This is a clean and sterile condition where the fat transferred didn't get integrated into the new environment and die. That is not an infection, that is just the body trying to get rid of the necrotic  fat because it may cause more damage if is retained inside of the tissues. Our body was perfect designed. Do not be scared. Once the small amout of fat is not alive is eliminated, the hole will be closed and healed. Antibiotic and cultures are mandatory just to keep you protected. Be encouraged. Dr. Cardenas

Samir Shureih, MD · Answer

Fat transfer to the buttock or any other location is an art and not how much fat one can inject regardless of the art and science.You have fat necrosis and some excess fat is coming out of the skin, could be infected, needs to be cultured for every thing, bacteria, fungus , strange bacteria(takes 6 weeks to grow in cultures). Local  treatment, drainage, and antibiotics. If it can not be controlled with these measures, may need surgery to open and drain.Keep working with your plastic surgeon. any increase in temperature above 102, fatigue, abscess formation should be dealt with immediately, must have the doctor's home number and cell numberGood luckPlease show these pictures to those who post wanting 1000-2000 cc of fat transferred to the buttocks without regards to the science.

Maan Kattash, MD, FRCS, FACS - Account Suspended · Answer

This fluid could be either a seroma, fat necrosis (dead liquified fat) or pus (due to infection). The former 2 , do not cause pain or tenderness. Cultures may not yield anything, if you are already on antibiotics.They have been already drained and cultures taken. Majority of times, these are small and no defects are left behind to warrant further intervention. I recommend you wait at least 3 months after cessation of the drainage to judge any potential future contour deformities. Good luck.

What can cause Liquid fat to bust through my skin, 5 and 6 weeks post op? (photos)

Answers (3)

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.

What can cause Liquid fat to bust through my skin, 5 and 6 weeks post op? (photos)

Answers (3)

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.