I had a BBL in 2016 and ever since I had the procedure done. I have these hard lumps in my left butt cheek. The last 3 to 4 weeks one of the lumps has swelled up and feels like it’s filled with liquid and is very sore and painful. It feels like a blister. What are my options to get this removed without having to go through an entire surgery?
January 7, 2025
Answer: Fat necrosis from BBL Dear kayblack92, You are most likely experiencing either an infected fat necrosis or oil cyst. This can occur even years after a BBL, and may progress if not addressed. Fortunately, most of the time it can be effectively managed without surgery. You may need an aspiration if it is fluid filled, and possibly a course of antibiotics. Seek consultation with an American Board of Plastic Surgery board certified plastic surgeon that does a number of BBLs and is familiar with managing this complication. Good luck!
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January 7, 2025
Answer: Fat necrosis from BBL Dear kayblack92, You are most likely experiencing either an infected fat necrosis or oil cyst. This can occur even years after a BBL, and may progress if not addressed. Fortunately, most of the time it can be effectively managed without surgery. You may need an aspiration if it is fluid filled, and possibly a course of antibiotics. Seek consultation with an American Board of Plastic Surgery board certified plastic surgeon that does a number of BBLs and is familiar with managing this complication. Good luck!
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January 8, 2025
Answer: How to get rid of these lumps from BBL 9 years ago The lumps you describe are most likely fat necrosis which represents large amounts of fat that did not survive after the procedure. Necrosis is avoided by using careful technique, flying all grafted fat carefully, and not injecting too much in any single area. Once fat necrosis has formed, it can either be removed with the direct surgical incision or if the fat has become liquid, it may be able to be drained. Sometimes when grafted fat dies, it becomes an oil cyst that can be drained. Draining fluid it’s probably best done by an interventional radiologist. If you think it’s a fluid collection, then you can ask your primary care doctor to refer you to an interventional radiologist. if the lumps are causing pain, this may be covered by medical insurance. Best, Mats Hagstrom MD
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January 8, 2025
Answer: How to get rid of these lumps from BBL 9 years ago The lumps you describe are most likely fat necrosis which represents large amounts of fat that did not survive after the procedure. Necrosis is avoided by using careful technique, flying all grafted fat carefully, and not injecting too much in any single area. Once fat necrosis has formed, it can either be removed with the direct surgical incision or if the fat has become liquid, it may be able to be drained. Sometimes when grafted fat dies, it becomes an oil cyst that can be drained. Draining fluid it’s probably best done by an interventional radiologist. If you think it’s a fluid collection, then you can ask your primary care doctor to refer you to an interventional radiologist. if the lumps are causing pain, this may be covered by medical insurance. Best, Mats Hagstrom MD
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