How to get rid of these lumps from BBL 9 years ago (photo)

I’m sorry you’re going through this – it sounds uncomfortable and frustrating. What you’re describing could be fat necrosis, fluid collection (seroma), or even an infection. Sometimes, areas of transferred fat can harden or develop cyst-like pockets over time.
Non-surgical options might include: • Aspiration or drainage – If it feels fluid-filled, a provider may be able to drain it with a needle. • Steroid injections – These can help reduce inflammation and soften the lump. • Ultrasound or radiofrequency treatments – These can break down hardened fat or scar tissue.
If infection is suspected, antibiotics may be needed. If the lump persists or worsens, a minor surgical procedure to remove the area may be the best long-term solution. I’d recommend seeing a surgeon experienced in BBL revisions to evaluate it further. You deserve to feel comfortable and confident in your results!

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