I had fat transfer to my breasts and now I have this ugly hard lump, about the size of a strawberry that sticks out from my breast and makes me look and feel deformed. I told my surgeon about it and he will remove it but says I could likely be left with an indent which he will not fix with more fat transfer for fear of more necrosis. His solution is a donut breast lift which raises red flags for me. Would I necessarily get necrosis again if I filled the indent with more fat?
June 12, 2023
Answer: Breast fat necrosis and revision It is impossible to say that excising the mass and filling the void with new fat would have the same issues or whether this would work. It's a gamble like all procedures. Certainly worth a try though. Best wishes, Dr. Taranow
Helpful
June 12, 2023
Answer: Breast fat necrosis and revision It is impossible to say that excising the mass and filling the void with new fat would have the same issues or whether this would work. It's a gamble like all procedures. Certainly worth a try though. Best wishes, Dr. Taranow
Helpful
June 12, 2023
Answer: Removal of fat necrosis The chance of having indentation depends on the size of the mass that’s removed and also how much breast tissue you have. For example, if you have breast implants and the layer of breast tissue is quite thin, then removing the area of fat necrosis, may leave and defect. Fat transfer can be successful. Without fat necrosis if good technique is used. There are several variables that need to be addressed. In order for fat transfer to be a viable procedure. One of them is having sufficient host tissue to support the grafted fat. Necrosis happens when the ratio of grafted fat to host tissue is not maintained properly and too much fat is placed in a single area. Consider getting in person second opinion consultations if you have concerns about the competency of your provider. Best, Mats Hagstrom, MD
Helpful
June 12, 2023
Answer: Removal of fat necrosis The chance of having indentation depends on the size of the mass that’s removed and also how much breast tissue you have. For example, if you have breast implants and the layer of breast tissue is quite thin, then removing the area of fat necrosis, may leave and defect. Fat transfer can be successful. Without fat necrosis if good technique is used. There are several variables that need to be addressed. In order for fat transfer to be a viable procedure. One of them is having sufficient host tissue to support the grafted fat. Necrosis happens when the ratio of grafted fat to host tissue is not maintained properly and too much fat is placed in a single area. Consider getting in person second opinion consultations if you have concerns about the competency of your provider. Best, Mats Hagstrom, MD
Helpful