What are the solutions for large fat necrosis in breast from fat transfer

Question

I had a breast fat transfer and it's been about a year and my left breast has a large fat necrosis that takes up a lot of my upper breast. I don't feel pain but sometimes uncomfortable from it. What're some solutions to this?? Will I have to have an invasive surgery and cut into my whole breast? Could it cover over possible breast cancer in the future making it non detectable?? Not sure if these are stupid questions but I'm scared! Need some peace of mind

John Michael Thomassen, MD · Answer

Probably the best treatment would be direct excision.  This can be done from a prior scar to avoid new scarring.

Eric Wright, MD · Answer

If the firm areas are still present after a year, I would recommend obtaining imaging for further evaluation. Fat necrosis has specific findings on imaging. This may also help provide information regarding the size and consistency of firm area. Based upon this, further intervention can be discussed. I would follow up with your surgeon to discuss options at this point.

Dr. Eric J. Wright

Dr. Eric J. Wright

Daniel Barrett, MD · Answer

Dear penguinmaster1001,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Alan Gonzalez, MD, FACS · Answer

Hello @penguinmaster1001, thank you for your question.   Fat necrosis following fat transfer to the breast is a possible consequence that usually manifests as a solid, painless mass in the breast. You should consult with your surgeon so that you can receive the best therapy possible; he can provide you specific recommendations according to your case. The aproach to fat necrosis is determined by the size, location, symptoms of the patient, and personal preference. Best wishes! Alan Gonzalez MD, FACS.  American Society of Plastic Surgery Member (ASPS), International Federation for Adipose Therapeutics and Science Member (IFATS), American Society of Plastic Surgery Member (ASPS), Colombian Society of Plastic Surgery member (SCCP).

Ronald J. Edelson, MD · Answer

It depends on your symptoms and examination. I would go back to the surgeon who did it originally. Probably do nothing as long as it’s not infected

What are the solutions for large fat necrosis in breast from fat transfer

Answers (5)