Can fat necrosis be removed with lipo? (Photo)

Question

Back in 2017 I had 2 rounds of lipo and BBL since the first BBL didn't take well. I developed a lump on the back of my right thigh and my right butt cheek is smaller than the left. Well my PCP scheduled me an ultrasound and it turned out to be a fat necrosis. The thing is, it's in a pocket of liquid not like a regular fat necrosis where it becomes hard. Liquid is just free floating in the pocket. So can I just get it lipo'd out or with like a syringe? Or does it have to be surgically removed?

Jason Emer, MD · Answer

I suggest a consult if this is scar tissue it may need to be removed surgically or with revision liposuction. sometimes internal heating helps.  Best, Dr. Emer.

Johnson C. Lee, MD · Answer

Sometimes after a BBL the fat joins together and creates a fluid pocket of fat and oil that your body puts a scar capsule around. This looks like a lump under the skin. Since your surgery was several years ago, it is likely that you may need additional surgery to address the scar capsule that was actually formed. Occasionally, a simple drainage of the fluid will be enough but usually after such a long time, the capsule is thick and fluid will build up in it once again. In these cases, the capsule will need to be removed or stuck down so there is no empty space or pocket for fluid to collect. Hope this helps!

Johnson C. Lee, MD
Board-Certified Plastic Surgeon

Mats Hagstrom, MD (license on probation) · Answer

Oil cysts can be removed with aspiration using a large needle or cannula.

I suggest you follow up with your plastic surgeon who did the procedure.

Best,

Mats Hagstrom MD

Frederic H. Corbin, MD (license restricted) · Answer

Thank you for the question and it maybe able to be aspirated but an examination is really needed.  So see your surgeon and/or other expert in the area and compare recommendations after a full examination

Dr Corbin

Can fat necrosis be removed with lipo? (Photo)

Answers (4)

Answer: Fluid

Answer: Fluid

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Can fat necrosis be removed with lipo? (Photo)

Answers (4)

Answer: Fluid

Answer: Fluid

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Everything you need to know about Liposuction

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