Hi all, I’m interested in getting fat transferred to my breasts (more for fullness and less for a size change). I’ve seen some reviews where women have mentioned that they developed oil cysts, calcification and other lumps. Roughly what percentage of cases result in lumps (how common is this)? Is there a time period in which an oil cyst might appear? Will this be a persistent concern or would I be “safe” after a time period? And does post-op weight change increase the likelihood of oil cysts?
Answer: Concerns about breast fat transfer The chance of developing labs or oil cysts is dependent on the technique used during fat transferred If that is diffusely grafted through the breast tissue no single particle or collection of grafted fat will be sufficient to make a clinical oil cyst or palpable mass. If however someone puts too much fat in a single place without diffusely spreading out the grafted fat fat necrosis will occur with a collection of fat that will liquefy and not be absorbed. It’s not so much a random chance with a statistic as it is directly related to the technique used by the surgeon. That needs to be grafted meticulously in discrete lines through discrete layers that are predicted and planned in a meticulous manner not just randomly injected. When done correctly it’s a non-issue. Regardless there can be mammogram changes even with the best technique. My practice has been devoted exclusively to Liposuction and fat transfer for over a decade. I’ve had many years to figure out what works and what doesn’t. Fat transfer is a reasonably good at giving overall volume improvements but is not particularly good at changing the shape of the breast. Best, Mats Hagstrom MD
Helpful
Answer: Concerns about breast fat transfer The chance of developing labs or oil cysts is dependent on the technique used during fat transferred If that is diffusely grafted through the breast tissue no single particle or collection of grafted fat will be sufficient to make a clinical oil cyst or palpable mass. If however someone puts too much fat in a single place without diffusely spreading out the grafted fat fat necrosis will occur with a collection of fat that will liquefy and not be absorbed. It’s not so much a random chance with a statistic as it is directly related to the technique used by the surgeon. That needs to be grafted meticulously in discrete lines through discrete layers that are predicted and planned in a meticulous manner not just randomly injected. When done correctly it’s a non-issue. Regardless there can be mammogram changes even with the best technique. My practice has been devoted exclusively to Liposuction and fat transfer for over a decade. I’ve had many years to figure out what works and what doesn’t. Fat transfer is a reasonably good at giving overall volume improvements but is not particularly good at changing the shape of the breast. Best, Mats Hagstrom MD
Helpful