How to get rid of lumps after procedure in November 2021? (Photos)

Question

So I got my procedure November 2021 and now I have what feels like swollen lumps one on each side of my outer thigh. The right one is not as noticeable as the left and there is a slight purple colors to it. I don’t like them and I don’t know what to do to get rid of them. I massage them every day and I just want them gone.

Alan Gonzalez, MD, FACS · Answer

Hello @Sincere341631, thank you for your question.  Any kind of abnormality about the process must be analyzed, because there is no way to have a treatment if you are not clear about what is going on.  The first step may be to do an ultrasound of the area. The best course of action is to consult one or several board certified plastic surgeon for more information and options tailored specifically to your needs. Best wishes!Alan Gonzalez MD, FACS. American Society of Plastic Surgery Member (ASPS), International Federation for Adipose Therapeutics and Science”  Member (IFATS), Colombian Society of Plastic Surgery member (SCCP)

Emmanuel Mallol Cotes, MD · Answer

Thank you for your question. Based on the picture you appear to be good candidate for a special dominican butt lift which means, remove outer thighs with liposuction, reshape the butt, and provide a better projection. I would suggest to be treated by board certified plastic surgeon with experience in this procedure, to get the best desired results.

Respectfully,
Dr. Emmanuel Mallol Cotes.-

Respectfully,
Dr. Emmanuel Mallol Cotes.-

Daniel Barrett, MD · Answer

Dear Sincere341631,
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

Zoran Potparic, MD · Answer

As you have already heard many times, the most unpleasent fact about  fat grating is their unpredictability! That means that in some areas fat grafts can take better on one side than another. About 10% patients would need secondary surgery to deal with this issue; a combination of conservative localised liposuction with small cannula and fat grafting is usualy the way to treat this problem. Hope this helps.

Malik Abaci, MD · Answer

İn early period of Bbl surgeries massage and manipulation is useful so much. To be honest it is too late for you.

Darryl J. Blinski, MD · Answer

Based on the series of postop posted photos I assume you had a BBL? These "lumps" are fat grating cysts or excess fat injected. It has been since Nov 2021 (over 18 months!) Why have you not seen your operative surgeon or obtained second opinions. The easiest treatment is minor directed liposuction of those areas with specialized taping methods plus aggressive massages. Expect fee in $4,000+ ranges. Best to virutal consult with....

Douglas Taranow, DO, FACOS · Answer

What procedure did you have 17 months ago?  Lipo, BBL??
It appears that you still have fat in the lateral thigh areas which would be amenable for a small liposuction.

Mats Hagstrom, MD (license on probation) · Answer

Delivering consistent quality, Liposuction, and for transfer results is more difficult than most people believe. To make an accurate assessment of the outcome of a procedure we always need to see proper before and after pictures. If you don’t have before, and after pictures and ask your surgeon to forward the pictures they took.
Consider reposting using proper before and after pictures.
Revisions with improvement or possible depending on the circumstances. Revision work so many times more difficult and primary procedures, and patients should keep expectations real. Cellulite is made worse by fat transfer, and this can be a contributing factor.
It’s important to differentiate if the contour is due to poor technique or cellulite, or a combination of both.
Considering that revision work as many times more difficult than Primary Transfer, it is important to choose a sufficiently talented provider.
I suggest all patients have multiple in person, consultations before considering any permanent and irreversible body contouring procedure. During each consultation, ask each provider to open up their portfolio and show you their entire collection of before, and after pictures of previous patients, I had similar body characteristics to your own and experience provider should have no difficulty showing you that before and after pictures of at least 50 previous patients. 
The best providers for doing a Revision Work are the same providers who do the best primary procedures. Palpable nodules are commonly related to fat necrosis. All patients will develop fat necrosis after fat transfer. A significant percentage of the fat injected will not survive. If that is injected, with good technique, minimizing how much fat is injected in any single area, then fat necrosis should not become noticeable with nodules. 
Removing noticeable fat necrosis is technically difficult, and often requires open excision.
Your best option is to find the best provider in my opinion that requires having multiple in person consultations.
Patients should be highly selective when it comes to choosing providers for liposuction and fat transfer procedures. Results from these procedures vary greatly, depending on who you choose. Being board-certified in plastic surgery with years of experience does not mean that somebody has mastered either Liposuction or fat transfer.
Best,
Mats Hagstrom, MD