Removal of fat necrosis from BBL?

The dead fat hardened by calcium must be removed in total through an incision in the skin, much like a cyst or a tumor is removed. If the removal is extensive, reconstruction with additional fat grafting may be necessary as well. Thus, the issue of fat necrosis requires an expert skill set to create the optimal result. The goal is both optimal removal of the dead fat while sparing any living adjacent tissue to minimize the overall defect and allow for the best possible reconstruction. Return to the plastic surgeon who performed your BBL for an evaluation.

Dear QnMari,
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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Significant amount of grafted fat resorbs, dies and, in some instances, leave deep scars and cyst filled with oil. Larger one are visible and palpable and may need treatment. It would be in your best interest to discuss this issue with your surgeon. Sometimes cyst may be aspirated if close to surface or scanned with ultrasound and aspirated by radiologist. You may also leave it alone and do some over-grafting in that area if there is visible deformity. Good luck.

You need to follow up with the plastic surgeon who did your procedure it. He or she is responsible for the outcome of your surgery.

If by chance that Dr. is far away and then traveling for postop appointments as part of what you sign up for when you’re traveling for the elective procedure.

You can also have consultations with local board-certified plastic surgeons but at that point you’re responsible for paying for the care including the consultation.

Typically the only realistic option for ASL fat necrosis is direct surgical excision which will leave it as small to moderate size scar. Depending on how much fat necrosis and what the tissue around it looks like it may or may not leave a defect.

Only the area off at the cross is it south needs to be removed and no surrounding tissue.

At this point it is no longer infected or highly unlikely to be so.

Significant fat necrosis comes from poor surgical technique during the procedure.

Best, Mats Hagstrom MD