Breast augmentation after fat transfer - could necrotic tissue be removed? (Photos)

Hello, I had a breast fat transfer at 20 years old to help fix my tuberous breasts and the plastic surgeon also cut some of the constricted tissue to improve the shape. l was reasonably happy afterwards but knew it might take 2 rounds to have my ideal breasts around the one year mark I noticed a hard lump that has since been diagnosed by breast ultrasound as fat necrosis likely due to my surgery so that has completely changed my plans. I will not be getting another fat transfer but my questions are if I go the breast implant route will a surgeon be willing to remove the necrotic tissue at the same time he gives me implants? This is a large, noticeable lump. It has been almost 4 years since surgery but I am now single and have lost about 30 pounds that I had gained after surgery so it’s more bothersome now. Also, I have a stomach tattoo that complicates things. If i get breast implants without a lift will my stomach tattoo end up on my breasts? Do I need a lift?