4 weeks post op from fat grafting and breast revision. I'm left with a dent on my back. Is this permanent? (photo)

Hello, I recommend doing the massage as your surgeon suggested.  After three months you will need to decide if the dent remains and then make a plan.  Perhaps there is nearby edema that accentuates the depression.  You can still expect some some improvement.

Thank you for including your photo. One of the more common complications after liposuction is a contour abnormality or dent, as you show in your photo. At this point, fairly aggressive massage per your surgeon's instructions would be an appropriate treatment, and I usually tell my patients to do this at least three times per day for 5 minutes at a minimum for each time. It's sometimes better to have someone else do it for you for at least one of those sessions, as an external person may have a better angle of force. The massage should be fairly aggressive, and often I recommend either using a rolling pin or one of those specialized massager type devices with protruding wooden or plastic "knobs" to get at a deeper level. Some areas can have lumpiness after liposuction from scar tissue or small hematomas. The lumps in your breasts may go away after some time, but I would talk to your surgeon specifically about these. 

Thanks for the question and photo.Rarely does a dent disappear when present for 4 weeks.  Massaging will help around it so continue doing that and it may resolve.  Give it two more months to decide what is permanent and not.  The lumps are normal and will resolved over time.Good luck.Dr T

Good morning and thank you for your question and photo.  It is quite normal to have lumps and bumps etc. for several months after surgery with final result, even from the fat harvested areas, being generally one year post op.  Massaging is the best thing to do, a couple of times a day, usually in a circular motion and with a pressure that is firm but not painful.  Always be sure to be checking in with your plastic surgeon to have your progress tracked and best of luck!Dr. K.