I have a fatty necrosis on my breast. Should I be concerned? Breast implants 4 years ago.

Question

I’ve had implants now for 4 years, after a recent ultrasound and mammogram that I had just as a check up, a fatty necrosis has been found . I’m going to see my surgeon in a couple of weeks to discuss this. Is this something I should be worried about, will I have to have my implant removed? I’m also wondering if I could of had this for years and not known. I cannot feel the lump.

Matthew C. Camp, MD · Answer

Fat necrosis usually happens as a result of trauma to the tissues. It is not in and of itself dangerous. Fortunately, the calcification pattern from fat necrosis is easy to distinguish from the pattern seen in breast cancer. If this is of concern, I hope this sets you at ease. I do not think that the fat necrosis is an indication for removal of the implants. Just check your surgeon's qualifications, and if you are not satisfied with his expertise, seek a second opinion. Best wishesMatthew C Camp MD

Richard Bloom, MBBS (Hons), FRACS · Answer

Hi there and thanks for posting,If you havent noticed any changes in your breast shape or feel and the radiologist is happy that it is fat necrosis then there is nothing to worry about.Great idea going back to your surgeon for a check up though. Always the best place to start.Best wishesRichard

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