Does Post-op Fat Necrosis of Breast Tissue Usually Resolve?

It’s not unusual for patients who undergo breast lift or
breast reduction surgery to develop areas of fat necrosis. This occurs when
globules of breast tissue lose their blood supply and undergo necrosis. This
results in lumps and bumps beneath the skin which are well circumscribed.These lesions are often the source of significant
anxiety and for this reason are rigorously investigated. It’s not unusual for
patients to undergo ultrasound and mammography to evaluate these lumps.In the vast majority of patients who have fat necrosis,
resolution occurs without surgery. These lesions induce an inflammatory
response which results in their dissolution. In some cases massage may be
helpful, but even with this maneuver the majority will take 3 to 6 months to
resolve.

Thank you for the question.

Fat necrosis may gradually decrease in size (may even liquefy and drain)  spontaneously. Other times, resection of the unhealthy tissue is necessary. If resection is undertaken it should be done in a conservative fashion avoiding removal of surrounding healthy tissue.

 I hope this helps.

Fat necrosis (dead fatty tissue) can develop in breasts after an augmentation and lift.  If these areas become symptomatic (painful) you may consider having your surgeon biopsy or remove the tissue.  If there appears to be changes on your mammogram that are suspicious, you should also have these areas biopsied.  It is not unusual for this to happen after surgery as it is caused by a disruption in the breast's blood supply.

Consult with a board certified plastic surgeon for a complete examination and review of your treatment options.

Best wishes,

Dr. Bruno