Fat Necrosis vs. Seroma? What can be done to get rid of them? (Photo)

Thank you for your query. Your Radiologist and Plastic surgeon can check the lumps out, although the images look more in favour of seromas. A fine needle aspiration under ultrasound guidance can clarify the situation. All the best!

With the fluid consistency seen on US, it is likely a seroma. At this point, there would be formation of a capsule around any collection, which would take excision to completely eliminate. You could try for aspiration of the fluid and compression, but that is less likely to solve the problem and recurrence is almost a certainty. Thanks and great question!

Based on your description and the attached ultrasound photos and radiology report, it's crucial to differentiate between fat necrosis and seroma to determine the appropriate treatment plan.
To definitively diagnose whether the lumps are fat necrosis or seroma, your surgeon may recommend further diagnostic tests such as fine needle aspiration (FNA) or biopsy. These procedures can provide samples of the affected tissue, allowing for histological examination to confirm the diagnosis.
As for the technique used to address the lumps, the approach will depend on the diagnosis and the size and location of the lumps. If the lumps are confirmed to be fat necrosis, surgical excision may be necessary to remove the affected tissue. Alternatively, if they are determined to be seromas, drainage procedures such as needle aspiration or surgical drainage may be performed to remove the accumulated fluid.
Since the lumps are palpable but not painful, it's important to discuss with your surgeon the potential risks and benefits of each treatment option, as well as any possible implications for your overall breast aesthetics and function.
I recommend scheduling a follow-up appointment with your surgeon to review the ultrasound findings and radiology report in detail, discuss the diagnostic and treatment options, and formulate a personalized plan tailored to your needs and preferences.