Fat necrosis from fat transfer to breast showing through, will it cause a dent?

Question

I had a breast reduction, lift & fat transfer to upper pole when implants were causing sagging(implants removed, revision was the fat transfer) it’s now been a year later and I still have two big lumps in left breast that do stick out through the skin. It is not noticeable in cleavage or to anyone looking at me but when I’m naked you can tell and I can feel. It’s been determined it’s only fat necrosis but it bothers me. Dr. Says if he removes it will cause a dent where necrosis was. What do I do

Trevor M. Born, MD · Answer

Dear Carm0624Thank you for your question.  The lumps can be removed with SAFE lipo.With Warm RegardsTrevor M Born MD

Urmen Desai, MD, MPH, FACS · Answer

I recommend an in-office examination as well as a detailed discussion with a surgeon who you are comfortable with.   Finally, make sure your surgeon is a Double-Board Certified Plastic Surgeon certified by the American Board of Plastic Surgery (ABPS), a member of the American Society of Plastic Surgery (ASPS), a member of the American Society of Aesthetic Plastic Surgery (ASAPS), and a fellow of the American College of Surgeons (FACS).Best,Dr. DesaiBeverly Hills Institute for Aesthetic Plastic SurgeryHarvard Educated, Beverly Hills & Miami Beach TrainedDouble Board-Certified, Double Fellowship-Trained Beverly Hills Plastic Surgeon

Charles Nduka, MD · Answer

It would be difficult to give an accurate assessment without an in-person examination. Fat necrosis could either resolve on its own or spread through healthy cells, which becomes a bigger problem. Liposuction may be an option but it might leave a dent on the skin surface depending on the amount of fats removed. A second opinion is never a bad option.

Douglas Taranow, DO, FACOS · Answer

Thanks for your question.  Sorry you are still experiencing issues with your procedure so far post op.I would suggest interviewing several Plastic surgeons (don't rely only on credentials, but make sure they are board certified in Plastic Surgery).  I would like to see you before making any plans.  Many times, I have injected a mild steroid into the firm area which softens it without making a dent.  It is much less invasive and inexpensive than surgery.Best of luck in your search for a viable treatment.Dr T

Andrew T. Cohen, MD, FACS · Answer

i would remove the fat necrosis.   Best to remove any infected or tissue that is hurting you .  If there is a dent it still is better than the fat necrosis.  Also fat grafting can be done to help improve the dent. Best to see a board certified plastic surgeon.   Good luck

Fat necrosis from fat transfer to breast showing through, will it cause a dent?

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Fat necrosis from fat transfer to breast showing through, will it cause a dent?

Answers (5)

Answer: Fat necrosis

Answer: Fat necrosis

Answer: Fat necrosis

Answer: Fat necrosis

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Everything you need to know about Breast Reduction

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