Can I get my fat necrosis removed and a complete BBL revision? Who is the best surgeon that can fix my issues? (Photo)

Fat necrosis is a very real complication after liposuction or fat grafting. It’s a biologic process and can be very capricious. It doesn’t necessarily mean that you’ve been botched. Preoperative pictures would be helpful to know where you started. Once scarring sets into a grafted area like the buttocks, it can be tricky to completely remove without creating further aesthetic issues. See multiple surgeons who do procedure a lot and get more than one opinion. The application of powered blending and infusion as developed by Dr. Simeon Wall may be part of your answer

If you want us to address the outcome of a procedure you need to post before and after pictures. If you don’t have before pictures ask the surgeon to forward the ones they took before your procedure.

It looks like your abdomen, love handles and waste were relatively well treated. The term abdomen 360 does not necessarily include the back. I typically use the term “full torso“ which technically includes upper abdomen, lower abdomen, love handles, waist, back and under arm area to describe the full treatment of the torso.

Patients to have mild skin laxity often have some hang after belly button. You’ll see that this area probably improves significantly if you pull on the skin above your belly button making your skin tight.

Do you have some cellulite and is often is made worse from fat transfer. In a perfect world this is discussed during an in person consultation.

Areas of fat necrosis can be excised. The size of the incision depends on the size of that necrosis and how deep it is.

Well you may not be perfectly thrilled with your outcome it is a fairly good outcome, probably better than average and it is certainly not botched.

It’s up to each individual to review in detail before the surgery exactly what areas are going to be included and not included in the procedure.

The term abdomen 360 does not imply including the back though for some providers it does to some degree.

I do not recommend having fat transfer at the same time as excising fat necrosis. That necrosis should be excised first and then patients should be allowed to heal fully for a minimum of 3 to 6 months before having another procedure.

Follow up with your provider and discuss your concerns with him or her.

Best,

Mats Hagstrom MD