Best way to treat fat necrosis 5 years after breast fat transfer? (photos)

Dear sheida66666,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

For a large area, surgery is best to remove the area of fat necrosis. You may then need an implant to restore volume.

Two issues must be addressed: (1) fat necrosis and (2)breast asymmetry

Fat necrosis: as long as your mammographer feels comfortable that your breasts can be safely surveilled for cancer I would not remove the fat necrosis lumps

Asymmetry: if you have adequate fat donor sites, then another fat grafting procedure performed with small amounts injected using only small syringes(time consuming and requires a surgical team acquainted with this technique) leads to living fat cells that can reverse fat necrosis via a stem cell effect, non unlike reversal of fat necrosis following breast radiation

Let me know if this answers your question