1 yr PO and still got my fat necrosis. Will the necrosis still shrink? is there any danger to keep it in?

Question

1 year post sx and is still got my fat necrosis. Will the necrosis still shrink ? is there any danger to keep it in or should the necrosis be removed ? It doesn't hurt but since staring to workout again I do fell like it gives me discomfort .

Kenneth Hughes, MD · Answer

Fat necrosis, whether in the buttock or elsewhere, usually involves 
the feeling of a hardened discrete mass that is the calcified dying or 
dead fat.  Treatment may include massage, tincture of time, as most of 
these go away with time.  Occasionally, these areas may have to be 
excised.  There are probably multiple reasons for this to occur, some of
 which are not entirely preventable.
These revision surgeries after previous BBL and fat necrosis can prove challenging.  The depth of fat necrosis as well as the amount will determine success to some extent. Both procedures can be performed during one surgery.  The revision implies that scar tissue will make the surgery much more difficult on the surgeon.  This needs to be done very carefully to avoid skin sagging. This can be tricky as skin and tissue distensibility  may preclude any further improvement in shape or dimension with revisional attempts. Selection of a PS who has performed numerous successful  BBL revisions is key to the outcome.

Daniel Barrett, MD · Answer

Dear Plasticgirl2018,
incase of fat transfer, 30-50% of fat is lost after the surgery and some of that lost fat is turned into fat necrosis. Smaller areas of necrosis can heal with time, while bigger ones can't and a surgery might be an option to remove them. It is best that you visit your plastic surgeon for further assessment. Only after thorough examination you can get proper recommendations and advice.
Daniel Barrett, MD

Douglas Taranow, DO, FACOS · Answer

The lumps you are feeling one year post op are probably not fat necrosis but scar tissue  you should ask your plastic surgeon to inject them with Kenalog 40, a steroid, which should soften them significantly Good luckDr T

Mats Hagstrom, MD (license on probation) · Answer

I would venture to say that everyone who gets fat transfer gets some fat necrosis to a certain degree. Question is does it cause a problem?It’s unlikely to change after one year. If it doesn’t bother you then I suggest leaving it alone. If you want it removed the best way of doing that is by making an incision in the skin and surgically removing each individual piece.There’s no yes or no or right or wrong answer for you.There’s a good chance that the fat necrosis is not what’s causing discomfort. In other words having the areas of fat necrosis removed will most likely not remove discomfort you’re having.Just my opinion and I’m sure others may have opinions that vary.Best, Mats Hagstrom MD

1 yr PO and still got my fat necrosis. Will the necrosis still shrink? is there any danger to keep it in?

Answers (4)

Answer: Fat necrosis

Answer: Fat necrosis

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1 yr PO and still got my fat necrosis. Will the necrosis still shrink? is there any danger to keep it in?

Answers (4)

Answer: Fat necrosis

Answer: Fat necrosis

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Recommended reading

Everything you need to know about Brazilian Butt Lift

Our mission is to create a world where every investment in modern beauty is Worth It.