Could I try another fat transfer to breast after mommy makeover & breast fat transfer?

Question

Mommy makeover 3/2020 w/peri-areolar breast lift, tummy tuck, lipo, and breast fat grafting. Developed fat necrosis w/golf-ball sized cyst (mostly upper medial section) now calcified & painful at times. But I HATE the way it looks and feels during intimacy. If cyst is removed it will take MOST of the volume and result in a divot. Instead of removing it, could I try to fat graft over it to hopefully minimize its hard feel and the look of it when I lay flat. 5'3", 125#, B cup. ANY IDEAS? HELP!

Daniel Barrett, MD · Answer

Dear zbear420,
I understand your concern. However, without a proper assessment, it would be difficult to determine what is 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

Connie Hiers, MD, FACS · Answer

No, the area of fat necrosis is best removed, and then fat can be transferred again once healed. Additional fat still will not hid that area of necrosis.  Go back to your surgeon and discuss this.

Mats Hagstrom, MD (license on probation) · Answer

I think the correct approach would be to remove at least most of the fat necrosis. especially if it’s highly visible or you can feel it. It’s certainly OK to keep fat necrosis if you don’t mind. You can certainly have a second round a fat transfer but you may want to pick a different provider this time. A second round of fat transfer may or may not conceal the area fat necrosis. The area of fat necrosis cannot serve as host tissue to support grafted fat.

A little hard to tell without seeing pictures or doing an examination.

Best,

Mats Hagstrom MD

A little hard to tell without seeing pictures or doing an examination.

Best,

Mats Hagstrom MD

Frederic H. Corbin, MD (license restricted) · Answer

Thank you for the question it an examination is really needed. So go on some complimentary consultations with experts and compare recommendations after a full examination and discussion of desired results. Bring your records and preop photos with you if you can

Dr Cornin

Dr Cornin

Could I try another fat transfer to breast after mommy makeover & breast fat transfer?

Answers (4)

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