I received a breast augmentation fat transfer. I now have a hard lump in each breast. What should I do?
I had a consult with the provider who performed this procedure who informed me he could take the cannula and attempt to break up the mass then leave the clumps within the breast pocket. He said he hadn't seen this before so he is not sure why this happened or even what it is. He said perhaps the breasts would be less lumpy or maybe the body would digest the clump once it was broken up? I am not sure if I should let him do this or if it will make it worse. Any ideas would be greatly appreciated.
Hard lumps following fat transfer can occur particularly when larger volumes of fat are transferred and not adequately dispersed throughout. Depending on how long ago your surgery was, you may have developed "fat necrosis" which is where the fat cells failed to "take" sufficiently and have now died. Your body naturally encloses this clump of cells and forms a firm nodule. Depending on the size, they may need to be surgically removed to fully address the firmness. Smaller nodules may be adequately addressed with steroid injections and massage. As always, any new lump in the breast should also be evaluated for malignancy, however, given your recent surgery this is not the likely culprit.