Fat necrosis

Has anyone developed a fat necrosis after breast surgery?  I had a small tumour plus surrounding tissue removed from my left breast in 2011.  Everything good. After three years surgeon at breast clinic mentioned she thought I had one forming where the tumour had been removed.   Then the following year on examination as it was so hard she aspirated and removed a phial of oily fluid. It was such a relief as it had been quite painful and tender, felt like it was pressing on a nerve.  In 2016, my final visit, I saw a different doc and he said that the consultants had decided that there was no point in aspirating as it would only come back.  Trouble is it has got harder and my last mammo was excruciating.  Difficult to get comfortable at night. Any tips for dealing with this please?

 

Parents
  • Yes, I got this under fairly similar circumstances but it was after LIPOFILLING (which my cancer surgeon said she "would do as she had been trained") following several years of no problem after original surgery. I had not asked for it - only "lifting" of my other breast! This was done privately.

    Not painful at first but now,  a few years later, (possibly due to the natural aging process) it can be very painful/ uncomfortable - especially if I forget to eg not use my "normal" arm for dressing/undressing. Also, within past couple of years, some stretches in Pilates etc. are painful  (and can't swim anymore). It has, apparently, now calcified so is, essentially, a stone!

    I have contacted the, excellent, Breast Cancer Now charity and am due to phone one of their nurses shortly. At the moment, they have suggested getting a second opinion.

    For anyone else, please think long and hard about lipofilling.

    I hope I haven't depressed you but do contact the Breast Cancer Charity also.

Reply
  • Yes, I got this under fairly similar circumstances but it was after LIPOFILLING (which my cancer surgeon said she "would do as she had been trained") following several years of no problem after original surgery. I had not asked for it - only "lifting" of my other breast! This was done privately.

    Not painful at first but now,  a few years later, (possibly due to the natural aging process) it can be very painful/ uncomfortable - especially if I forget to eg not use my "normal" arm for dressing/undressing. Also, within past couple of years, some stretches in Pilates etc. are painful  (and can't swim anymore). It has, apparently, now calcified so is, essentially, a stone!

    I have contacted the, excellent, Breast Cancer Now charity and am due to phone one of their nurses shortly. At the moment, they have suggested getting a second opinion.

    For anyone else, please think long and hard about lipofilling.

    I hope I haven't depressed you but do contact the Breast Cancer Charity also.

Children
  • I’d be really grateful to know how things are for you both now pls, as I realise these posts are now old. 
    I’ve had a similar journey to severe fat necrosis and fibrosis. After a bilateral mammoplasty/ quadrantectomy to remove the cancer, I rapidly developed a large dent in the ‘fault line’, where the tissue was re-folded together. I then begun to develop fat necrosis and hardening of my breast on the cancer side.  Following radiotherapy, it intensified significantly, with the large dent and hard tissue pushing on the nerves in my armpit and leading to lymphodema & constant pain. My nipple and areola became distorted, pulling up and in towards my armpit. Two months after completing radiotherapy, I had lipofilling privately, with the surgeon advising that the fat would fill the large dent. None of the fat survived and after two mths of recurrent infections, I had further lipofilling and the nipple/areola moved lower on my breast. The blood supply failed and after 6 weeks, my dead nipple and much of the areola was excised & this is slowly healing from the base up. Again, all the fat died and this time my breast became significantly fibrosed and shrunken. Once healed and recovered, physically and emotionally, I’ll need more reconstruction surgery and a nipple forming. I’ve been advised by a plastic surgeon to wait at least six mths after fully healing and then have repeated fat injections every 3 mths, potentially 5 times. I’m wondering if anyone has found massage or any other minimally invasive treatment has helped with the necrosis, as I feel I need to try and do something positive whilst waiting for yet more surgery.  If anyone can give me some hope, I’d be truly grateful.