TOPIC: Please help, looking for surgeon to remove lump

@cav8000 Do you have pictures of the lump or can you take a picture just to get a better idea of what it looks like?

cav8000 wrote: Here is what I found online about steroid injections. \"Steroid injections can often reduce inflammation but they cannot dislodge firm fat grafts that are composed of heavy fibrous (scar) tissue, rubbery grafts, or long-term inflammatory nodules, which must be removed surgically. Attempting to dislodge these nodules with steroid injections causes the more delicate tissues around the lumps to dissolve, creating a crater... with the Nodule still there.\" The lump I have is most likely fat Necrosis that I have had for about 15 years. I think maybe surgical Removal might be the only way but I\'m not sure. It would be nice to get just an injection of something instead but I don\'t want to make it worse.

I dont know what the source of that is but I have been a doctor for 26 yrs and doing cosmetic surgery for 16. I use a lot of steroid injections and am not afraid of them - but many doctors are.

When fat necroses it leaves fee oil that breaks down or gets infected and discharges. If it is just a remnant piece of fat then steroid is likely to help. If there is fibrosis steroid (combined with 5FU) is likely to help. But I would need to examine to really know. I operated on a girl a few months ago who told me her twin sister had fat taken out of the tip of her nose and she wanted me to do the same. I told her over and over we dont take fat out of the tip we reshape the cartilage. At operation she had fat infiltrating the lining of the tip cartilage in a way I had never seen before - so I took the fat out (like she asked for). So there is what I believe and have experienced and expect. Sometimes things are different. But I expect I would first look at steroid rather than surgery.

Regards,

Here are some pics of the lump.

@cav8000 i could see why you would want it removed, it\'s very noticeable. If i were you i would get PMMA to even it out and just have a bigger unit at the same time. Just a suggestion.

Thanks but no thanks on the PMMA. I don\'t want anything unnatural inside me at all and I never want to go through anything like I went through when I did the fat injection years ago. I\'m perfectly content with going all natural from now on.

Yeah I\'ve learned only Kenalog 40 works. I don\'t know if 5fu does anything really, but it causes bad headaches. Kenalog 10 is a complete waste.


It hasn\'t reduced the hard shells of the nodules, though it has shrunk them slightly - like you said maybe 10% or a little more.