Can a Crater Deformity Be Fixed After Gynecomastia by Going to Gym?

Your incisions will go through a maturation #process after gynecomastia surgery. For the first few months they will be red and possibly raised and/or firm. As the scar matures, after 6-12 months, it becomes soft, pale, flat, and much less noticeable. You may experience numbness, tingling, burning, “crawling”, or other peculiar sensations around the surgical area. This is a result of the #healing of tiny fibers which are trapped in the incision site. These symptoms will disappear. Some people are prone to keloids, which is an abnormal scar that becomes prominent. If you or a blood relative has a tendency to keloid formation, please inform the doctor. Also, as you heal, the area may feel “lumpy” and irregular. This, too, decreases with time, and massaging these areas will help soften the scar tissue. The #compression garment helps reduce the swelling, and the longer it is worn, the more quickly you will #heal. It can also assist in the retraction of the skin. If you have any concerns about #healing, its best to ask questions of your surgeon or their nursing staff. It's possible the indentations can be addressed with cosmetic filler(s) if eligible.

The short answer is no.  Contour deformity may likely require revision liposuction or fat grafting.  Good luck
and be safe.John T.
Nguyen, MD, FACS, FICSDouble Board
Certified Plastic Surgeon

                  Contour
irregularities are not uncommon following surgical excision of glandular
gynecomastia. In most cases these deformities are relatively minor and don’t
require treatment. They usually respond to massage and compression in the
immediate post-operative period.

                  In
some cases these deformities may be severe and require secondary surgical
intervention. The majority of these cases require fat grafting and liposuction
of the surrounding areas to improve contour.

                  It’s
impossible to know what will be required to correct your particular deformity
without a physical examination. It does seem that minimal subcutaneous fat is
present and the under surface of the areola is attached to the pectoralis
muscles causing obvious distortion with movement. It appears that the magnitude
of your tissue deformity is severe with resultant crater formation.

                  Based
on these findings it’s unlikely that this deformity can be corrected without
fat grafting. It’s appropriate to wait at least six to twelve months following
surgery to allow resolution of swelling before proceeding. Consultation with
your surgeon regarding treatment options for this problem is appropriate at
this time. 

A true crater or dish deformity is a problem.  It can not be correct without some type of revision surgery.  Sometimes it requires fat transfer, liposuction of the surrounding area for blending, excision of more glandular tissue or a combination.  The gym will not help.

Probably not. It might ba able to be improved upon with further fine liposuction towards the "edges" in order to improve the contour. If the nipples are "stuck" down to the muscle that would be a harder fix.