Can a crater deformity be fixed after gynecomastia?

Is there anyway to fix a crater deformity from a bad gynecomastia surgery? My nipple and area around it sinks in when I raise or flex my arm. I do not have anymore fat on my chest that can be removed to lessen the contour difference. Any advice or guidance would be extremely appreciated. Thanks in advance.

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7 answers to “Can a crater deformity be fixed...”

A: Saucer deformity (dimpling and inversion) of nipple following gynecomastia repair.

Otto Joseph Placik, MD

SEE VIDEO BELOW It is normal to have mild dimpling and inversion of the nipple following gynecomastia surgery or even in normal unoperated males. In rare circumstances, I have treated this problem with fat injections. It typically takes 2 or 3 sessions and can be performed under local anesthesia if... more

A: Can a crater deformity be fixed after gynecomastia?

Peter A. Aldea, MD

The infamous "crater" or "saucer" deformity after Gynecomastia surgery due to over resection of fat is hard to fix. But I am not so sure that that is exactly what you have. Classically, such deforming indentation is usually present at rest - yet you state "My nipple and area around it... more

A: Repairing a dent after gynecomastia surgery

Richard P. Rand, MD

If too much tissue is removed or if scar tissue develops between the pec muscle and the nipple, you will have contour irregularities.  These are tough to fix but fat grafting to the indentation after releasing its tethering can help.  This may need to be repeated and may not totally correct the... more

A: Structural fat grafting would improve the saucer deformity

York Jay Yates, MD

Structural fat grafting using fat from another area would be your best bet.  This may also require release of the tethering scar tissue at the same time which could be done using your original scar.

A: Contour irregularity with gynecomastia surgery

Raffy Karamanoukian, MD

Contour irregularities can be improved after aggressive gynecomastia surgery, but preventing these contour irregularities is the mainstay of therapy.  Fat grafting and breast prostheses that are customized are long term solutions.

A: Gynecomastia and Scarring

T.Y. Steven Ip, MD

Gynecomastia requires removing the entire male breast gland.  Some gentle liposuction at the edge of the removed gland will decrease the chance of cratering.  In the recovery period, there is always stiffness and scarring underneath the skin and especially around the nipple area.  It does... more

A: Fat grafting can fix the problem

Lisa B. Cassileth, MD

Your problem sounds a little tough, because the nipple seems stuck to the underlying pectoralis muscle, which means it gets worse when you stretch that muscle, like lifting your arm. What needs to be done depends on whether you had too much tissue removed or not. If there no contour deformity (divot) when you... more

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