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Sunken Chest After Male Breast Reduction

Chest sunk in behind nipple after Gynecomastia surgery 3 weeks ago. Will this improve any with time? Chest has very minimal fat left and sinks in when I flex pec or raise arm.

Asked 34 months ago by weagle in Alabama
Sort 16 expert answers by:
+1

Depressions after gynecomastia can be corrected

Three weeks is too early . Wait over 6 weeks for a more realistic result. If you have a depression, correct it with a filler or fat. It is simple and you will like the results
Luis A. Vinas, MD
West Palm Beach Plastic Surgeon
+1

Three weeks after male breast reduction (or any operation) is too early to judge results.

At 3 weeks, you have significant swelling after your operation.  The depression can easily be explained by this swelling.  It won't necessarily go away, but probably will as the swelling subsides.
Vincent N. Zubowicz, MD
Atlanta Plastic Surgeon
+1

Sunken breast

I is a bit early to worry.  I would continue compression and massage the area.  If it does not improve then fat grafting may help.
Michael Philbin, MD
Minneapolis Plastic Surgeon
+1

3 weeks is too early to judge the result of gynecomastia procedure

While it sounds like your surgeon may have removed a little too much tissue behind the areola, it is still early in your recovery and difficult to predict what your final outcome will be.  At this  point, mention your concern to your surgeon to get his advice.  If this doesn't improve over the next 6 months, you may need a second procedure to correct what you are seeing.  The treatment of gynecomastia involves removing fat with liposuction and gland tissue via... more
Parham Ganchi, MD
Wayne Plastic Surgeon
+1

Gynecomastia correction

During the gynecomastia surgery your surgeon removed some of the breast tissue that sits behind the areola. Now that you are missing some tissue it is not unexpected that you have the depression you are describing. It is unlikely to improve on it's own. In a situation such as yours I would consider fat grafting to prop up the skin and separate it from the underlying muscle. If the wounds are relatively new you can also try vigorous massage to break up the scarring but suspect by now... more
Martin Jugenburg, MD
Toronto Plastic Surgeon
+1

Contour irregularity after male breast reduction

Patients can sometimes have an irregular contour on their chest after male breast reduction for gynecomastia.  This can result from aggressive liposuction or tissue removal in the area beneath the nipple/areola complex.  If this condition does not improve after 6-9 months, you may need a fat transfer to that area which involves harvesting fat from another area, such as your abdomen, and injecting it into the depressed/sunken area beneath your nipple/areola. Since your... more
William Bruno, MD
Beverly Hills Plastic Surgeon
+1

Chest deformity after liposuction

  After liposuction for the correction of gynecomastia, it is possible to see some areas of excessive swelling and adjacent areas they may look depressed. Is extremely important to use a compressive garment that will allow the skin to smoothly attach to the muscle underneath. This will help minimize the swelling and help give you a smooth result. However, if the depression you are seeing is caused by an excess of liposuction to this area, this may heal as a permanent depression.... more
B. Pat Pazmino, MD
Miami Plastic Surgeon
+1

Sunken chest after male breast reduction

Without a photo there is no possible way for any of us expert posters to address your concerns and issues. It maybe swelling or poor surgery, but I really do not know. From MIAMI
Darryl J. Blinski, MD
Miami Plastic Surgeon
+1

Sunken chest 3 weeks after gynecomastia surgery

Unfortunately it is unlikely that this problem will self-correct because thee is a deficiency of tissue below the nipple.  It is not easy to fix either.  Massage and follow your doctor's advice. 
Richard P. Rand, MD, FACS
Seattle Plastic Surgeon
+1

Too much tissue can be removed with male breast reduction.

Hi. I hope things get better with time, but I am not optimistic because we have seen this, In thin patients particularly, it is easy to remove too much tissue during male breast reduction, and the nipple gets stuck to the muscle. Hard to fix.. Perhaps fat injections eventually.
George J. Beraka, MD
Manhattan Plastic Surgeon
+1

Sunken chest after gynecomastia treatment

A sunken chest can occure from gynecomastia treatment. This is not uncommon. It may be from swelling or over resection of the central area. Give it some time, it may be swelling.
Steven Wallach, MD
Manhattan Plastic Surgeon
+1

Sunken Nipples (Shot Glass Deformity) after Man Breast Surgery

Man Breast (Gynecomastia) correction surgery often involves liposuction of the breasts to flatten then combined with removal of remaining breast tissue which remain under the nipple complexes. Removing too much of the tissue and or swelling and abnormal scarring can lead to sunken depressions, "Shot Glass Deformity" of this area. In the fresh postoperative period, this is best handled with massage external ultrasound. If the result persists after the swelling subsides, the areas of... more
Peter A. Aldea, MD
Memphis Plastic Surgeon
+1

Give it time

I would certainly give it some time,. Often this type of problem will correct itself as the swelling goes down and there is some filling in of the tissues.  If things haven't improved after 3 to 6 months , the indentation can be corrected with some fat injections.
Robert M. Jensen, MD
Medford Plastic Surgeon
+1

Too early to tell

This is not at all unlikely after gynecomastia surgery and may be temporarily aggravated by stitches which are placed to hold the sagging nipple in place. These can cause dimpling of the nipple, especially when raising the arm. As these stitches absorb the dimpling tends to resolve. However, this is only based on my estimate of what was done and not on your specific procedure. It may also be worsened by swelling as discussed by Dr. Kasden. Discuss your copncerns with your surgeon who is best... more
Otto Joseph Placik, MD
Chicago Plastic Surgeon
+1

Time will tell

You still have swelling.  It is impossible to predict, and especially without a photo.  It is possible that you will see more sinking or the high areas around the depressed area will come down.  Ask your doctor for his thoughts. sek
Scott E. Kasden, MD
Dallas Plastic Surgeon
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