RealSelf Verified doctors complete our multistep verification process to ensure they are in good medical standing, display their experience and most performed procedures, have high patient satisfaction ratings, and respond to consultation requests quickly. Just look for the RealSelf Verified badge.
FIND A VERIFIED DOCTORClaim your profile now— it costs nothing! Build trust by highlighting education, board certifications, and hospital privileges. List treatments, and include all procedures you perform. Get involved by uploading before & after procedure photos and answering questions from prospective patients.
CLAIM YOUR PROFILE
Board Certified Plastic Surgeon
Board Certified Plastic Surgeon
Board Certified Plastic Surgeon
Board Certified Plastic Surgeon
Crater deformity, or saucer deformity can be caused by excessive removal of breast tissue The entire gland can be removed. What is important is to not remove too much fat. The surgery must be perfomed with finesse, leaving some fat to provide structure and shape to the chest and to the Nipple areola complex so you will not be left with contour deformities.
Many patients I see do not want to see or feel gynecomastia any more. I have had two cases where the post-operative apprearance of my patient was aesthetically ideal but the patients were concerned because they could feel a small amount of residual breast tissue. I revised the procedure for them, and I have learned to completely remove all of the patients glandular breast tissue.
Gynecomastia is too often considered a simple and straightforward surgery. It requires surgical expertise and experience. I perform too many gynecomastia revision procedures. Look for a plastic surgeon with many, many before and after images as evidence of their experience.
Board Certified Plastic Surgeon
You clearly have a very difficult situation and you have endured a lot of frustration. I am sorry you've been through all of this. Your situtation can be improved.
You state that your surgeion left some glandular tissue behind to prevent indents. What prevents crater deformity is leaving some fat behind. The Nipple areola complex (NAC) is technically part of the breast. So, in a sense, you are leaving a tiny bit of breast tissue behind. But that thin rim of breast tissue on the posterior surface of the arealar is not enough to regenerate visible gynecomastia. Most of what is supporting the NAC is fat and dermis
Fat grafting is not always the answer to crater deformity correction. For fat grafting to be effective,some soft tissue structure must be present to act as a scaffolding to hold the grafted fat. The other question is whether you have crater deformity alone, or also animation deformity. Animation deformity is caused by excessive removal of breast tissue and fat in the area where deformity occurs. The scar tissue which forms to heal and surgical site tethers the area of over-resection to the pectoralis major muscle. So, when the muscle contracts, it pulls on the scarred tissue almost like a marionette string. The only way of correcting this is to release the scar tissue and place grafts of solid fat or fat and dermis between the skin that is released and the muscle.
Animation deformity after poorly performed gynecomastia surgery can be very difficult I urge you to find a plastic surgeon with extensive experience in gynecomastia correction surgery
The success of this procedure will depend upon the method used and the experience and expertise of he surgeon performing gynecomastia.
Board Certified Plastic Surgeon
You clearly have a very difficult situation and you have endured a lot of frustration. I am sorry you've been through all of this. I think your situtation can be improved.
I understand your question, but you should not be advising your surgeon. You have a complex situation and you need a surgeon with considerable experience in gynecomastia revision sharing a detailed plan with you.
Without a consultation, I cannot be certain what my approach would be for you. But, I very regulallry perform gyncomastia revision procedures and I believe you can have improvement. Post gynecomastia surgical deformities are very diifcult to completely assess with photos alone. A more complete assessment could be made by a telehealth consultation accompanied with video. or, even better, and in-person consultation.
Based on your photos it appears that you have both a soft tissue volume deficit and a relative excess of chest area skin,paticularly at the nipple-areola complex (NAC). For fat grafting to be effective,some soft tissue structure must be present to act as a scaffolding to hold the grafted fat. This may be the reason your revision was unsuccessful. The skin excess at the nipple - arelola complex which allows it to horizontally fold on itself can often be improved dramatically by excision of a cresent of skin above and below the NAC, leaving a minimally noticable scar in most patients.
To restore fullness, you most likely need solid grafts of fat, or fat / dermis to support the areas where the skin appears collapsed or indented. Pec implants may be an options, but if the soft tissues of the chest are thin and the skin is lax, pec implants are likely to be poorly concealed and likely not the best option.
This is a very complex revision.You should seekout a plastic surgeon who performs gynecomastia surgery and gynecomastia revision surgery very regulalrly
Board Certified Plastic Surgeon
You clearly have a very difficult situation and you have endured a lot of frustration. I am sorry you've been through all of this. I think your situtation can be improved.
Let's start with what won't work. Vaser, or any type of liposuction is not what you need.
Without a consultation, I cannot be certain what my approach would be for you. But, I very regulallry perform gyncomastia revision procedures and I believe you can have improvement. Post gynecomastia surgical deformities are very diifcult to completely assess with photos alone. A more complete assessment could be made by a telehealth consultation accompanied with video. or, even better, and in-person consultation.
Based on your photos it appears that you have both a soft tissue volume deficit and a relative excess of chest area skin,paticularly at the nipple-areola complex (NAC). For fat grafting to be effective,some soft tissue structure must be present to act as a scaffolding to hold the grafted fat. This is likely the reason the fat grafting revision was unsuccessful. The skin excess at the nipple - arelola complex which allows it to horizontally fold on itself can often be improved dramatically by excision of a cresent of skin above and below the NAC, leaving a minimally noticable scar in most patients.
To restore fullness, you most likely need solid grafts of fat, or fat / dermis to support the areas where the skin appears collapsed or indented. Pec implants may be an options, but if the soft tissues of the chest are thin and the skin is lax, pec implants are likely to be poorly concealed and likely not the best option.
This is a very complex revision.You should seekout a plastic surgeon who performs gynecomastia surgery and gynecomastia revision surgery very regulalrly.
Board Certified Plastic Surgeon
Gynecomastia, or male breast enlargement, is an increasingly common reason that male patients schedule consultation in our practice. I typically perform multiple gynecomastia procedures multiple times each week. My patients are typically fit patients without excess body fat in other areas of the body.
Gynecomastia may occur on one or both sides of the chest, may be localized primarily behind the nipple and areola or involve the entire pectoral area, and may arise in the teen years or in retirement years. As the manifestations of gynecomastia vary significantly from patient to patient, the surgical treatment must be carefully individualized.
Some enlargement of male breast tissue commonly occurs during puberty, and the incidence of noticeable (transient) pubertal breast enlargement has been reported to be as high as 60%. For most males this hormone-related breast enlargement is temporary, but for a few individuals the breast tissue proliferation will persist and in some cases even continue.
For the majority of patients with gynecomastia, no clear causative factor can be identified. However, because this phenomenon may be associated with endocrine (hormone) disorders, testicular tumors, and the use of some medications/drugs, a careful medical evaluation is an absolute necessity prior to surgical treatment.
Gynecomastia may be treated surgically by direct excision (removal) of breast tissue, liposuction, and in some cases by removal of breast skin, when indicated. The majority of patients have at least some degree of glandular tissue proliferation immediately behind the nipple and areola, which is usually removed through an incision placed at the inferior border of the areola. The incision can be limited, in many cases, from about the 4 o'clock to the 8 o'clock position of the areola. The color difference between areolar skin and chest skin serves to conceal this incision nicely for most patients.
Some patients have proliferation of primarily fatty breast tissue over the pectoralis major muscle, which can be effectively reduced by liposuction. In many of these cases there is actually little glandular breast tissue present, and this situation is sometimes referred to as "pseudogynecomastia". This can be corrected with liposuction.
It is critically important that too much fat is not removed. otherwise, crater derformity, or worse, animation deformity can occur. Gynecomastia is a truly life changing surgery for men of all ages. It is not a simple or straightformaward surgery. Find a plastic surgeon who performs gynecomastia often and who has expertise in gynecomastia revision as a means of demonstarting their expertise.
Board Certified Plastic Surgeon
What you are describing is referred to as aninmation deformity. This is caused by excessive removal of breast tissue and fat in the area where deformity occurs. The scar tissue which forms to heal and surgical site tethers the area of over-resection to the pectoralis major muscle. So, when the muscle contracts, it pulls on the scarred tissue almost like a marionette string. The only way of correcting this is to release the scar tissue and place grafts of solid fat or fat and dermis between the skin that is released and the muscle.
Animation deformity after poorly performed gynecomastia surgery can be very difficult to correct and in some cases, may even require more than one surgical procedure depeneding upon the severity of the situation. I urge you to find a plastic surgeon with extensive experience in gynecomastia correction surgery.
Board Certified Plastic Surgeon
I cannot recommend Dr. Law highly enough for his exceptional skill and artistry in performing a lower face lift on me. My first appointment with Dr. Law was actually in regard to gynecomastia but, during that visit and being a few years post retirement, I decided I needed a fresh face first. From start to finish, the experience was nothing short of outstanding. Not only did Dr. Law deliver incredible results, but the process was also characterized by the utmost professionalism, patience, and care. The results of the procedure itself are flawless. Despite the nature of the surgery, there are absolutely no visible scars around the ears—an area that can often be a concern with facial procedures for men where scars cannot be hidden by hairstyle as easily as with women. In addition, when studying my face initially, he suggested adding a chin implant (since I basically had no chin!) which resulted in giving me a slightly extended jaw line for a more proportionate, masculine appearance to my face. He also shortened my ear lobes slightly as they are often much ‘longer’ on aging men. The result is so natural that none of my friends or family members have been able to detect that surgery was even performed, yet some have commented on how I continue to look young despite my advancing age. The procedure probably took 10 years off my appearance—I feel more confident and rejuvenated than ever before! Dr. Law possesses an extraordinary eye for detail and a true perfectionist’s approach. He ensured every aspect of my lower face and neck was restored with subtlety and precision. He aims for a ‘refreshed’ appearance, not the overdone appearance you often see with some movie stars. Beyond his expert technical skill, what truly sets Dr. Law apart is his patient-centered approach. He thoroughly explained the surgical plan, listened carefully to my concerns, and made sure I was comfortable every step of the way. The procedure included post-surgical options of microneedling and laser treatments to eliminate any latent scarring and further compliment the delicate work of the surgery as well as follow-up visits to ensure I was healing to perfection. His kindness and dedication to achieving the best possible results were evident from the very first consultation and have continued through the post-surgery visits during the healing process. I’m so grateful to have had the privilege of being under Dr. Law’s care and wholeheartedly recommend him to anyone considering cosmetic surgery. You can trust you are in the hands of a medical artist who combines talent, compassion, and an unwavering commitment to perfection.
Dr. Law is the best! His confidence, skills, kindness, empathy provided the best experience. He cares about what's best for you and is very honest. You feel good in his presence. His clinic is impeccable, pristine, lovely scent. I'm 37, have had silicone implants for 10 years. I'm very thin, 5'3" 93 lbs. I should've never had the implants- they were 500 cc's. The original dr. in Maryland should've never allowed it. I was young, was never told I'd have to replace them routinely forever. I thought to be beautiful I needed big breasts, Pamela Anderson style. They were "beautiful" breasts, but horrific on my body. It caused tremendous chronic pain in my trapezius muscles. Constant back ache. And I looked like a prostitute in clothes. It was not the aesthetic I wanted for me. I was adamantly ready to remove them, 10 years later. My mind evolved, grew stronger inside, I grew up. I researched throughout NC state, and Dr. Law had the best and most experience. he's done so many breast implant removals! I loved his results I saw of other patients! I felt confident he would no doubt be the right choice for me. I had no issues with my current implants, so we did breast implant removal with local injection, and it went perfectly. I was awake. He played relaxing music, talked, explained the steps making sure I was ok. His numbing injections in my breast fold were perfect. I felt ZERO pain during the procedure. You do feel some anxiety, but the talking and music helped a lot. You do feel some pressure when he removes the implant. And this is the part I want to share: feeling the immediate loss of the implants creates a grief, a phantom limb loss. I felt like I had a mastectomy. I was in shock at first. After the procedure, he was so supportive, encouraging, I felt beautiful. I felt like my 24 year old self. I was lucky, I had zero sagging. My original breast were still small and perky, great pole fill. That night I flooded my mind with pictures of Zendaya and Ariana Grande who have similar chests and bodies to me. It helped to retrain my mind in what's acceptable and beautiful. Well, it 100% helped. Like I said, the first day I was happy, but also in shock, grieving the loss. But it was good and necessary. It needed to be done. I only wish I saw Dr. Law years before. He's amazing. An amazing man and doctor. He keeps in touch with you the next day, week after, month after. I will go to him for future procedures and have recommended him to friends and family. Updated on 18 Oct 2023: It has been 12 days post-op breast implant removal. I feel I have my old body back, but better! I love my natural breasts even more now than 11 years ago! You’d think I just went through a 2nd puberty. Getting them removed was the best thing ever!!! The knots and pain in my trapezius muscles have gone away!!!
Dr. Law did an incredible job fixing my breasts, results I never dreamed possible. I have never felt so comfortable in my own skin. His staff was also very detailed and caring, they even mailed me soap and arnica for bruising. Dr. Law is real body artist!
I'm not sure why it took me so long to make this review. I got my under eye surgery when I was 21 and it's going on 5 years now since the surgery. Going in, I wanted someone in driving distance preferably and luckily Dr. Law was 4 hours from me. Not only was he in driving distance, but from all the research I did he was by far the most knowledgeable. Out of people I researched all across the country he was the best. The other thing that made me choose him was that he had an age requirement, which showed me he cares enough to want his patients to be old enough to make a responsible decision. He's not out just to profit. I went for an initial consult in person and he made me very comfortable and confident in choosing him. He was humble but very knowledgeable. I was born with under developed under eyes and eye bags that I've had my whole life and that had always made me very insecure. I wasn't out to look like an Instagram model or anything of the such, I just wanted to look the way I felt I should. Like a normal, natural person of my age. So we decided upon a blepharoplasty and some fat transfer as well to future enhance the area that was so hollow. He also offered to do some mild fat transfer to my lips and nose bridge. I never thought that was even an option or could be done at the same time. He offered an (honestly) very small added cost for those two things. Other doctors perhaps would have opted to do a whole extra procedure for that, in order to profit more, but Dr. Law gave me that option at a fair price with the rest of the procedure which I very much appreciate. The facility is amazing, clean, beautiful and gives off a zen, mellow vibe. Dr. Law himself is extremely professional. The nurses and staff are better amazing. So very kind and professional. The surgery went better than I could have ever hoped and it has changed my life. If your goal is to look unnatural and blown up, Dr. Law may not be for you because he gives an extremely natural, but life changing result. The before and after photos they did really don't even do it justice because you can't see in the pictures how good the result really was. It looks even better in person. The nurses were amazing before and after the procedure. There was around a month of swelling if I recall, but that was to be expected. Pain wise, I experienced little to none. I experienced no complications. I did end up doing a fat transfer touch up a few months later. To be honest, I didn't even really need to. The result was so good already. But I did have the extra money at the time and figured I might as well just enhance the area a little more and maybe add in the little bit that was lost initially (all fat transfer will experience a bit of fat loss that doesn't take). Again, it went very smoothly. The recovery time was very short with this one since it was just fat transfer. Most of the fat transfered took, and was maintained to this day. The only loss I've had was due to losing weight. And it still looks great. They were also always very responsive to questions and emails. I emailed them with a few questions at times and they always responded very quickly. One time I had a concern when I experienced redness of the area almost a year later. It turned out to be just an allergy to some makeup that went away, but they still responded a year later to my concern and offered me to come in and get it checked out. Although I've never had surgery anywhere else, I would recommend Dr. Law over and over. He is extremely skilled at what he does and gives a very natural result. The facility and staff couldn't be better.
Dr. Law is an exceptional surgeon. He is the BEST! His team is unsurpassed! The detail and bedside manners with his artistic care means everything! Dr. Law takes time consult and helps to be sure that his work looks natural. Dr. Law is a 5 star plus!
I have wanted to pursue Gynecomastia surgery for years and after my first consultation with Dr. Law I knew he was the one I wanted to have do my procedure. I had met with a surgeon local to me who didn’t really give me the time of day and told me my case wasn’t severe enough to perform on. When I met with Dr. Law he was very sensitive to my condition and made me feel very comfortable and confident that I would be in good hands. I am now 5 months post op and so thankful I not only has the procedure done but that Dr. Law was the one to do it. The entire staff was super great to work with as well for all pre-op and post op interactions - they really care about making the procedure go smoothly from beginning to end. If you’re looking for Gynecomastia surgery I can’t recommend Dr. Law enough - he really is an artist when it comes to plastic surgery and making results look as natural as possible.
My procedure was in the fall of 2017. I've had multiple procedures with Dr. Law. Dr. Law is an extremely gifted surgeon. I think he genuinely cares about the well being of his patients. His fees are higher than average but still very reasonable. I traveled from the Midwest for facial fat transfer. If you are coming from out of town, the travel and hotel will add significant costs to the procedure, but I still think it is worth it. The staff at Aesthetic Plastic Surgery is very professional. Tracy does an excellent job as the Clinical Director. Dr. Law has called me the night following every surgery. He is the only doctor that has ever personally called me. Facial fat transfer is a very serious procedure that can permanently change your appearance. DO NOT TAKE CHANCES!
Dr. Law and his team were absolutely amazing. I was on out-of-state patient therefore all consultations were conducted virtually until I appeared for surgery. Dr. Law made me feel very comfortable about my breast augmentation, answered any and all questions I had and was very genuine throughout the entire process. He listened to all of my concerns to make sure my breast looked exactly the way I wanted them to look. I am extremely happy with the final result and would highly recommend his services, especially if you want the most natural looking breast!
I needed a 2nd transfer because not all the fat stayed after a year. Dr. Law agreed to do another procedure this time using fibrin. He really did a fantastic job of filling in the area that hollowed and I couldn't have asked for a better experience all around. I can't tell you how grateful I am to be able to see my true face again after a botched blepharoplasty from another doctor. I'm hoping all the fat stays this time. Silicon strips really help for healing the x marks.
My experience at Dr. Law’s office was excellent. It exceeded my expectations. I wanted a natural looking result, as opposed to my previous set of implants (fake looking and feeling). Now, my breasts look very natural, they’re not overdone, and they feel like mine. I forget that I have breast implants! I would recommend Dr. Law to anyone who wants natural looking results. I’ve been to several offices, and Bluewater Spa’s was by far the most professional and discreet.
What’s trending? Who’s turning heads? Which TikTok myths need busting? We’ve got you. No fluff, no gatekeeping—just real talk. Get our free, unfiltered newsletter.