Crater Deformity - Pec Implant an Option? (Photos)

Question

Hello. I previously asked a question about options to address a bad outcome from a previous gynecomastia surgery where the PS removed far too much fat leaving me with large craters. I received helpful information, but want to provide more details. I’m lean with very little body fat, so fat grafting would probably give me far too little improvement. A couple docs suggested Alloclae filler might be an option, which I’m seriously considering, but concerned it may not give long lasting results. I know it’s difficult to say since it’s new. Would pec implants be an option instead? I only want this in order to fill out the cratering and make the chest look more natural. However, I’m hoping there’s a low profile option that would fill it out without adding much bulk. After treating gynecomastia, the last thing I want is a huge chest. Is this a realistic possibility?

Darryl J. Blinski, MD · Answer

Based on your nicely posted photos, your postop complication of over liposuction or dissection of the male breast we created deformity is accurate. You mentioned two reconstructive options eighth. A third reconstructive option is liposuction with fat grafting under ultrasound to the crater area. This is using your own fat it is a surgical procedure but so our peck implants. That fee for liposuction fact rafting would be $8000-$12,000. The non-surgical injection of ALLOCLAE is a good option unfortunately, the cost of the product is a major issue and longevity of the product another issue but it’s under local anesthesia and Kimberly repeated therefore I recommend virtual consultation for better understanding, regards

Mats Hagstrom, MD (license on probation) · Answer

A petrol implant goes underneath the pectoralis muscle and will not correct the deformity. 
Fat transfer is likely to fail because there’s no tissue to graft fat into.
You also have some degree of skin laxity, which may be contributing to how the outcome looks.
The amount of volume needed to give you a good outcome will probably make fillers prohibitive.
They’re simply is no good easy solution to your problem.
I want to ask if you followed up with your surgeon and if your surgeon is aware of the outcome.
It would be helpful to other patients if the surgeon knows not to be this aggressive in the future.
I wonder how many of these procedures the surgeon had done previously.
What’s the surgeon using a new device or technology? Perhaps VASER?It seems difficult to create that type of deformity using just Liposuction, but I suppose it’s possible if the provider used really aggressive cannulas. 
Sometimes patients who have disfigurement or poor Aesthetic outcomes are reluctant to follow up with the surgeon.
It’s really important surgeons get feedback when they do things wrong.
It also wouldn’t be a bad idea to write an honest review for the provider, so others can understand what you went through.
Be respectful and professional when writing with you but also explain what happened accurately.
I wish I could be more optimistic or give you a suggestion that would actually work.
I’m afraid anything you try is going to leave you with further disappointment and be a waste of money.
Maybe others know things I don’t.
I’ve seen a lot of Liposuction deformities in my life and I know how hard they are to fix.
Often, I don’t recommend surgery because improving the outcome is so difficult.
Best,
Mats Hagstrom MD

Crater Deformity - Pec Implant an Option? (Photos)

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Crater Deformity - Pec Implant an Option? (Photos)

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