6 months post - Severe Cratering - Is there hope for a significant improvement if enough fat can be found? (Photos)

Question

I had gynecomastia surgery six months ago. The surgeon remove a portion of the glandular tissue and performed Vaser lipo. The surgeon removed/melted too much fat leaving me with a huge crater on one side and a smaller one on the other. I’m lean with not much extra fat. Is there hope for a significant improvement if enough fat can be found?

Oliver Chang, MD · Answer

Based off your limited photo - cratering is noted - likely from the resection. Recommend to work out your pecs to increase muscle mass to see if the deformity will lessen and if not, might need a surgical correction with both revision liposuction of the area and possibly putting some fat back via fat grafting. Try to keep your body fat percentage down to also lessen the deformity. Temporary measures can be with fillers but fillers will be only temporary.

Chet Mays, MD · Answer

Thank you for your inquiry!  Fat transfer is definitely an option.  Another option would be alloclae transfer.  We would love to sit down with you to discuss all your options in more detail.  Schedule a consultation with a Board-Certified Plastic Surgery to help you reach your goals!

Zoran Potparic, MD · Answer

It is in your best interest to wait at least one year for result to settle and mature. After that, a combination of liposuction and fat grafting may be considered to improve postoperative deformity. Good luck.

Darryl J. Blinski, MD · Answer

Based on the photo and your statement of limited fat reserves, the New ALLOCLAE injections would be perfect in your situation. Best to find a provider offering those injections. You may need a series of 2 to 3 sessions. Best of virtual consult with for more information

Mats Hagstrom, MD (license on probation) · Answer

Unfortunately, your surgeon over resected the tissues leaving you over treated.
I’m not sure why you’re asking if you have enough fat.
I’m assuming you’re thinking about fat transfer a.k.a. fat grafting as a revision strategy.
Transfer is unlikely to give you successful results because the previous treatment left you with no healthy tissue to graft fat into.
This is the problem with treating previous overzealous Liposuction with that transfer.
 In order for fat grafting to be successful there has to be a sufficient layer of healthy vascular tissue to graft into.
In your case, all of the post tissue has been removed leaving you with virtually no tissue to support grafted fat.
I cannot begin to overstate the importance of provider selection, carefully vetting providers before signing up for procedure procedures that are permanent and irreversible.
 I recognize that this is after the fact.
Those considering Liposuction procedures should insist providers open up their portfolio and show you their entire collection of before, and after pictures of previous patients who had similar body characteristics to your own.
Delivering consistent quality Liposuction results is more difficult than most people realize.
The number of plastic surgeons who approach mastery in this kind of work is in reality quite small kid.
 Being shown a handful of quality outcomes is insufficient to confirm what average results look like in the hands of each provider.
I wish I could be more optimistic, but it’s going to be very difficult to improve your outcome.
Best,
Mats Hagstrom MD

6 months post - Severe Cratering - Is there hope for a significant improvement if enough fat can be found? (Photos)

Answers (5)

More Gynecomastia Surgery Questions

Gynecomastia / Liposuction - are these two procedures completely separate?

Upcoming follow up, what is the best way to address these concerns? (Photos)

Diagnosed with prepubertal gynecomastia as a teenager. Do I need surgery for my breasts? (photo)

What procedure do I need in my revision gyncomastia surgery? (photo)

Unilateral pseudogynecomastia, what is the best approach? (Photos)

WE SEND PRETTY
EMAILS