Will a second fat graft after gynecomastia surgery improve contour irregularities and have a better survival rate?

Question

I had some fat grafting done behind both areolas to correct contour irregularities after gynecomastia surgery. One side looks exactly like I’d hoped; the other side lost more fat and doesn’t quite match the other one. Does a second round of fat grafting to the same area tend to be more successful because there’s already some fat in place? Is that a thing? Or is this just wishful/hopeful thinking on my part? I’m hoping to have a little more fat grafted to the deficient side soon.

Ryan Rebowe, MD · Answer

Overall there tends to be no rhyme or reason why the fat transfer may work one time or the other. I think it is certainly worth trying again and the outcome is likely to be good. However, you are correct that there may be something inherent in the wound bed preventing the graft from taking. Overall, I think one more round of grafting is not a bad idea, however I would turn to other products like Renuva if fat grafting does not work again.

Daniel Barrett, MD · Answer

Dear Tom2011,
it is hard to tell for sure without an examination. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Ronald J. Edelson, MD · Answer

Fat transfer is sissy’s a hit or miss procedure. But if it worked on one side it may be worth giving it a second try on the other side

Connie Hiers, MD, FACS · Answer

Unless there is a lot of scarring present, the second fat graft has better survival since the scarring that was present is now stretched and thinned with the added volume.

Will a second fat graft after gynecomastia surgery improve contour irregularities and have a better survival rate?

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