Crater Deformity After Gynecomastia, Would a Revision Fix this? (photo)

I can't specifically say what can help, but the very least would be suctioning of the surrounding fat away from the areola.  If it's still depressed, a dermis fat graft could be placed beneath the areola to generate more caliber.

Hi Polkb10,Thanks for your question and photos. Some before pictures would definitely help in your assessment. DON;T lose hope. It is certainly fixable but you definitely need someone who does male breast revision surgery on a routine basis. It would be helpful to know what exactly was done before if only liposuction or direct excision.  A physical exam is needed to adequately address the area of concern and to visualize the skin elasticity or scar tissue that has formed since your surgery over 14 years ago.  I recommend expressing your concerns to your future plastic surgeon and seeking someone with lots of liposuction and fat grafting experience. It will require scar release and fat grafting without major surgical intervention. It could be done in 30-45 minutes in the office likely under local plus iv sedation. Good Luck.

 



All the best,



Carlos Mata MD, MBA, FACS



#moobs   #revisionsurgery     



Board Certified Plastic Surgeon

Your incisions will go through a maturation #process after gynecomastia surgery. For the first few months they will be red and possibly raised and/or firm. As the scar matures, after 6-12 months, it becomes soft, pale, flat, and much less noticeable. You may experience numbness, tingling, burning, “crawling”, or other peculiar sensations around the surgical area. This is a result of the #healing of tiny fibers which are trapped in the incision site. These symptoms will disappear. Some people are prone to keloids, which is an abnormal scar that becomes prominent. If you or a blood relative has a tendency to keloid formation, please inform the doctor. Also, as you heal, the area may feel “lumpy” and irregular. This, too, decreases with time, and massaging these areas will help soften the scar tissue. The #compression garment helps reduce the swelling, and the longer it is worn, the more quickly you will #heal. It can also assist in the retraction of the skin. If you have any concerns about #healing, its best to ask questions of your surgeon or their nursing staff. It's possible the indentations can be addressed with cosmetic filler(s) if eligible. 

Your problem was most likely do to over resection of your breast tissue beneath your nipple. Revision gynecomastia surgery is often difficult and requires a well trained board certified plastic surgeon with experience in redo male breast surgery. An exam is critical to give you an opinion but most likely fat transfer is required. The below link will direct you on how to find the best plastic surgeon.

Judging from the photos, I suspect you would need revision surgery including scar release, revision liposuction of the chest, and possible fat grafting to the subareola region.  Consult with a board certified plastic surgeon in your area.  Good luck
and be safe.John T.
Nguyen, MD, FACS, FICSDouble Board
Certified Plastic Surgeon