One year after my gynecomastia surgery - is this crater deformity? (photos)

Thank you for the photos. It is possible that the tissue scarred down to the muscle. Common. Continue massaging this area to help break up the scar tissue. There are a couple of surgical techniques to improve this if it does not go away with massaging. Please see someone with a lot of experience with gynecomastia surgery. No big deal in the right hands.

Dear Enthusiastic285120,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Hi. It is common in most cases of Gynecomastia cases where most of the gland is removed. Lifting the arms can give you a feeling like it is a crater. You still seem a little on the obese side. In your case, losing weight could help you even out the crater like issue and make it less prominent.

Hi it seems like one side crater deformity is there and some fat on the other side. Crater deformity can be corrected either by fat transfer or fat flap depending on the examination.Fat transfer uses your own body fat to fill the defect while fat flap is large piece of fat tissue that can be rotated into deformity. For the other side I would advise some liposuction to achieve fair symmetry.

To assess the outcome of a surgical procedure I would encourage you and all patients to include proper before and after pictures.

With someone look like before the procedure can explain a lot about results.

Your outcome is a reflection of how the procedure was performed and your underlying anatomy.

It’s common for patients to feel that gynecomastia surgery under treated their problem.

A big part of this has to do with bulging due to even slight skin laxity with the arm in the down position.

Sometimes to get a successful outcome debulking needs to be done to where the area looks slightly over treated with the arm in a raised position to give the best result and have the patient not look under treated with the arm in a down position.

Ideally it should be discussed with patient during in person consultations.

Asymmetries or slight differences in outcome vary from patient to patient and to some degree from Surgeon to Surgeon.

Sometimes revisions are indicated and sometimes the results are as good as they’re going to get and patients should except them.

Different surgeons have different approaches with different amounts of skill and experience.

Some patients are better candidates for ideal outcomes than others.

I suggest you follow up with your provider.

If that does not answer your questions or concerns then consider scheduling a few in person second opinion consultations.


Best,

Mats Hagstrom MD