Can Gynecomastia crater revision be done with fat grafting? Fat flap? Pec implants? (Photos)

I am sorry to hear about the complication you have experienced after gynecomastia surgery. Although definitive advice would require in-person evaluation, some general thoughts may be helpful to you. Although all of the options you mentioned are available to you, exactly which operation you should undergo (if any) would mainly depend on your specific goals when it comes to the desired outcome. Overall, in my opinion, the most reliable way to improve your chest wall appearance will likely be with the use of pectoralis implants;  the other modalities you mentioned are unreliable/unpredictable  and may achieve very modest outcomes, if any. You may find the attached link helpful to you as you consider options.   Best wishes.

I would personally advice a combination of revision liposuction around the crater and fat injection to fill the sunken area.

Unfortunately fat transfer can take more than one session to be successful .



Best of luck

Mr Netri

Thank you for sharing your question and photographs and I am sorry that your results have not been what you anticipated.  Depending on your desired goals I believe that all of your listed procedures are possible to create an improved chest contour.  If you are looking to augment the size of your chest, then a customized pec implant would afford you the best option, while fat grafting/fat flap will allow you to smooth the current appearance to leave less of an indented appearance.  Hope this helps.