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

Question

i have undergone gynecomastia procedure about 10 yrs ago which left me with crater deformity so i went for fat grafting performed on my right side as it was more sunken done by the same doctor 2 yrs ago (2014) which had no improvement.I have been researching,exchanging emails,phone,Skype consulting and met two doctors Dr.Miguel Delgado(suggested STRATTICE) and Dr.mordcai blau(suggested FAT FLAP)no one had pictures of previous patients with crater deformity and even if they had they weredreadful.

Tom J. Pousti, MD · Answer

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.

Giorgio Netri, MBBS · Answer

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

Nelson Castillo, MD · Answer

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.

Robert Caridi, MD · Answer

Based on your photos I personally would consider a more thorough treatment of your chest particularly in the Zones of your chest that still has fat. By making the layer of tissue more even this will improve the appearance of your chest significantly and it is a reliable procedure with little downside.

Steven Wallach, MD · Answer

Revision surgery for a crater might do well with fat injection. ADM's might be an option as well.  Best of luck.

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

Answers (7)

Answer: Gynecomastia revision

Answer: Gynecomastia revision

Answer: Gynecomastia surgery revision

Answer: Gynecomastia surgery revision

Recommended reading

Everything you need to know about Gynecomastia Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.

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

Answers (7)

Answer: Gynecomastia revision

Answer: Gynecomastia revision

Answer: Gynecomastia surgery revision

Answer: Gynecomastia surgery revision

Browse related questions

Recommended reading

Everything you need to know about Gynecomastia Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.