i haven't seen 1 successful fat graft to fix crater deformity after gynecomastia surgery. Can it be done?

Question

i seen online someone using fat flaps i read fat grafts either disappears or turned to scar tissue in allot of cases if this is possible can u point me in the direction of someone who can fix my creators in the uk??? i have not seen a pic or spoken to 1 successful revision case

Ajaya Kashyap, MD · Answer

Thank you for your question.Fat Grafting has been successful in my practice and those of other Plastic Surgeons for this problem. What you need is some fat grafting and some micro liposuction of the residual fat below the crater. You will need to find someone who is experienced in this technique in your area, who can help you with your concerns. All The Best !

Tim Neavin, MD · Answer

Thank you for your question and for your photos. Based on your photos provided, I feel that you would be a great candidate for fat grafting to the breast area. I would suggest for you to research a surgeon with more expertise on the procedure with successful results. Best of luck to you.

Miguel Delgado, MD · Answer

Crater deformity can be corrected successfully. In addition to selecting a board certified plastic surgeon, be sure the surgeon also specializes in gynecomastia. View before and after pictures of crater deformity. Good luck.

Nelson Castillo, MD · Answer

Thank you for sharing your excellent question and photographs. Nothing replaces an in-person examination of your tissues, or knowing how long since surgery you currently are but it appears that much of your tethered scar is at the level of your incision.  This may be improved with reopening the incision to release the scar and rearrangement of underlying fat to “gather” material underneath the scar and nipple to improve your outcome. If insufficient fat is present, then grafting could also be performed to help limit the chance of recurrence.  As you said, grafting is a bit more unpredictable and may require a series of transfers.

Daniel Barrett, MD · Answer

Dear Forceful6315,
It is hard to tell for sure without an examination but based on your photos, it looks like you would benefit from fat transfer to fill the dent. In most cases 30-50% of transferred fat will be lost after some time. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD

Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Antonios Mitsakos, MD · Answer

Fat obtained with liposuction can be used as a long lasting natural filler and has numerous applications. Latest studies have shown that up to 70% of the fat transferred can be preserved in the long run. Asymmetry or contouring deformities are very commonly addressed with fat transferIt is a very niche surgery though, you are absolutely right and so you need to do your research

David E. Berman, MD (retired) · Answer

however, it is important to realize that whenever fat is transferred, not all of the fat will live. It is important not to place too much fat in the area, or it will also be a problem. it is reasonable to expect that you may need a second fat grafting session, 3 months later. see a board certified plastic surgeon. david berman md

i haven't seen 1 successful fat graft to fix crater deformity after gynecomastia surgery. Can it be done?

Answers (7)