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Gynecomastia: Can I do SculpSure over previous fat graft on male chest?

ddd95711Dec 6, 2021
I’ve always had very mild gynecomastia. 3 months ago i did gland only excision - doctor removed the entire gland and did a fat graft to prevent nipple catering. No lipo. I didn’t want lipo. Now I want to do sculpsure to remove my excess chest fat. Is there any serious risk of sculpsure damaging my fat graft to the point where there is a cater deformity as a result? I know you can avoid the nipples with the applicators, but the heat goes beyond the applicator to create a natural result

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Robert M. Lowen, MD profile photo
Dr. Robert M. Lowen, MD
Board Certified Plastic Surgeon
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Answered on Dec 23, 2021
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Robert M. Lowen, MD

Since both affect fat, I would have the SculpSure first. When you do Sculpsure too soon, like less than 6 weeks apart, you increase the chance of lumps. Since Emsculpt is also affecting the fat, it might be prudent to do the more fat specific treatment Sculpsure first followed by the milder...

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Robert M. Lowen, MD

That is interesting, I was always taught exactly the opposite. You have only so many fat cells after puberty and do not make more. Your existing fat cells can get bigger or smaller depending on caloric intake. Destructive methods such as lipo, and Sculpsure remove those cells. They are gone and...

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David M. Ryan, DO

Paradoxical Adipose Hyperplasia has not been associated with SculpSure treatments. It has been reported with cryolipolysis (CoolSculpting). Some patients who have had SculpSure treatments may develop nodules in the treated areas. However, these are temporary (and uncommon).

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