Can fat graft be used to fix uneven chest caused by mild scoliosis for men? (Photo)

this needs a very specific procedure -- liposuction, nipple lift, any gland removal and fat grafting to the upper chest.  if this isnt done it will cause more sagging doing traditional liposuction alone.
You need a formal evaluation by an expert in body shaping and contouring to determine what is best.  Traditional liposuction awake and smart liposuction are old methods and do very poorly for tightening skin or significant skin tightening or contouring.  Small problem areas can be improved slightly by these methods.  The best in body contouring not only removes fat with energy devices like VASER ultrasound but also internally heat the skin with radio-frequency devices such as J PLASMA/RENUVION, InMode BodyTite, ThermiRF to heat the under surface of the skin and tighten it at the same time as fat removal. These combinations are called 4D HIDEF VASER contouring and can only be done by a well . trained body contouring specialist. At the same time fat should be harvested, PRP and stem cells added and injected into muscles or indentations/cellulite to get body shaping and contouring.  This is known as a Brazilian butt lift when you inject the fat to the buttock for contouring and lifting, but fat can also be used in areas such as the chest/breast, arms/shoulders, calves and face.  Cellulite should also be treated with cellfina, sculptra, subcision and/or fillers such as bellafill, renuva synthetic fat, or sculptra.  If skin is very loose before surgery then it will need to be removed such as lower abdominal skin (tummy tuck/abdominoplasty), breast skin (breast lift), arm skin (brachioplasty).  Overall you need a full assessment, but simple liposuction alone will not tighten skin and needs a combination of various methods -- fat removal, skin tightening, defining, fat grafting, skin removal -- to get the best in body contouring and body sculpting.  Dr. Emer.

Pioneering2869 I appreciate your concerns and frustrations and fat grafting may be a reasonable option for you. Modest improvement may be attained with regard to symmetry. After complete take, approximately 3 to 6 months, normal chest exercise routines can then be performed without concerns with regard to your results. Consult with a board-certified plastic surgeon in our area for a full evaluation.  Good luck.

You may not be able to even out your pectoral muscle size based one either differences in muscle mass or chest position. Your picture is taken with the arm raised so it is not clear which side has the asymmetry or the magnitude of the asymmetry. That information would be helpful in deciding whether fat grafting vs implant would be better. An implant more accurately enhanced muscle size which fat grafts tend to be more rounded with less definition...not to mention the reduction/loss of injected fart with increased metabolism. Contrary to your perception pectoral implants do not need to be changed as they are solid implants unlike breast implants.