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.

 First in for most is the use of proper before pictures.  Please take a proper before pictures with a Arms in the same position.  Your current picture distorts the symmetry from your body posts. Either have someone else take the picture or use a timer. Look at plastic surgeons before and after pictures to know how to position your body. The distance should be 10 to 15 feet.  From your pictures it appears you have a pectoral deficit. It looks like Poland syndrome to me.  For Poland syndrome fat transfer may in fact be a viable option.  Solid body implants do not need to be exchanged and the risk involved very immensely on different body areas. Gluteal implants have by far the worst track record of serious complications including infections.   Your post makes it difficult to make an accurate assessment. In all cases but yours especially getting the most accurate assessment is critical to be able to give any type of meaningful recommendation.  In general asymmetrical fat transfer or liposuction to compensate for skeletal asymmetry simply leads to skeletal asymmetry with fat distribution asymmetry.   With better information we can give you a better answer. Try reposting.  Best, Mats Hagstrom MD