Nipple crater after gynecomastia surgery. Is there a way to fix it permanently? (Photo)

Your incisions will go through a maturation #process after gynecomastia surgery. For the first few months they will be red and possibly raised and/or firm. As the scar matures, after 6-12 months, it becomes soft, pale, flat, and much less noticeable. You may experience numbness, tingling, burning, “crawling”, or other peculiar sensations around the surgical area. This is a result of the #healing of tiny fibers which are trapped in the incision site. These symptoms will disappear. Some people are prone to keloids, which is an abnormal scar that becomes prominent. If you or a blood relative has a tendency to keloid formation, please inform the doctor. Also, as you heal, the area may feel “lumpy” and irregular. This, too, decreases with time, and massaging these areas will help soften the scar tissue. The #compression garment helps reduce the swelling, and the longer it is worn, the more quickly you will #heal. It can also assist in the retraction of the skin. If you have any concerns about #healing, its best to ask questions of your surgeon or their nursing staff. It's possible the indentations can be addressed with cosmetic filler(s) if eligible. 

Thank you for your question and photos regarding gynecomastia and gynecomastia surgery results. It appears from your pictures that too much tissue was resected underneath the right nipple. This led to a sunken nipple or “crater” underneath the right nipple areolar complex. This is a difficult problem to treat. However, treatment for a sunken nipple areolar complex is not impossible. I would suggest autologous fat grafting. Autologous fat grafting is a procedure where excess fat is taken from one area of the body and placed in another area requiring tissue. In your case, I believe fat can be “harvested” from the abdomen, purified, and then transferred to the right nipple “crater”. By using the autologous fat grafting technique, areas that require tissue can be augmented. Autologous fat grafting can be performed under local, IV sedation, or general anesthesia. In your case, I believe this is the best form of treatment for the right nipple “crater” after your gynecomastia procedure.
Thank you for your questions regarding gynecomastia surgery. If you have any further questions regarding correction after gynecomastia surgery, please contact my office. Sincerely, Dr. Katzen.

It seems like the deformity in your photographs would be best corrected with the release of the scar tissue and fat grafting to give it bulk underneath.

The crater can be improved by releasing the scar tissue and fat grafting underneath it.Kenneth Hughes, MDBeverly Hills, CA

There are definitely a few different strategies that can help with your indented nipple areolar area.  The most common would be fat transfer, done by removing fat from another area using liposuction and injecting it into the area that requires volume. You may require more than one treatment. There are also other possibilities using  different biological materials, and cost will vary depending on the procedure that is chosen. To find out what would be the best strategy for you, you would need to be examined in person.