Can this be fixed & what's normal after gyno surgery? (Photos)

Question

Is it normal to have one chest muscle with a very noticeable indent on one side after surgery (more towards center chest, not under nipple). Does this go away? Had gyno surgery due to some tissue growth over 10 years from testosterone. In my opinion it wasn’t very bad to begin with. All I wanted was the nipple to be more rounded. So I could have a better “shape” I now have a dent in the left side chest, can this be fixed?, I also have lost a lot of my side profile contour as the chest is now very flat. With a pocket of fat at the top between my chest and armpit. What would it take to have a good contour restored? Please help..

Tim Neavin, MD · Answer

Thank you for your question and photos.  In people it is not uncommon to see contour irregularities after gynecomastia surgery.  Sometimes the nipple area scars in against the muscle, sometimes too much is taken, and sometimes too much is left behind.  When too much is taken or if the tissue scars against the muscle firmly creating an adherence,  fat can be injected into the area to improve the contour.  In addition to fat there are some products that are available that can be used as well.  The good news is that this could be corrected quite easily.  Please see a trained specialist who performs a lot of this type of surgery

Daniel Barrett, MD · Answer

Dear Jmaro92,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

David E. Berman, MD (retired) · Answer

You still looked very fit and ripped so do not be too hard on yourself!!!
i would need to see you in person but the indentation should improve with fat grafting and if
the bulge is truly due to fat (can tell by palpation) then this could be improved (note the word, 
"improved" rather than made perfect) by Smartlipo. This could be done in the office under local with oral sedation and return to work the next day. 
btw you did not say how long ago your surgery was done. If it was less than 6 months, then you should give it more time to see how it settles with time. Maybe even wait a year.
see a board certified plastic surgeon for this!!!

david berman md, frcsc

Can this be fixed & what's normal after gyno surgery? (Photos)

Answers (3)