Can this asymmetry, contour and crater deformity be fixed? (Photos)

Question

Looks like crater deformity and other surprises, how likely is this to be fixable for symmetry, contour, and crater deformity.

Julia Spears, MD · Answer

Hello, and thank you for your question.

Based on your photos, the good news is that these contour irregularities can often be improved with revision surgery. The best approach depends on the underlying cause of the deformity, which may include scar tethering, uneven tissue removal, residual fullness, volume deficiency, or a combination of factors.

In many cases, treatment may involve scar release, fat grafting to restore volume, contouring of surrounding tissues, or revision liposuction, depending on what is contributing most to the appearance. The goal is to create a smoother contour, improve symmetry, and reduce the visibility of the crater deformity.

It is important to understand that revision surgery is often more complex than the original procedure because scar tissue and altered anatomy must be addressed. While significant improvement is frequently achievable, perfect symmetry is not always possible.

A thorough in-person evaluation with a board-certified plastic surgeon experienced in revision body contouring surgery is the best way to determine the cause of the deformity and develop a treatment plan tailored to your anatomy and goals.

Ashraf Abolfotooh Khalil, MD · Answer

Thank you for sharing your photos. Based on what can be seen, a revision procedure is usually required to improve the overall shape and symmetry of the chest. This typically involves excision of any excess skin, combined with targeted fat grafting to restore a smoother, more natural contour and definition. A proper in-person assessment with a board-certified plastic surgeon is essential to determine the exact approach and achieve the best possible outcome.Wishing you all the best.

Gregory Lakin, MD · Answer

Thank you for your question. Yes, this can be improved, but the fix depends on what caused them and how severe they are. This can be treated with fat grafting to fill the depression, scar release if the skin is tethered down, or a small revision liposuction if there is surrounding fullness making the crater stand out more or a combination of them. The goal is clear improvement and better symmetry, but not always perfect correction, especially if there is scarring or skin thinning. Have an in-person examination with a board-certified surgeon to determine whether the problem is mainly fat loss, scar tethering, uneven liposuction, or skin damage, and then choose the safest correction.

George Marosan, MD · Answer

Thank you for your question and photos. The good news is that your poor results can be fixed. You did undergo a poorly executed gynecomastia surgery which needs to be redone. You have a crater because excess tissue was left all around that area, the gynecomastia that goes beyond the lateral pectoralis major muscle edge was nor removed and you ended up with what's known as a "sad pectoral" deformity. If you were my patient, I would need to redo the whole operation. Basically, VASER liposuction of the gynecomastia and lateral chest wall, release of the skin and skin tightening with the J-Plasma or Renuvion. I do these surgeries in our in office accredited surgical suite under deep intravenous sedation and not general anesthesia. See a board certified plastic surgeon with extensive experience in advanced body sculpting techniques for an in-person consultation/evaluation. BTW, this is not "touch up" surgery. Good luck.

Can this asymmetry, contour and crater deformity be fixed? (Photos)

Answers (4)

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