What can I do if my doctor declines a revision request? (Photo)

Question

In May I will be 6 months post op from Gynecomastia surgery. I’m less than happy with the results, I have cratering on both sides under the areola which is causing it to fold into itself when flexing ever so slightly and unflexed there is a crease running through the middle. I brought this up to my doctor at the 3 month check up and he said it’s normal and it won’t get better because nothings wrong. What should I do?

Tim Neavin, MD · Answer

Thank you for your photos.  When you lift your arm there is a slight indentation.   Is it evident when your arms or down?   It is possible the areola scarred down to the muscle.  I would recommend massaging the area several times a day to try to break up scar tissue.  If it remains, one option would be to inject fat under the tissue.  Be sure to see someone who has a lot of experience with fat transfer.

Daniel Barrett, MD · Answer

Dear Gorgeous397096,
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

Leland Webb, MD · Answer

While revisions are not entirely common, sometimes they are reasonable to do. If your surgeon is unwilling to provide a revision, then you could seek a second opinion. Given the pictures you provided and your symptoms, there are some options for you which include possibly Fat grafting. Understand, however, that this brings tissue back to the area that tissue was originally removed. The goal in this case would be to improve the cratering that you are experiencing. This can be a common result from this type of surgery. However, if it is a scenario that bothers you, know that you do have some options, moving forward, however, it sounds like it might be with a new surgeon. We are happy to help in any way we can.

Sanjib Tripathee, MD · Answer

Your result are good actually. The NAC complex might be moving inward because of attachment to underlying muscle. Daily massage of NAC might help to release the attachment and give a better look.

Arian Mowlavi, MD, FACS (license on probation) · Answer

You can correct cratering of the nipple and areola with a simple fat transfer that can be done under local anesthesia. Please consider a virtual consultation with a high definition body contouring provider.

What can I do if my doctor declines a revision request? (Photo)

Answers (6)

Answer: Result looks good

Answer: Result looks good

Answer: Cratering of the nipple and areola

Answer: Cratering of the nipple and areola

Recommended reading

Everything you need to know about Gynecomastia Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.

What can I do if my doctor declines a revision request? (Photo)

Answers (6)

Answer: Result looks good

Answer: Result looks good

Answer: Cratering of the nipple and areola

Answer: Cratering of the nipple and areola

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Recommended reading

Everything you need to know about Gynecomastia Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.