How difficult would it be to resolve this severe of a crater deformity? (photo)

You bring up a good point in your question: general surgeons are concerned about removing the excess glandular tissue, but don’t really have the liposuction experience to contour the entire chest. In the 15 years that I have performed over 1000 gynecomastia procedures, I rarely find that I ever have to remove the glandular tissue through an incision around the areola such as you had. Using an ultrasonic liposuction, I can break up the hard breast tissue, remove the excess fat of the entire pec with a very small hidden incision and no chance of leaving the deformity that you have above. This deformity is correctable with liposuction and fat re-distribution. I would take the fat from both sides of the chest and on the left side I would re-distribute it so that there is a thin layer of fat behind the areola. That should prevent the deformity from coming back.

Hello, and thank you for your question regarding addressing the crater deformity on your left chest. I appreciate your openness in sharing your history and photos.

Based on your description and photos, the best approach to correcting the crater deformity would involve fat grafting. This technique uses fat harvested from another area of your body, such as the love handles or around the belly button, to fill in the hollow area. The fat is carefully processed, purified, sterilized, and then meticulously injected into the affected area to create a smoother and more natural contour.

The procedure is relatively straightforward and can be performed under local or general anesthesia, depending on your comfort and the surgeon’s recommendation. It typically takes one to two hours to complete. While there may be some residual scar tissue from the original surgery, this should not significantly hinder the fat grafting process.

It’s essential to consult with a board-certified plastic surgeon experienced in chest contouring and fat grafting for the best results. They will evaluate your anatomy and recommend a personalized approach to achieve symmetry and a natural appearance.

Good luck with your revision journey, and I hope this information provides clarity as you move forward!

Sincerely,
Dr. Katzen

. . . via someone with experience in this matter, of course. Only limitation may be how much scar tissue is in the "recipient" zone for successful fat placement/take (but can almost always find donor fat!)