Do I need fat grafting to properly correct scar tethering after gynecomastia surgery + revision surgery? (Photo)

Question

I had Gyno surgery in 2015 and a scar release in 2017. The scar was a result of too much lipo on the left. After revision, a new formed scar didn’t fully go away. The left nipple protrudes less than my right side. However the left side has tethering and creates the appearance of a pocket of fat near my underarm. I feel a bit of the scar when I pinch the nipple, though it shrunk over time. The left side overall feels more depressed and has looser skin than the right, which is nicely contoured.

Mathew A. Plant, MD, FRCSC · Answer

Without examining you it is difficult to be certain but based on the photos it looks like a scar release with fat grafting to correct the missing tissue would be the ideal procedure to correct your problem. It is not likely to ever fully correct, but can be significantly improved. The only way to know for sure is to book a consultation with a board certified plastic surgeon near you to see what your options are. Best of luck!

Stanley Okoro, MD · Answer

Thank you for your question and the great photos you provided. I am able to appreciate the tethering you describe in you photos. A minor scar release with Renuva injection may help get you the result you desire. Renuva is "off the shelf" fat; a filler made of an acellular matrix to allow your own body to place its own fat in. Renuva may take up to three months for patients to see final results. Make sure you discuss all the different treatment options. Good luck!

Tim Neavin, MD · Answer

Thank you for your question and for your photos. Based on the photos provided, I feel that you are an ideal candidate for fat grafting to the area. I would recommend for you to consultation with a board certified plastic surgeon for a complete examination and discuss treatment options and your desired results.

Nelson Castillo, MD · Answer

Thank you for sharing your excellent question and photographs.  It appears that the best treatment to help improve upon your left-sided contour irregularity would be scar tissue release with fat grafting.  Liposuction to the lateral chest could also be performed to help remove some of the fullness along the outer chest/underarm region.  Hope this helps.

Daniel Barrett, MD · Answer

Dear Fearless8884,
It is hard to tell for sure without an examination but based on your photos, it looks like you would benefit from fat transfer. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Do I need fat grafting to properly correct scar tethering after gynecomastia surgery + revision surgery? (Photo)

Answers (9)

Answer: Do I need fat grafting to properly correct scar tethering after gynecomastia surgery + revision surgery? (Photo)

Answer: Do I need fat grafting to properly correct scar tethering after gynecomastia surgery + revision surgery? (Photo)

Answer: Fat transfer

Answer: Fat transfer

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.

Do I need fat grafting to properly correct scar tethering after gynecomastia surgery + revision surgery? (Photo)

Answers (9)

Answer: Do I need fat grafting to properly correct scar tethering after gynecomastia surgery + revision surgery? (Photo)

Answer: Do I need fat grafting to properly correct scar tethering after gynecomastia surgery + revision surgery? (Photo)

Answer: Fat transfer

Answer: Fat transfer

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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.