Crater deformity/indentations 3 weeks post op Gynecomastia surgery - will this require a fat transfer revision? (Photo)

Question

Follow-up post to provide more pictures. Surgeon may have removed too much tissue/fat from my chest creating indentations/craters, or perhaps he was too aggressive with the liposuction. The craters are more prominent when my arms are lifted but are still noticeable with my arms by my side. The crater on my left appears to be larger in size, too. Will this likely need a fat transfer/graft in the future or will time and healing fix this issue?

Mats Hagstrom, MD (license on probation) · Answer

Gynecomastia surgery is not always straightforward or simple.
The candidacy for quality outcomes, varies substantially from patient to patient and a careful assessment of all tissue variables is required to make an accurate assessment regarding someone’s for quality outcomes.
It’s important to clearly differentiate how much is contributed by glandular tissue, subcutaneous, fat, and skin laxity.
The age of the patient has a major component to watch patients can expect regarding outcome.
Any history of weight fluctuation will also impact potential outcome because this contributes to skin laxity, which is difficult to manage.
To compensate for skin laxity, which will reduce outcomes surgeons will often be more aggressive with removing fat and glandular tissue. In your case, the surgeon may have been overzealous, and the procedure could’ve been done slightly better.
Surgeons who failed to be aggressive will deliver results that are considered insufficient to the majority of patients.
Being overly aggressive creates deformities, that are very difficult to correct with revision surgery.
A happy balance usually means, looking slightly indented with the arms raised while looking slightly under treated with the arms in the down position.
Skin reduction leaves, bad scars, and is often an unappealing option.
Restoring previously removed volume is very difficult, and often not a realistic option.
For some patients, a partial improvement is the best they can hope for.
Your procedure outcome is less than ideal but it’s probably an overall improvement compared to where you started.
I don’t think posting on this website is going to get you the answers you were looking for.
Fat transfer is a notoriously difficult method to restore, excessive fat removal from previous liposuction or gynecomastia surgery leaving indentations.
Best,
Mats Hagstrom, MD

Crater deformity/indentations 3 weeks post op Gynecomastia surgery - will this require a fat transfer revision? (Photo)

Answers (1)

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