Addressing Post-Surgery Indentations After Gynecomastia Surgery

Depression after surgery?

Hello Doctor, since my surgery for gynecomastia in October 2017, I have had a noticeable indentation near my areola on the left side where the tissue was removed.
The indentation is quite prominent due to some muscle definition in my upper left chest.
I am unsure how to restore it to be level and uniform with my other breast.
I would like to ask the doctor how to address this issue.

Guo Xiansheng, 20~29 year old female. Ask Date: 2018/06/10

Dr. Xu Kaixi reply Surgery

Hello, if there are still unsatisfactory areas in the appearance after male gynecomastia surgery, such as the indentations you mentioned, it may be due to a thinner layer of fat.
This can potentially be addressed through other methods.
It is recommended that you discuss your follow-up treatment plan with the surgeon who performed your procedure.

Reply Date: 2018/06/10

More Info

After undergoing gynecomastia surgery, it is not uncommon for patients to experience indentations or irregularities in the chest contour, particularly if the surgery involved significant tissue removal. Your concern about the noticeable indentation near the areola is valid, and it’s important to address it properly to achieve a more symmetrical and aesthetically pleasing result.

Firstly, it’s essential to understand that the healing process after surgery can take time. The body undergoes various stages of healing, and the appearance of the chest may change as swelling decreases and tissues settle. However, if the indentation remains prominent after several months, there are several options to consider for improvement.

1. Consultation with Your Surgeon: The first step is to return to your surgeon or seek a consultation with a board-certified plastic surgeon who specializes in gynecomastia surgery. They can assess the indentation and determine whether it is a result of surgical technique, healing, or other factors. A professional evaluation is crucial to understand the best course of action.

2. Fat Grafting: One common method to correct indentations is through fat grafting. This procedure involves harvesting fat from another area of your body (such as the abdomen or thighs) and injecting it into the indentation. This can help to smooth out the contour and create a more even appearance. However, the success of fat grafting can vary, and multiple sessions may be needed.

3. Fillers: In some cases, dermal fillers can be used to temporarily fill in indentations. While this is not a permanent solution, it can provide a quick fix while you consider more permanent options.

4. Surgical Revision: If the indentation is significant and bothersome, surgical revision may be necessary. This could involve additional procedures to redistribute tissue or correct the contour. Your surgeon will discuss the risks and benefits of any revision surgery.

5. Physical Therapy: Sometimes, physical therapy focused on chest muscle strengthening can help improve the overall appearance of the chest. Engaging in exercises that target the pectoral muscles may help to build muscle around the area, potentially reducing the appearance of the indentation.

6. Patience and Monitoring: It’s important to give your body time to heal fully. Sometimes, the appearance of the chest can improve over time as swelling subsides and tissues adjust. Regular follow-ups with your surgeon can help monitor the healing process and determine if further intervention is needed.

In addition to these options, maintaining a healthy lifestyle with a balanced diet and regular exercise can support overall body contouring and health. Avoiding significant weight fluctuations is also crucial, as this can affect the appearance of the chest.

In conclusion, while indentations after gynecomastia surgery can be concerning, there are various strategies to address them. Consulting with a qualified surgeon is the best way to explore your options and determine the most appropriate course of action for your specific situation. Remember, every individual’s healing process is unique, and patience is key as you navigate your recovery and any potential corrective measures.

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