Patient Q&A
Reconstruct gynacomestia surgery
Asked for patient, 20 years
Asked 8 Months ago
I had gynacomestia surgery 2 years ago but after that I have sunken nipple problem aka crater deformity because of which my nipple craved inside can you do a fat flap surgery to give a better shape to my chest and good muscular contour
3 doctor answers
Hello,
Thank you for explaining your concern so clearly. I understand how distressing it can be to undergo gynecomastia surgery and then be left with a sunken or inward-pulled nipple (crater deformity). At a young age, chest appearance can significantly affect confidence, and your concern is completely valid.
Why crater deformity happens
Crater deformity usually occurs when:
Excess glandular tissue is removed without adequate contour preservation
There is loss of fat or soft tissue beneath the nipple
Scar contraction pulls the nipple inward
This is a known complication after gynecomastia surgery and does not mean anything has gone “wrong” with you.
Can it be corrected?
Yes, correction is possible, but the approach depends on:
Severity of the depression
Skin elasticity
Amount of remaining fat
Scar tissue underneath
Surgical / procedural options (in general)
Plastic surgeons may consider:
Fat grafting (fat transfer / fat flap) to fill the depression
Local tissue rearrangement
Scar release with volume correction
Sometimes a combination approach is needed
Fat grafting is commonly used, but results depend on how much fat survives, and more than one session may be required.
Important points to know
Revision surgery should be done only after proper evaluation
Complete perfection cannot be guaranteed, but significant cosmetic improvement is usually achievable
Choosing an experienced surgeon for revision surgery is very important
Healing and final contour can take several months
Role of non-surgical / supportive care
While surgery addresses structural issues, supportive treatments can help
with:
Scar quality
Skin texture
Healing response
Overall confidence and body image support
My honest advice
You should consult a qualified plastic surgeon who has experience in gynecomastia revision surgery for an in-person assessment. Bring your previous surgical records if available. Avoid rushing into another procedure without detailed discussion of risks, expectations, and outcomes.
Your concern is real, and help is available. With the right evaluation and approach, improvement is certainly possible.
Warm regards,
Dr. Jyoti Kadkol
You need to consult a plastic surgeon for that
Please do consult a plastic and reconstructive surgeon for the procedure.