I had surgery for my gynecomastia and ended up with crater holes in my chest. Can I fix these without surgery by bodybuilding or weight loss?
A Crater Deformity Defect
is a term I coined after seeing some hideous deformities on patients coming to me for help after surgery done elsewhere. I published a collection of patients' pictures defining the problem to try to educate the world for prevention. I also have since published methods to demonstrate the degree of the problem and just how successful corrective surgery can be when there are tissue resources available. Revise Crater Deformity After Gynecomastia Surgery Performed in Texas and Massachusetts
is one example. On that detailed page, check out the before and after photos, but even more powerful are the videos demonstrating the deformity and solution.
This is a problem that becomes much more apparent when using the chest muscles. When the deepest part of the crater is stuck to the chest muscle skin, flexing, and raising arms up overhead both make the deformity look worse. In evaluating the effectiveness of any treatment, look for such documentation. If the surgeon claims he / she has a fix, look for at least the flexing still pictures. Videos are even more critical. If the solution looks good on video, then it can be something that also looks good living life. I just recently published a unique case where a crater defect was transformed from something that had a fix for it to something even worse, an extended crater. Extended Crater After Revision Gynecomastia Surgery by NY Surgeon
is an unusual example. Watching the videos of that "revision surgery" result really is a tell on that doctor's methods. You cannot fix a crater defect by removing the nearby fat making the surrounding areas skin adherent to the chest wall like the central crater. Look at the still photos on that page. They demonstrate how a doctor can "ignore" bad results by limiting what they show about their surgery. The flexing muscle pictures tell more about the issue at hand but the video is really impressive. This patient said the NY doctor felt the results were good. I personally do not see how after seeing the patient in person and what the videos show. What makes this example interesting is that I saw the patient with a crater after the first surgery done in NJ. At that time he still had resources to fix the problem. He then came back after a revision in NY. Those resources were gone, the results demonstrate the nature of that surgeon's methods and why looking at more than a few images is so critical in understanding such skills. Learn How to Choose Your Gynecomastia Surgeon
. No Surgery Options to Address Crater Deformities:
Weight loss can lower the outer edge fat wall of a crater, but does not look good on animation. The sticking skin does not look good. I have seen patients who putting weight on, made the crater deeper. The remaining fat cells put on the weight, but there is nothing to put on if the cells have been removed and the skin is sticking to the muscle fascia. I have not seen any benefit with bodybuilding and crater deformities.
When surgery is not an option, I have been able to demonstrate how my bodyshaping garments
can be an option on land. My surfers taught me that the water equivalent is the wet suit. But the beach is a special problem, neither work well. For the beach, the sun protection loose clothing has been an option. These alternatives became an important issue since not all patients are candidates for the revision or they needed to heal until I could offer revision surgery.
Prevention is so much better than having to fix a mess like that. But in evaluating a surgeon's skills for this fix, look for videos demonstrating what they are offering and if not that, at least pictures how flexing and raising arms look. For that matter, if you come up with an alternate method to fix this problem, documenting the before and afters would be a starting point for others to explore such avenues.
Here is another new resource: How to Evaluate Gynecomastia Pictures
Hope this helps,
Michael Bermant, MDLearn More About Revision Gynecomastia and Chest Surgery