Chest sculpting

You could benefit from an optimized chest appearance and abdominal contouring revision to make your chest look amazing. The components of gynecomastia correction involve not only the glandular component and the fat excess but also skin redundancy. Skin redundancy is the most often overlooked component in gynecomastia repair. If your skin redundancy is minimal to moderate and you are young, merely removing the glandular component and adiposity will typically result in the redraping and recoil of your skin. If your skin redundancy is minimal to moderate and you are older, you may have lost the elastin density of your skin which may result in the inability of the skin to recoil back. In this scenario, the use of Renuvion J plasma, which delivers a radiofrequency energy that results in shrinkage of collagen molecules in the soft tissue and undersurface of the chest skin. This will result in tightening of the skin that you desire. For patients who present with moderate to severe skin redundancy or who are older in age, then excision of the skin redundancy might be more effective. If the looseness is isolated to the skin and not associated with sagging of the nipple below the chest crease, then a distal axillary excision can be considered. This excision has the advantage of being distant to the chest region thus avoiding a visible chest scar. For patients demonstrating sagging of the nipple below the chest crease, then a formal horizontally based excision with replacement of the nipple and areola to a more aesthetically position is needed. If you are observing chest changes that you feel are related to skin redundancy, a formal evaluation is necessary to gauge the degree of your skin excess. Evaluating skin excess is a challenge, as skin excess can present either in the horizontal plane or the vertical plane. When it presents in the horizontal plane, it is termed skin redundancy and it will best be treated by repositioning of the skin with an excision. This excision can be localized to the area of redundancy such a a horizontally based excision of the chest crease or it can be positioned in a more hidden distant location. When the excess skin is in the vertical plane, then this will result in skin elasticity and this can be effectively treated with Renuvion J plasma treatments that result in tightening of the underlying supportive collagen cables, called the fibroseptal network. Following evaluation with a high definition provider, you will be well educated on your best treatment plan.

Sounds like your doctor may not have addressed all of the components that are involved in the development of gynecomastia! In general, I recommend that you consider VASER liposuction in your revision surgery. Please evaluate your chosen doctor’s before and after gallery so that you don’t get disappointed again. Revision chest surgery is definitely more complicated than surgery performed on the chest initially. This is because following your primary surgery, scar tissue buildup creates additional challenges not present on the first go around. As such, your chosen surgeon should not only show you primary chest sculpting cases but also revision cases. Revision surgery often requires additional procedures such as fat transfer and even skin tightening not routinely performed during primary chest sculpting cases to achieve optimized chest appearance.

if you are having breathing problems following surgery, this could be an emergency and you should secure medical attention. There are many causes for breathing problems. For example, If your procedure was performed with sedation and an anesthetic, you could be experiencing atelectasis, and collapse of air cells that will get better with deep breathing. If your breathing difficulty started several days after surgery, you might be developing an allergic reaction to your antibiotic medications. In this situation, you wish to stop your antibiotic under the guidance of your doctor. Finally, if you are experiencing breathing problems 10 days after surgery, you may be experiencing a vein clot that has been dislodged to your lungs. This complication is called a pulmonary embolus and is a medical emergency.

Chest deformity following gynecomastia is common when optimal techniques are not utilized to address the redundant and excess tissues that require feathering liposuction and direct excision of glandular tissue; at this point, you will require revision gynecomastia surgery to correct your abnormality which has been referred to as an early crater deformity. Optimized chest appearance is undermined by the creation of any irregularity.

Your best option to repair your chest is fat grafting which can be done in the office setting with minimal oral sedation; this will run you approx. Fat grafting can cost you approximately $2000 per area per session. You cannot do a fat flap because:
1)you will compromise your areola incision
2)you will be stealing from another area in your chest to correct your concern; this will leave you with a divot from where the fat was harvested.

Concavity over the lateral mid breast is common and can be corrected by filling with fat transfer; you have to make sure that the surrounding area does not need to be tapered at the same time. In summary, correction of your deformity typically requires a combination of fat grafting and liposuction to attain an optimized chest appearance.

Your deformity will require fat transfer; this can be done under local anesthetic.

You have gotten reasonable results; maybe a little over resection under the nipples but not horrible. The deformity you create when flexing is to be expected as you remove the overlying fat, flexing your muscles will be more evident on your skin.

What you are observing is suboptimal gynecomastia repair as it seems like a slight over-resection of the tissues under the gland and not enough liposuction of the periphery. Any skin deformities created when flexing can occur following almost any type of breast surgery. Redundant skin will go away with time as long as you are 40 years or younger.

You can have asymmetry of soft tissue fullness or even get fat necrosis following gynecomastia surgery. But this is correctable with a small revision using VASER liposuction. VASER liposuction is able to pierce through scar tissue that may have formed following fat necrosis which is the death of fat cells. When fat necrosis occurs, the residual fat cells become firm and may create lumpiness.

You may also consider getting an imaging study such as an ultrasound and even an MRI to make sure that what you are feeling is not abnormal tissue.

A physical examination is really necessary to document your deformities and to provide you definitive recommendation. During your physical examination, the soft tissues can be palpated and assessed so that a determination can be made regarding the tissue types you are missing. The soft tissue types that make up the chest include both glandular tissue and fat content as well as your pectoralis muscle. Diet may help in reducing body fat and exercise can maintain a high metabolic rate. The types of exercises patients usually perform to achieve a better chest silhouette are bench press exercises in combination with weightlifting exercises. Incorporating training exercises that bulk up the shoulders, back, and arms is another means of enhancing the overall chest silhouette. This is because the chest muscles are intimately associated with and connected to the shoulder and arm muscles. This connection between for example the arm and shoulder muscles and the chest can be reinforced by the position in which you perform your weight training regimen.

What you need is gynecomastia surgery which involves not only liposuction but direct excision of your glandular tissues located just under and around your nipple region. Please make a consultation so that a gynecomastia surgery expert can show you exactly what you can expect. High definition chest sculpting will result in an optimized chest appearance.