Bursa Crater Deformity
There is a defect under the nipple areola. Skin is loose and not stuck to base of the crater defect. Skin is attached like tissues at the knee or elbow with mobile connective tissues or a bursa. A bursa is a loose filmy connection that permits tissue to move unlike an adhesion where tissues are stuck.
The skin sometimes floats to a normal contour, but sometimes is depressed. The depression does not always bounce back to a normal contour. Central Depression Under Nipple Areola becomes apparent by pressing on tissues. There is an edge or wall of fat around this Bursa Crater.
Move cursor over smaller images to see crater fat walls. The thickness of tissue should be about the same across the chest by pinch test. Under this nipple, there is a crater or defect with minimal tissue to pinch. The depression worsened while laying on his back, and improved when standing. This makes sense for surface skin that does not have support underneath. During surgery, the fat wall at the edge of the defect is easily seen.
Flash Video 2.1 MB 25 seconds demonstrating Bursa Crater Wall
This movie shows the edges of the crater wall during examination of the chest. The nipple areola skin floats over the defect in the fat and deeper tissues. The crater wall is easily defined by pinch.
QuickTime Movie Showing Exam Crater Defect (same movie).
Learn more about the Revision of this Bursa Crater Complication after gynecomastia surgery.