Static Pictures Can Hide Deformity Seen in Real Life, Flexing, and Moving Muscles.
41 year old male first came to Dr. Bermant 3 years ago unhappy after gynecomastia surgery done in New Jersey. He failed our Red Flag test with breast pain and breast size getting bigger. Dr Bermant sent him on for Endocrinology evaluation and stabilization. He had the problem stabilized but then had revision surgery in New York. He returned to our office complaining now of contour distortion flexing muscles, deformed chest, atrophied lost muscle mass injured during surgery, and saying he was much worse off than when he was here. He has attempted to rebuild the muscles with therapy and brought a series of Male Mammograms and MRIs of his chest documenting the deformity spanning the 2 prior operations.
Movie Failed NY Revision Gynecomastia Surgery
Flash Video 
9.7 MB 2 minutes 26 seconds. Making something look good in real life is much more difficult than a static photo with arms at the sides. This is using our Standard Video for documentation the male chest.
- Extensive Crater Deformity Complication with adhesions looks bad lifting arms overhead.
- Deformity flexing muscles seen in movie so much more vividly than photos.
- This defect is after 2 surgeries done elsewhere.
- Patient had seen Dr. Bermant after first surgery done in N.J.
- Tender growing breasts forced Dr. Bermant to refer to Endocrinologist to stabilize before surgery. Without stabilization recurrence can occur.
- Patient then chooses closer NY Plastic Surgeon.
- This is the result after New York revision gynecomastia surgery.
- Patient unhappy with result returns to Dr. Bermant, but resources now gone.
- Dr. Bermant outlines extensive crater defect wall.
- There is a wide zone of adherence in this crater defect.
- Fat now gone after sharp cannula liposuction.
QuickTime Movie Failed NY Revision Crater 
(same movie).
Movie Experiences Revision Gynecomastia Surgery
Flash Video 22.7 MB 4 minutes 27 seconds demonstrating Crater Scars and Adhesions. Movies beyond motion issues, can help express emotion of experience and satisfaction.
- Tender growing breasts after first surgery.
- Dr. Bermant referred for Endocrinologist for evaluation and treatment.
- Went to NY surgeon because he was closer.
- Patient said "Major mistake, sucked me dry of fat."
- That surgeons response "Not going to have it perfect."
- You need a surgeon who understands that how it moves is important for a good result.
- Deformity demonstration: showing that how bad it looks while flexing.
QuickTime Movie Patient Experiences and Demonstration Crater Deformity (same movie).
Flexing Muscles and Arms Up Overhead Demonstrate Deformity of Extended Crater Defect.
Progression of still pictures (with pectoral muscles relaxed) deceptively looks like satisfactory outcome. Starting before any surgery, to after New Jersey primary gynecomastia surgery, and ending with revision surgery done in New York seems to show improvement. Move your cursor over the smaller images to see the changes.
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Left: Before Any Surgery Middle: After NJ Gyno Surgery Right: After NY Revision... |
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However, you see how the failed New York revision results once flexing the muscle. Left Photo Relaxed, Right Image Muscles Flexed |
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Left Photo slight crater after 1st NJ surgery. Right Photo Craters more extensive after NY revision. |
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Left Photo Before Any Surgery Right Photo Before NY revision. |
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Left Photo Relaxed, Right Muscles Flexed After Failed Revision Surgery done in New York. Note the extreme distortion on flexing muscles. |
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Left Photo Relaxed, Right Muscles Flexed After Failed Revision Surgery done in New York. Again, extended deformity on flexing. |
Excessive tissue removal, techniques that excessively injure tissues, surgeon's skills, inadequate scar care, after gynecomastia surgery compression garments, and patient's tendency to scar all can be factors. This is why Standard After Gynecomastia Photos should show muscles flexing and arms up over head. As demonstrated on this page, Standard Gynecomastia Movies are even more demanding and demonstrate a surgeon's sculpture skills.
Managing a crater deformity by making it bigger and wider is no answer for a result to look good on animation. For reconstruction of a crater defect, local resources are needed. Options that did exist after the first operation when the patient was examined, were no longer available after they were removed by the liposuction of the second surgeon.
Oblique Pictures Relaxed & Flexing Crater Complication.
Almost 2 Years after Revision Surgery Performed by NY Surgeon. Extended adhesions do not look natural when flexing muscles as seen in the lower pictures of each set.
Flexing Side Pictures Also Show Extended Craters
Almost 2 Years after Revision Surgery Performed by NY Surgeon. When too little fat remains, skin attachment to chest can look bad when using chest muscles (the right photograph of each set.
Picture almost 2 years after revision. Note the very long areola scar well inside the edge of the pigmentation. Dr. Bermant prefers to use a much smaller scar for his gland access.
At 5 feet 8 inches, he weight 187 pounds with a body fat of 17%.
| Procedure | Right | Left | Technique |
| First Surgery | 295cc | 275cc | Ultrasound Assisted Liposuction |
| Revision Surgery | 175cc | 125cc | "aggressive liposuction" with "modified custom liposuction cannula" followed by excision of "residual dense breast tissue and or scar tissue" |
The endocrine issues had resolved. The tenderness and breast growth were no longer factors. However, the local fat resources he had at his visit before the New York surgery were now gone. His Crater Deformity Complication from the first surgery was now extended. The defect now was well beyond that seen in this Crater Defect from Texas, where remaining fat could be moved into the defect. Revision Gynecomastia Surgery was no longer an option. Here is another liposuction gynecomastia with bad scar by another doctor.
Learn more about Dr. Bermant's own New York gynecomastia patients' experiences. Here is patient Dr. Bermant was able to Revise the gynecomastia deformity after surgery first done by a NY plastic surgeon.
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Revision Gynecomastia SurgeryGynecomastia |
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