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Pictures revision gynecomastia surgery for crater deformity from Texas and Massachusetts Surgeons

Revise Canadian Crater Complication

Explore Video, Movies, and Photos of sculpture to correct subtle bursa crater deformity and scars after gynecomastia surgery done in Canada.

Michael Bermant, MD - Retired Plastic Surgeon
Board Certified by the American Board of Plastic Surgery

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Revision of Crater Deformity Complication after Canada Gynecomastia Surgery.

22 year old male had gynecomastia surgery in Canada 3 years ago. He did not like the resultant "sunken nipples crater" deformity. His original problem was Puffy Nipple Gynecomastia. Right after surgery, the contour looked fine. As the swelling resolved, he noticed that his nipples were "flat, concave wrinkled and pitted." He also complained about the "very visible scar (as the incision wasn't on the edge)" of the areola and scar tissues. Prior surgery was a combination of liposuction followed by excision. The deformity was a Bursa Crater Deformity with an obvious depigmented scar inside the areola / nipple leaving a bizarre crescent outside. The deformity looked worse when lying on his back, warm rooms, movement, and flexing. The deformity improved in cold rooms and while standing. He traveled from Canada for Dr. Bermant's Revision Gynecomastia Surgery.

Movie Revision Canadian Crater Defect

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Flash Video flash video revision gynecomastia surgery before after 11.5 MB 2 minutes 42 seconds. Watch how this subtle crater deformity moves after Canada Gynecomastia Surgery . Then at only 2 weeks, see how Dr. Bermant's sculpture improved this bursa crater deformity. Watch how tissues move and flex before and after revision surgery.

QuickTime Movie Before After Revision quicktime video revision gynecomastia surgery before after (same movie).

Movie Bursa Crater Defined

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Flash Video flash video revision surgery before after 2.1 MB 25 seconds demonstrating Bursa Crater Wall

Learn more about the Bursa Crater Deformity variation of Crater Deformity Complication after Gynecomastia surgery.

QuickTime Movie Showing Exam Crater Defect quicktime video revision gynecomastia surgery before after (same movie).

Chest Muscles Relaxed, Flexing, & Arms Up Overhead

Canadian Crater Deformity Complication Pictures
photo crater arms up picture arms up after revision Photos Arms Up -Canada Crater Complication Before and 2 weeks after Revision Surgery
photo crater arms down picture arms down after revision Photos - Canada Crater Complication Before and 2 weeks after Revision Surgery
photo crater chest relaxed image after revision muscles relaxed Photos Relaxed - Crater Complication Before and 2 weeks after Revision Surgery from Canada
photo crater muscles tensed image after revision muscles flexed Photos Flexed - Canada Crater Complication Before and 2 weeks after Revision Surgery

Move your cursor over the smaller images to compare relaxed to flexing, before to after surgery. Slide your cursor between pictures to see changes with motion and surgery. It is in the comparison between the photographs that you can see the problems of this Crater Deformity Complication and the changes with revision surgery.

Oblique Pictures Before and After Revision Surgery for Bursa Crater Complication.

oblique photo with crater complicationoblique picture after gynecomastia revision

Before and 2 Weeks after Revision Surgery for Bursa Crater Deformity from Gynecomastia Surgery Done in Canada.

oblique photo with crater defectoblique photo after gynecomastia revision

Side Pictures Before and After Crater Revision Surgery.

side photo with crater defectphoto after surgery to revise crater

Before and 2 Weeks after Revision Surgery for Bursa Crater Deformity from Canadian Gynecomastia Surgery..

side photo with crater complicationphoto after surgery to revise crater defect

Posterior Oblique Pictures Before and After Revision Bursa Crater

picture  with crater complicationimage after revision gynecomastia from canada

Before and 2 Weeks after Revision Surgery for Bursa Crater Deformity from Gynecomastia Surgery Done in Canada.

crater defect before revisionimage after revision gynecomastia from canada

Healing Swelling & Bruising After Revision Crater Defect.

front picture healing after revision surgery
Photo Bursa Crater Deformity picture deformity before surgery photo 1 day after surgery early healing Photo Only 1 day after revision surgery.
Photo Only 1 week after surgery. picture only 1 week after revision early into healing no swelling or bruising photo 2 weeks after surgery to revise crater Photo 2 weeks after revision.

Notice that this patient's extensive surgery still was typical of the minimal swelling and bruising of Dr. Bermant's techniques.

close up photo areola scar and deformityclose up photo after revision surgery

Picture before revision, the prior surgery scar was inside the areola leaving a crescent of pigmentation separated from the remaining nipple. Photo 2 weeks after revision paper tape reinforces sculpture.

areola scar and deformityclose up picture after revision surgery

Gland & Scars Removed During Revision

pictures gland scar removedgland and scar removed during revisionremoved gland and scars from revisionPictures during surgery of gland and scar tissue removed from each side. Despite this being a Crater defect, there was still residual gland (fibrotic phase) left by the other surgeon. In the chest, the masses were much flatter. On removal, they became thicker with a smaller diameter. The separate crescent of skin was the outer piece of areola outside of the prior scar. Dr. Bermant moved the new scar to the edge of the areola.

This patient had an unusual variation of a Crater Complication Scar. The skin was not adherent to the deepest aspects of the crater but floated attached to a loose filmy layer just like what the loose attachments of the skin found on the elbow or knee. This loose connection explains why the contour problem varied on position and movement and why it was hard to show on photographs. Flexing and arm raising photos showed the contour problem to a degree. Movies show the crater somewhat better. In person the problem was obvious. On examination gentle pressure collapsed the nipple down to the base of the crater. This video also shows the walls of this defect and how there was missing tissue. A normal nipple areola should have support that has approximately the same consistency of surrounding tissues. In addition the patient did not like the scar from the Canadian surgery inside of the areola. Dr. Bermant, moved this scar to the edge of the areola during his revision surgery.

Revise Canadian Crater Complication Deformity with Loose Attachments.

Right 3 x 2 x 1.4 cm and Left 3 2.5 x 2 cm fibrotic phase gynecomastia pathology specimens. Fat suctioned negligible all remaining tissue used to rebuild crater defect.

6 feet tall weighing 150 pounds

Location Surgery: Bermant Plastic Surgery Center (Office Operating Room)

Anesthesia: Tumescent Local with Sedation

Method: Dynamic technique, revision gynecomastia contouring with, crater deformity reconstruction with, fat flap sculpture, microcannula liposuction, and revision areola scars.

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This page last updated on: January 10, 2013

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