Crater Deformity Complication - Revision Gynecomastia Surgery
This 43 year old male did not like the scars and contour deformity of his chest after prior surgery done in Texas and then revised in Massachusetts. He did not like the Crater Deformity Complication, adhesions, areola scars, drain scars, and the contour distortions on lifting his arms overhead or while flexing his muscles. Although interested in bodybuilding, he avoided activities with his shirt off exposing the problem. He traveled from Texas for Dr. Bermant's Revision Gynecomastia Surgery.
Flash Video 
8 MB 1 minute 42 seconds. Watch how an extensive crater deformity moves after Texas Gynecomastia Surgery and Massachusetts Revision Surgery. Then at 3 months, see how Dr. Bermant's sculpture improved this complicated crater deformity. Watch how tissues move and flex before and after surgery.
QuickTime Movie 
(same movie).
Flash Video 20.4 MB 4 minutes 3 Months After Revision Surgery
- Patient was unhappy with prior Texas Gynecomastia Surgery and then Revision Surgery done in Massachusetts.
- Emotional healing after revision gynecomastia surgery.
- Patient traveled from Texas for Dr. Bermant's sculpture.
- Patient discusses bodybuilding after surgery.
- Learn about choosing a gynecomastia surgeon.
QuickTime Movie (same movie).
Patient's Concerns After Prior Surgeries
Hello Dr. Bermant; I found your informative and highly detailed site and am interested in speaking with you. I am 43 years old, in great shape except for my chest area. I had previous gynacomastia surgery in Texas and Massachusetts and although the results up to now have improved my shape I can see scars similar to what I saw on your website as well as the distinct impression that I still have a noticeable "lump" of tissue on the right side under the aerola. It also appears that one breast is naturally set higher than the other. Not much we can do about this. At first I thought the knot that I mentioned might be scar tissue but I am not so sure. The Houston doctor (who is known for his work on female patients) performed this surgery about 8 years ago when I also had liposuction. He later went back and injected something to reduce the scar tissue. This hurt! The lipo could maybe also be improved upon a little. It seems that your techniques are more personalized than what I have experienced. Anyway, I have attemted to take some shots of me both relaxed and flexed. Of course I notice the scarring most when I flex so I just can't do this really and feel comfortable. My drean was to be able to go without my shirt at the veach but I still don't feel comfortable. Also I am not happy with the scar on each side of my ribcage where he had drains. (5 years ago) I went to a doctor I had read about in Wooster who did this type of work. Perhaps what you see is just the best I can hope to look. If so I would appreciate your input. Myself I feel that the techniques available now are more advanced then when I originally had the surgery. I wish I had seen you first!
Thank you for your time Doctor Bermant
Chest Muscles Relaxed, Flexing, & Arms Up Overhead
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Pictures Pectoral Muscles Relaxed |
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Pictures Flexing Chest Muscles |
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Pictures Arms Up Over Head |
| Crater Deformity Before Surgery | 3 Months After Surgery | Plan For 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.
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Photographs of crater deformity (after gynecomastia complications by Texas and Massachusetts surgeons). |
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Photographs of plan for revised revision of crater deformity complication show the extent of this deformity. The red region outlines the crater defect and deficiency. |
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Photographs 3 months after revised revision of crater deformity complication (after surgery done in Texas and Massachusetts). |
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Photographs of crater deformity (after gynecomastia complications by Texas and Massachusetts surgeons). |
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Photographs of plan for revised revision of crater deformity complication show the extent of this deformity. The red region outlines the crater defect and deficiency. |
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Photographs 3 months after revised revision of crater deformity complication (after surgery done in Texas and Massachusetts). |
Pictures Before, 3 Months After, and Surgical Plan for Revision Crater Deformity.
Photos Before, 3 Months After, and Surgical Plan for Revision Crater Deformity.
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Photographs of front chest muscles relaxed (after gynecomastia complications by Texas and Massachusetts surgeons). With muscles at rest, the crater defect barely shows. |
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Photographs 3 months after revised revision of crater deformity complication (after surgery done in Texas and Massachusetts). |
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Photographs 2 weeks after revised revision of crater deformity complication (after surgery done in Texas and Massachusetts). Extent of bruising at this stage is seen. The paper tapes reinforce the dissolving sutures. |
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Photographs of plan for revised revision of crater deformity complication show the extent of this deformity. The red region outlines the crater defect and deficiency. |
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Photographs of crater deformity (after gynecomastia complications by Texas and Massachusetts surgeons). This patient also did not like the scars at the edge of the areola. |
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Photographs 3 months after revised revision of crater deformity complication (after surgery done in Texas and Massachusetts). |
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Photographs of crater deformity (after gynecomastia complications by Texas and Massachusetts surgeons). He also did not like the scars at the edge of the areola and the drain site on the right side. |
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Photographs 3 months after revised revision of scars and crater deformity complication (after surgery done in Texas and Massachusetts). |
This patient had extensive adhesions of his skin to the deeper tissues. Too much fat had been removed by the other surgeons' operations that the skin stuck to the underlying muscles. Dr. Bermant calls this variation as being "sucked dry," so much fat has been removed. Fat is a normal lubricant layer permitting the skin to be independent from deeper tissues. Remove too much and scars create the distortions documented above.
Repairing such extensive craters depends on what remains behind. This patient had enough nearby fat that Dr. Bermant was able to mobilize this tissue on its blood supply and move it back for a more natural contour on animation such as flexing, lifting arms overhead, activities, and sports. Due to the extensive nature of the craters, this is compromise surgery. The Pictures Flexing Muscles shows the distortion by moving the cursor over the smaller images before, after, relaxed, flexed, and plan. The Video Before and After Revision Surgery are much more revealing of this compromise sculpture. The true test of this surgery is in the Emotion of this Patient's Experience Video.
Revision Crater Complication Deformity Defect with Extensive Adhesions.
No pathology specimen. Fat suctioned negligible all fat used to rebuild extensive craters.
5 foot 4 inches tall weighing 139 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 extended SFS (Superficial Fascia Suspension), fat flap sculpture, microcannula liposuction, and revision areola and drain scars.
Learn about other patient experiences who traveled from Texas with Gynecomastia for Dr. Bermant's sculpture.
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Revision Gynecomastia SurgeryGynecomastia |
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