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Should fat graft fix???

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Should fat graft fix???
« on: December 23, 2018, 02:01:11 PM »
Dear all,

It's been 16months since my surgery is done and my left nipple is indented.
The right nipple is a little bit saggy, but ok. My right gland was almost twice as big.
Concerning my left nipple, and as I don't want an invasive procedure anymore, my surgron suggested fat grafting.
He already told me the fat can be absorbed and thus the procedure should be repeated 2 or 3 times.
He also told me that if I loose weight/fat in the future, the injected fat can go away.
Please check the pictures and share your opinon about

Linkback: https://www.gynecomastia.org/smf/index.php?topic=34122.0

Re: Should fat graft fix???
« Reply #1 on: December 24, 2018, 03:00:42 PM »
You have craters on both sides with one very deep.  This reflects the fact that too much gland was removed from just below the areolas.

It is my honest opinion that this deformity would best be treated with fat flaps (a one and done operation) rather than serial fat grafting procedures over many months.  You seem concerned about invasive procedures, but understand you sometimes have to bite the bullet to get the best possible result.  And by the way, fat grafting is also somewhat invasive.

Good luck.

Dr Jacobs
Dr. Jacobs 
Certified: American Board of Plastic Surgery
Fellow: American College of Surgeons
Practice sub-specialty in Gynecomastia Surgery
815 Park Avenue
New York, New York 10021
Telephone:  (212) 570-6080
Email:  [email protected]
Website:  http://www.gynecomastiasurgery.com
Website:  http://www.gynecomastianewyork.com/revi

Re: Should fat graft fix???
« Reply #2 on: December 26, 2018, 08:06:36 AM »
You have craters on both sides with one very deep.  This reflects the fact that too much gland was removed from just below the areolas.

It is my honest opinion that this deformity would best be treated with fat flaps (a one and done operation) rather than serial fat grafting procedures over many months.  You seem concerned about invasive procedures, but understand you sometimes have to bite the bullet to get the best possible result.  And by the way, fat grafting is also somewhat invasive.

Good luck.

Dr Jacobs
Thanks for your reply.
If I develop pec muscles, will the crater effect be reduced or get even worse?


Re: Should fat graft fix???
« Reply #3 on: December 26, 2018, 08:48:37 AM »
Sorry but your pecs, be they large or small, will have absolutely no effect on the craters.

Dr Jacobs

Re: Should fat graft fix???
« Reply #4 on: December 26, 2018, 09:05:33 PM »
I agree with Dr. Jacobs. Nothing more to add.
Dr. Schuster
Chief, Division of Plastic Surgery Northwest Hospital
Private practice in Baltimore, Maryland
10807 Falls Road
Lutherville, Maryland 21093
410-902-9800
email: [email protected]
website: www.CosmeticSurgeryBaltimore.com


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