Male breast reduction, also known as gynecomastia surgery, is a procedure to remove excess breast tissue and/or fat in men who have enlarged breasts. Gynecomastia is caused by a variety of factors, including hormonal imbalances, obesity, and the use of certain medications.
The surgery is typically performed under general anaesthesia and can be done as an outpatient procedure. The surgeon will make an incision around the areola (the dark area around the nipple) and remove the excess tissue. In some cases, liposuction may also be used to remove excess fat. The incision will be closed with sutures or surgical tape. Here we discuss the risk of crater deformity after gynecomastia surgery.
What is a crater deformity?
A crater deformity is a complication that can occur after gynecomastia surgery (male breast reduction surgery). It is characterised by an indentation or “crater” in the chest area caused by an over-resection of tissue or improper healing after the procedure. This can occur when too much tissue is removed during the surgery, leaving a depression or hollow area in the chest. It can also happen when the skin doesn’t retract properly after the surgery, leaving a saggy or loose appearance. This can result in an unaesthetic and unnatural look of the chest area and can be difficult to correct. It is important for patients to have realistic expectations and for the surgeon to have a good understanding of the anatomy and use appropriate techniques to avoid this complication.
What Causes Crater Deformity After Gynecomastia?
Crater deformity after gynecomastia surgery is caused by the over-resection of tissue or improper healing after the procedure.
Over-resection of tissue occurs when too much tissue is removed during the surgery, leaving a depression or hollow area in the chest. This can happen if the surgeon is not experienced or not familiar with the patient’s anatomy, if the patient has unrealistic expectations or if the patient has an excessive amount of fat and glandular tissue that needs to be removed.
Improper healing can occur when the skin doesn’t retract properly after the surgery, leaving a saggy or loose appearance. This can happen if the skin is stretched or if there is poor healing or poor skin elasticity.
Other causes can include poor surgical technique, and postoperative complications like hematoma, seroma, infection, or improper wound healing.
It’s important to note that in order to avoid this complication, the surgeon must have a good understanding of the patient’s anatomy and use appropriate techniques during the surgery. Clear communication and realistic expectations from the patient and the surgeon are also important.