Gynecomastia Revision Before & After Case 550

This patient came to Dr. Michael Ablavsky, MD after a previous gynecomastia surgery performed by another surgeon left him with an uneven contour. Specifically, too much tissue had been removed from the chest, producing an indentation beneath the areola known as a saucer deformity.

To address this, Dr. Ablavsky performed liposuction of the abdomen to harvest fat, then grafted that fat into the retroareolar region. The goal was to restore volume where tissue had been over-removed and produce a softer, more natural chest contour.

The before photo shows a visible concavity beneath the nipple, where the skin dips inward rather than following a smooth chest profile. In the after photo, that indentation is less pronounced, and the surface contour across the chest appears more even and continuous.

For anyone considering gynecomastia revision in San Antonio, this case illustrates one scenario the procedure addresses: a contour irregularity resulting from a prior surgery in which too much tissue was removed.