Revision Gynecomastia Surgery with Liposuction and Dermal Fat Grafting

This 35-year-old gentleman came to Dr. Salvatore Pacella after undergoing gynecomastia surgery by another surgeon. Although the central breast tissue had been excised, the procedure left him with visible scarring and a noticeable indentation deformity beneath the nipple — two common complications of poorly planned male breast surgery.

These revision cases are often challenging to correct, as they require not just contour improvement but also volume restoration to rebuild the natural projection of the male chest and nipple-areolar complex.

To address the asymmetry and scarring, Dr. Pacella performed a two-part revision:

• Targeted liposuction along the lateral and inferior chest wall to improve contour and feather the transition zones
• Placement of a custom dermal fat graft beneath the nipple to fill the depression and restore natural chest projection

The result is a more masculine, sculpted chest with improved symmetry and no visible central scar or indentation. The patient was thrilled with the outcome — confident, comfortable, and no longer burdened by the stigma of a surgical deformity.

Dr. Pacella is recognized for his expertise in revision gynecomastia surgery, especially in cases with previous scarring, tissue irregularities, or loss of projection.