Wow! Fat injection! I wish all of my body fat was injected into a big beach ball of fat thru a 6 inch long wire of skin that I could chop with scissors and never have to bother with cortislim!!
Concave? Never seen that before, but take Dr Bermant's advice and have somebody inject some butter into your chest.
Each doctor has tools they prefer for body sculpture to get the results they are able to show.
I do
not inject fat into the chest for deformities. Fat injections means that the fat cells do not have a blood supply and must regain a blood supply. Tissue transfers without blood supplies are called grafts.
Fat Grafts into fat tend to die, become firm, and scar badly. Fat cells grafted into more vascular tissue like muscle can look very strange especially on animation. The major problem with fat grafting is that it does not work very well and typically looks
terrible, especially on animation or movement.
That is why I prefer my
Fat Flaps for bringing fat into a crater. A flap is tissue moved
with a blood supply. Adjacent fat transfered with a blood supply tends to survive, much better than a graft. When carefully done, fat flaps tend to look like normal fat, feel like normal fat, and move like normal fat. There are limitations to what fat flaps offer since fat still connected to its blood vessels will move only so far.
I do not use
Fat Flap Sculpture on every gynecomastia patient. For most operations it is much more than what is necessary for good contouring.
Fat Flaps for me are just another tool in my artistic pallet that helps me sculpt the male chest during my
Dynamic Technique, where I let what I find during surgery help guide what needs to be done for that individual patient. What elements I pick from this collection can vary from patient to patient, and sometimes even from side to side.
Hope this helps,
Michael Bermant, MD
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