When you raise and lower your arms, you will see that your chest will somewhat smooth out when your
arms are up. So if your chest is smooth after surgery when your arms are down, sometimes there can
be a bit of a depression when you raise your arms all the way over your head. In some situations –
though uncommonly so – there can be a bit of a depression even with the arms down. With gynecomastia
surgery, the plastic surgeon is obligated to remove the entire piece of abnormal glandular tissue,
no matter how big it is. When large, it may have compressed the normal tissue around it. Dr.
Teitelbaum is excellent at sculpting this tissue. Nonetheless, it is possible to have some bit of a
depression in that area. If the skin is loose after a large weight loss, or if there are lots of
stretch marks, then the skin may not tighten up well after the gynecomastia tissue is removed. These
patients still have a big improvement, but they may not get a chest that is as tight as ideal. If a
lot of liposuction needs to be done and the skin isn't tight, then sometimes some subtle waviness or
irregularity in the contour is possible. All in all, these problems are mild when taken in context
of the huge improvement of the surgery, but each patient deserves to know going in the likelihood
they may have one of these issues.