How Do I Correct Indents After Bad Gynecomastia Surgery, AND a Bio-alcamid Inject?

asked 1 year ago by patientx1 in uk
Latest answer by Mordcai Blau, MD
Question viewed 1,429 times
Tags: indentation

This is complicated. 9yrs ago I had chest lipo with Dr. P. L. and he messed me up and scarred me badly. To cover the indents, I had some Bio-alcamid in 6.5 yrs ago, but I still need more filler of some sort put in around the area to even things out. I was thinking about more Bio-A, but have since heard it can migrate (what percentage does this happen in?)as well as get infected (if new BA was to go into the old BA pocket?& may look lumpy. Do I get the BA removed & go for fat transfer?

6 answers to How Do I Correct Indents After Bad Gynecomastia Surgery, AND a Bio-alcamid Inject?

You may need a custom implant

.You should consult an experienced gynecomasia/plastic surgeon to see If a custom implant is adequate for you.Fat transfer will likely not be enough to correct this sever problem see video

Mordcai Blau, MD
New York Plastic Surgeon

www.cosmetic-md.com

Compliications from Gynecomastia (male breast reduction) and Bio-alcamid

Bio-Alkamid is not yet approved for injection but I have read about its use and history of complications even many years after injection. The removal depends on the technique used to place it. If it were injected using a depot technique, it may be more easily extracted that if placed with a linear threading method. Once removed, the use of fat grafting, possibly in multiple sessions could provide a better long term solution.

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Gynecomastia surgery problems

This is now complicated 1: The original dents, and cannula marks from bad liposuction technique 2: Bio alcamid injections, If these can be localized and are superficial they may be removed. Then a series of fat grafting to the chest to fill in the dents and canula marks. this is not as easy because of the scarrig that will interfer with the take of the fat graft.

Samir Shureih, MD
Baltimore Plastic Surgeon

Correcting Post Gynecomastia Problems- Fat Transfer is Safest Option

I lecture frequently on filler complications. I would be very concerned about using fillers to correct your problem. It would be much safer to go with a fat transfer solution. It will continue to improve for a very long time after your surgery.

Claudio DeLorenzi, MD
Toronto Plastic Surgeon

Difficult problem but there is hope

Overresection of tissue can lead to depression/contour deformities from gynecomastia correction as you are experiencing. The best solution to consider is autologous fat grafting - carefully removing some fat from other areas of your body that can tolerate removal (of course without creating any contour issues there) and injecting the fat into the deficient areas of your chest to smooth out the overall contour.