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?
Answer: Healing Concern Years After Male Breast Reduction The areas after Gynecomastia Surgery may feel “lumpy” or irregular, and should decreases with time. Often massaging these areas will help soften the scar tissue. Also, the #compression garment helps reduce the swelling, and the longer it is worn, the more quickly you will #heal. It can also assist in the retraction of the skin. If you have any concerns about #healing, its best to ask questions of your surgeon or their nursing staff. It's possible that any indentations could be addressed with fat grafting or cosmetic filler(s) if eligible.
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Answer: Healing Concern Years After Male Breast Reduction The areas after Gynecomastia Surgery may feel “lumpy” or irregular, and should decreases with time. Often massaging these areas will help soften the scar tissue. Also, the #compression garment helps reduce the swelling, and the longer it is worn, the more quickly you will #heal. It can also assist in the retraction of the skin. If you have any concerns about #healing, its best to ask questions of your surgeon or their nursing staff. It's possible that any indentations could be addressed with fat grafting or cosmetic filler(s) if eligible.
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Answer: How Do I Correct Indents After Bad Gynecomastia Surgery, AND a Bio-alcamid Inject? This is indeed a bad problem. I do not recommend using a synthetic filler for this. Perhaps fat grafting would be a better option. See a board certified plastic surgeon to evaluate your options.John T. Nguyen, MD, FACS, FICSDouble Board Certified Plastic Surgeon
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Answer: How Do I Correct Indents After Bad Gynecomastia Surgery, AND a Bio-alcamid Inject? This is indeed a bad problem. I do not recommend using a synthetic filler for this. Perhaps fat grafting would be a better option. See a board certified plastic surgeon to evaluate your options.John T. Nguyen, MD, FACS, FICSDouble Board Certified Plastic Surgeon
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January 11, 2011
Answer: Difficult problem but there is hope
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January 11, 2011
Answer: Difficult problem but there is hope
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December 25, 2010
Answer: Compliications from Gynecomastia (male breast reduction) and Bio-alcamid
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December 25, 2010
Answer: Compliications from Gynecomastia (male breast reduction) and Bio-alcamid
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April 11, 2015
Answer: Gynecomastia Revision Hi patientx1,Thanks for the post and photo. You appear to have significant contour abnormalities. Revision for over-resection is much more challenging than for under-resection. The options are as follows:1. Fat flaps: Moving fat in your chest from one area to another. Not the best option for you due to the degree of thinning and the likeliness of not having fat flaps to utilize.2. Fat grafting: Using your own fat (from different parts of your body) to inject. This may need several attempts as there is always a chance that some of the fat resorbs.3. Silicone implants: Custom implants may be an option but also have their own disadvantages (infection, firmer feel,etc).Difficult case, but I would seek out a plastic surgeon experienced in revision gynecomastia surgery.Sincerely,Dr. Dadvand
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April 11, 2015
Answer: Gynecomastia Revision Hi patientx1,Thanks for the post and photo. You appear to have significant contour abnormalities. Revision for over-resection is much more challenging than for under-resection. The options are as follows:1. Fat flaps: Moving fat in your chest from one area to another. Not the best option for you due to the degree of thinning and the likeliness of not having fat flaps to utilize.2. Fat grafting: Using your own fat (from different parts of your body) to inject. This may need several attempts as there is always a chance that some of the fat resorbs.3. Silicone implants: Custom implants may be an option but also have their own disadvantages (infection, firmer feel,etc).Difficult case, but I would seek out a plastic surgeon experienced in revision gynecomastia surgery.Sincerely,Dr. Dadvand
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