Complication of Liposuction Gynecomastia Surgery by Another Doctor with Bad Scars and Adhesion Deformity on Animation.
This patient developed gynecomastia as a teenager and was dissatisfied after liposuction only surgery 15 years ago. He does not like the contour distortion and deformity that becomes very obvious when flexing his chest muscles. He also does not like his puffy nipples. His breast size has been stable. He asked Dr. Bermant for smaller and less protruding nipple regions.
39 year old male
6 feet tall weighing 195 pounds
Dr. Bermant's Recommendation: When fingers of gland extend through fingers of fat, liposuction preferentially targets the fat and may not even remove significant gland. Residual gland, scar tissue, and or too little fat can leave adhesion deformities as seen here. Scar and gland adhesions can be excised, but adhesions often recur unless a buffer is present. Fat can be a buffer between the skin and underlying muscle. When adjacent fat remains, fat flap sculpture can mobilize that fat to fill in the cavities and act as a soft buffer between the skin and muscle. It is easier to remove than to replace tissue. Dr. Bermant sees many patients from around the world who have had prior surgery by other doctors. Although Dr. Bermant is often able to offer surgical revision, not all deformities have reasonable revision options.
Scars can be a function of the original problem, surgical technique, skill of the surgeon, aftercare, and how a patient heals. Dr. Bermant prefers to minimize such scars during the initial surgery using his dynamic technique, permitting what he finds during surgery to guide what sculpture is best. Optimizing the sculpture, leaving a layer of natural fat, minimizing tissue trauma are part of the art of surgery. Dr. Bermant used before and after surgery pictures with the tissues in motion to demonstrate the quality / nature of tissue, scars, swelling, and bruising. Take some time to compare these images with those of Dr. Bermant's patients.
View Movie of this adhesion complication, click on link below. Pick the link to the format you can view QuickTime 
, Windows Media 
, or MPEG-4.
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If you do not have the QuickTime Movie plug in, get it here. If the movies do not work, check that you have the latest version of your video playing software. |
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If you do not have the Windows Media software, get it here. If the movies / audio do not work, check that you have the latest version of your video / audio media playing software. |
Once the movie is loaded, scroll back and forth to best see the degree of the problem during motion of the different views. You may need to download the file and then open it in your movie player that will handle MPEG-4 files.
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Pictures chest muscles relaxed (patient had prior gynecomastia liposuction only operation by another doctor). |
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Pictures of Muscles Tightening Scars, Deformity, and Adhesions After Another Doctor's Liposuction for Gynecomastia |
Notice the deformity and depression with raising arms, skin is adherent to the chest muscles.
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Pictures chest muscles relaxed (patient had prior gynecomastia liposuction only operation by another doctor). |
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Pictures of Muscles Tightening Scars, Deformity, and Adhesions After Another Doctor's Liposuction for Gynecomastia |
Tightening the chest muscles looks bad, the scarring and adhesion distorts the chest.
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Left Picture chest muscles relaxed (patient had prior gynecomastia liposuction only operation by another doctor). Right Picture of Muscles Tightening Scars, Deformity, and Adhesions After Another Doctor's Liposuction for Gynecomastia |
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Left Picture chest muscles relaxed (patient had prior gynecomastia liposuction only operation by another doctor). Right Picture of Muscles Tightening Scars, Deformity, and Adhesions After Another Doctor's Liposuction for Gynecomastia |
The scarring is best seen from the side as the muscle pulls the skin in when tightened.
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Left Picture chest muscles relaxed (patient had prior gynecomastia liposuction only operation by another doctor). Right Picture of Muscles Tightening Scars, Deformity, and Adhesions After Another Doctor's Liposuction for Gynecomastia |
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Left Picture chest muscles relaxed (patient had prior gynecomastia liposuction only operation by another doctor). Right Picture of Muscles Tightening Scars, Deformity, and Adhesions After Another Doctor's Liposuction for Gynecomastia |
The degree of deformity was different on the left and right sides. The cavity defect was limited.
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Pictures chest muscles relaxed (patient had prior gynecomastia liposuction only operation by another doctor). |
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Pictures of Muscles Tightening Scars, Deformity, and Adhesions After Another Doctor's Liposuction for Gynecomastia |
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Pictures chest muscles relaxed (patient had prior gynecomastia liposuction only operation by another doctor). |
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Pictures of Muscles Tightening Scars, Deformity, and Adhesions After Another Doctor's Liposuction for Gynecomastia |
Removing more tissue was not a reasonable option. It is easier to remove than replace. Dr. Bermant did not operate on this patient before. Learn more about Crater Deformtiy Complications.
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Revision Gynecomastia SurgeryGynecomastia |
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