Contra Indications
Anabolisants
Anabolisants create water in the muscle which is a barrier for any fatty acid as arachidonic acid ( inside Endopeel main product, called DocTNB) to penetrate.So in case of patients using anabolisants, no results will be seen. You need to wait between 3-6 months after stopping the use of anabolisants to make Endopeel procedures.
Gynecomasty
Glandular as Fatty or Mixed gynecomasty are not a good indication as no results can be seen.Treat 1 st the gynecomasty and when the post operative inflammation disappears, then you can proceed with Endopeel techniques.
Pneumothorax
This is an absolute contra indication.
Male Pectoral Implant
Because such implants are placed superficially, any needle would damage the implant. So it is an absolute contra indication.
Pectum Excavatum
This is an absolute contra indication.
Scapular Winging
The term ‘winged scapula’ (also scapula alata) is used when the muscles of the scapula are too weak or paralyzed, resulting in a limited ability to stabilize the scapula. As a result, the medial or lateral borders of the scapula protrudes from back, like wings. The main reasons for this condition are musculoskeletal- and neurological-related.
Winging of scapula disturbs scapulohumeral rhythm; contributes to loss of power and limited flexion and abduction of the upper extremity .
Thoracic Outlet Syndrom
The term ‘thoracic outlet syndrome’ describes compression of the neurovascular structures as they exit through the thoracic outlet (cervicothoracobrachial region). The thoracic outlet is marked by the anterior scalene muscle anteriorly, the middle scalene posteriorly, and the first rib inferiorly.
Muscular Causes:
- Hypertrophy of the scalene muscles
- Decrease of the tonus of the M. trapezius, M. levator scapulae, M.rhomboids
- Shortening of the scalene muscles, M. trapezius, M. levator scapulae, pectoral muscles.
Anabolisants
It is rare that females use anabolisats at the difference of young men.
Gigantomasty
Gigantomasty is an absolute contra indication because an endopeel pectoroplasty cant lift a too heavy glandular mass.Endopeel Pectoroplasty is always helping a mastopexy effect for normal size with normal weight mammary glands.
Pneumothorax
This is an absolute contra indication.
Breast Implant
If the implant is not retro muscular or intermuscular,then we will face an absolute contra indication.
In case of doubts, an ultra sonography measuring the depth of the implant is necessary.
Implants should be deeper than 15 mm at least.
Pectum Excavatum
This is an absolute contra indication.
Female Scapular Winging
Winging of scapula contributes to loss of power and limited flexion and abduction of the upper extremity.
Thoracic Outlet Syndrom
Muscular Causes:
- Hypertrophy of the scalene muscles
- Decrease of the tonus of the M. trapezius, M. levator scapulae, M.rhomboids
- Shortening of the scalene muscles, M. trapezius, M. levator scapulae, pectoral muscles.