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Contra Indications

For Males

anabolisants

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

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

Pneumothorax

This is an absolute contra indication.
male pectoral implant

Male Pectoral Implant

Because such implants are placed superficially, any needle would damage the implant. So it is an absolute contra indication.
male pectum excavatum

Pectum Excavatum

This is an absolute contra indication.
scapular winging

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

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.

For Females

anabolisants

Anabolisants

It is rare that females use anabolisats at the difference of young men.
gigantomasty

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

Pneumothorax

This is an absolute contra indication.
male pectoral implant

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.
female pectum excavatum

Pectum Excavatum

This is an absolute contra indication.
female scapular winging

Female Scapular Winging

Winging of scapula contributes to loss of power and limited flexion and abduction of the upper extremity.

female pectum excavatum

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.

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