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TOPIC: Please help, looking for surgeon to remove lump

Please help, looking for surgeon to remove lump 6 years 4 months ago #1292930986

Yeah I\'ve learned only Kenalog 40 works. I don\'t know if 5fu does anything really, but it causes bad headaches. Kenalog 10 is a complete waste.


It hasn\'t reduced the hard shells of the nodules, though it has shrunk them slightly - like you said maybe 10% or a little more.

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Please help, looking for surgeon to remove lump 6 years 4 months ago #1292871666

Here are some pics of the lump.

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Please help, looking for surgeon to remove lump 6 years 4 months ago #1292870026

cav8000 wrote: Here is what I found online about steroid injections. \"Steroid injections can often reduce inflammation but they cannot dislodge firm fat grafts that are composed of heavy fibrous (scar) tissue, rubbery grafts, or long-term inflammatory nodules, which must be removed surgically. Attempting to dislodge these nodules with steroid injections causes the more delicate tissues around the lumps to dissolve, creating a crater... with the Nodule still there.\" The lump I have is most likely fat Necrosis that I have had for about 15 years. I think maybe surgical Removal might be the only way but I\'m not sure. It would be nice to get just an injection of something instead but I don\'t want to make it worse.


I dont know what the source of that is but I have been a doctor for 26 yrs and doing cosmetic surgery for 16. I use a lot of steroid injections and am not afraid of them - but many doctors are.

When fat necroses it leaves fee oil that breaks down or gets infected and discharges. If it is just a remnant piece of fat then steroid is likely to help. If there is fibrosis steroid (combined with 5FU) is likely to help. But I would need to examine to really know. I operated on a girl a few months ago who told me her twin sister had fat taken out of the tip of her nose and she wanted me to do the same. I told her over and over we dont take fat out of the tip we reshape the cartilage. At operation she had fat infiltrating the lining of the tip cartilage in a way I had never seen before - so I took the fat out (like she asked for). So there is what I believe and have experienced and expect. Sometimes things are different. But I expect I would first look at steroid rather than surgery.

Regards,


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Please help, looking for surgeon to remove lump 6 years 4 months ago #1292866416

@cav8000 Do you have pictures of the lump or can you take a picture just to get a better idea of what it looks like?

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Please help, looking for surgeon to remove lump 6 years 4 months ago #1292863344

Here is what I found online about steroid injections.

\"Steroid injections can often reduce inflammation but they cannot dislodge firm fat grafts that are composed of heavy fibrous (scar) tissue, rubbery grafts, or long-term inflammatory nodules, which must be removed surgically. Attempting to dislodge these nodules with steroid injections causes the more delicate tissues around the lumps to dissolve, creating a crater... with the Nodule still there.\"

The lump I have is most likely fat Necrosis that I have had for about 15 years. I think maybe surgical Removal might be the only way but I\'m not sure. It would be nice to get just an injection of something instead but I don\'t want to make it worse.

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Please help, looking for surgeon to remove lump 6 years 4 months ago #1292859060

cav8000 wrote: I need some help finding a doctor in Texas who can remove a lump of fat Necrosis that I have had for years from a fat transfer surgery that I had several years ago. I kept thinking this thing would go away on its own but it never did and now it bothers me more than it used to. I had the surgery done in Houston, TX so long ago that I don\'t have the surgeon\'s name any more. I would greatly appreciate any assistance that anyone here could provide. Are there any doctors out there who can remove a lump of fat?


I have injected transferred fat in the face many times just using steroid (Triamcinolone). Use it all the time in hypertrophic/keloid scars. Usually it takes a few injections to totally reduce. Injected fat seem much more susceptible than normal fat. MUCH less issues than Lipodissolve. Kybella is expensive for what you need - and i would be surprised if anyone doing Kybella would be thrilled with the idea of using it off-label like this so early in its release.

The only real issue is that you might get some broken capillaries. A family doctor could do it - if they have done steroid injections before (usually older or country doctors) or a cosmetic doctor.

Good luck.

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Please help, looking for surgeon to remove lump 6 years 4 months ago #1292810562

I wonder if Dr. Singh could inject Kybella? Does anyone know? Maybe I can ask him during my consultation. Are there any issues or side effects to Kybella?

Never mind. I checked the side effects from Kybella such as major swelling. I don\'t think any Urologist in their right mind would use that stuff on the penis.

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Please help, looking for surgeon to remove lump 6 years 4 months ago #1292801277

Thanks for the recommendations on Dr. Singh. I called them and he can actually see me. His office personel is real nice and helpful too. I might go see him and see what he can do. Consultation costs $250 and I have to drive from dallas to austin. Might be worth it though if the DMSO doesn\'t work.

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Please help, looking for surgeon to remove lump 6 years 4 months ago #1292794245

Go to a esthetic doc and have them inject kibella which thrust use to dissolve fat in double chin

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Please help, looking for surgeon to remove lump 6 years 4 months ago #1292792904

To my knowledge, Dr Singh is the only surgeon who has removed the whole implant of a PMMA enhanced Penis ( by degloving )

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Please help, looking for surgeon to remove lump 6 years 4 months ago #1292778079

I doubt it. I don\'t even no if it would be effective.

But if I just had one lump of fat, I\'d risk injecting it myself, rather than go through surgery. That isn\'t advice, I\'m just saying what I\'d personally do.

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Please help, looking for surgeon to remove lump 6 years 4 months ago #1292776891

Interesting.. I do see that the FDA has not approved it. Are there any doctors in Texas who will inject this into the penis?

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Please help, looking for surgeon to remove lump 6 years 4 months ago #1292774039

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Please help, looking for surgeon to remove lump 6 years 4 months ago #1292773154

Thanks for the info. What is lipodisolve?

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Please help, looking for surgeon to remove lump 6 years 4 months ago #1292772330

Herb Singh is in Texas. If not there is Gary Alter in LA.


Have you considered lipodissolve?

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