alloderm for phalloplasty
AlloDerm has by far and away become the most popular way to enhance penile girth. Sure we lived through the liposuctioned fat transfer years with the lumps and bumps and reabsorption and inevitable touch ups. and then dermal-fat strips for phalloplasty with the harvesting scars, our were neater than most have seen, especially those 1/2 inch wide violacious bands of Zoro on the lower mid back which fortunately the patient doesn’t have to see everyday. “Dr. Reed, please mail me a copy of the photo you just took, I want to show it to my doctor.”
With AlloDerm you don’t have to worry about atrophy and fibrosis, as long as you don’t stack it, it’s already dead. It is a sterile dermal matrix. Cells of your own making will grow into it. If a dermal-fat graft doesn’t get an optimal vascular hookup within the first five days, the final result can be anywhere from necrosis in an extreme example to length contracture with palpable tethers (fibrosis) to fat atrophy. I started out with a 6 1/2 penis and now have only 5 inches?
Oh, we’ll put some AlloDerm, over that. Not such a good idea. If there is a poor blood supply, the AlloDerm will not work. AlloDerm always works best when it is supported on both sides by a rich vascular bed.
That is the key to tissue ingrowth. That is the difference between a reach for the moon operation on the penis and phalloplasty performed by a phalloplasty surgeon. Our phalloplasty pictures are available on our web-site, befores and afters. Please be sure to click Next Photos (below each photo) for the whole gallery.
Harold M. Reed, M.D. FICS
305-865-2000
July 8th, 2009 at 2:49 pm
Some more tips would be great. Any more information and experiences are appreciated.