Had fat enhancement phalloplasty in 1997, now all gone, what to do
Monday, November 8th, 2010Hello. I had enhancement phalloplasty in 1997 and had a good result, but over the years the fat has all dissolved away, leaving me with my pre-surgery girth. I am interested in having another procedure to increase my penile girth. Length is not so much of a problem for me. I have read about alloderm. I have also read about procedures where the corpus cavernosum is actually incised to help increase girth. I had fat transfer during my initial surgery. I am not opposed to doing it again, but the only concern I have is that after the surgery my penis was so large it made it difficult for me to wear normal clothing. I would be most interested in a procedure that would allow my penis to be very large when erect, and a more normal size when flaccid, if such a procedure exists. I am also interested to learn about the costs. Thanks.
Calvin
November 8, 2010
Good morning Calvin,
Thank you for your interest in what we do.
We have been aware of autologous fat transfer since the early 90′s and our experience has been similar to yours, plus the occasional formation of fibro-fatty nodules. Patients from other doctors have reported
the same.
I think AlloDerm, after 10 years of use, is perhaps the best option for girth enhancement. The results are enduring. We are aware of procedures to incise the tunica albuginea, the covering or casing of the corpus cavernosa to enlarge the penis, and many have met with complications especially erectile impairment. My recommendation is to stay away from this procedure. Sometimes things that look good on the drawing table don’t pan out.
Any procedure that enhances erect girth will correspondingly increase your flaccid girth. Good news for most men.
With kindest regards,
Harold M. Reed, M.D.
305-865-2000