In PROCIRCORG@yahoogroups.com, “steven.t” <steven.t@…> wrote:
>
> Hello Dr. Reed & Everyone,
>
> A while ago I posted my experience with an amateur, clumsily performed
> circ which left me with very little skin (too tight for a full
> erection) and a painful scar.
>
> After the surgery there was very little dark skin left and the pink
> skin stretched to make up the difference. My penis is usually about 2″
>  or less when flaccid and about 6″ when erect. On the underside there
> is about 3/4″ left of dark skin before the scrotum.
>
> Ideally, what I would like would be to restore as much as possible of
> the dark skin perhaps using a stretching method that the restoration
> sites advocate, but I’m worried about scrotal skin being pulled
> forward and ending up with hairy skin on the shaft at the base.
>
> After the restoration, I’d like to be re-cut so that I no longer have
> the ugly scar, much less pink skin and the glans is covered when
> flaccid, but exposed when erect.
>
> My questions are these: are there methods of stretching which won’t
> cause the scrotal skin to be pulled forward? Also, can the tiny amount
> of skin I have left be stretched out enough to work with (I understand
> it can take years)? Are there other options to achieve the same effect?
>
> I understand if a consult is necessary to answer these questions, and
> if so I will make arrangements to come down to see you when I can.
>
> Thanks very much for your kind attention.

Good morning Steven,

Scrotal skin often is seen on the underside of the penis,
in uncircumcised and certainly in many circumcised men.

Scrotal skin varies in thickness, and surprisingly at times,
except for color and some follicular (goose flesh) type of appearance it is quite and acceptably similar.

If you are stretching, then be grateful for whatever skin is
generated.

If you incur some peno-scrotal web-formation, this can be dealt with later on still leaving a fair amount of scrotal skin on the underside. 

Light skin can be medically tattooed.  132 different skin colors
are available.  So really just concentrate on making more skin, and ultimately cleaning up the scar line with a cosmetic adult circumcision revision.
Best wishes,

Harold Reed, M.D.

The fallout seems that 50% of my work is revising the work of other doctors and that is all well and good.

Have to be careful not to cast aspersions, afterall most of what that other urologist does may be excellent.

Two days ago, received a patient from Canada, a college graduate in the science of physical wellness, who
had a circumcision about 6 months ago.  Heavy dense thick scars like pebbles and an irregular suture line, large suture tracts spaced somewhat widely apart, a tough thick frenulum, mis-match of the frenulum and raphe.  But fairly tight circumcision and also low.

My mission was to remove as much underlying scar, (all of it hopefully) freshen up the incision line, remove the frenulum and realign the raphe.  The case took longer than 2 “virginal” circumcisions back to back.   Had to use loupes.

Ultimately the patient had a very acceptable result.  Hand held mirror nearby throughout the case for his review and comment.

Seen at the Whitehouse Inn yesterday and looks great.  Bed rest for 2 more days.  A hematoma or collection of  blood under the skin is a set-up for inflammatory fibrosis which is a great enemy of good cosmetic (soft natural) wound healing.  Even if a patient looks dry on the operating table, simple hydraulics tell us

If a patient is upright, even sitting up, there is a venous column of blood potentially pushing trace oozing out of every ruptured capillary that has yet to seal off.  Simply raise your hand above your heart and the veins on the back collapse.  Less blood, less oozing.

We are careful never to promise perfection, but usually we can greatly improve appearance.

Harold M. Reed, M.D.