Penile Revisions and Silicone Disasters

Male Enlargement Surgery – Penile Enlargement Revisions and Silicone Disasters

Fluids, gels and pastes tend to dissipate to tissue planes of least resistance. Unfortunately despite manual molding, these products do not necessary set-up right away. “When you turn your back on what you have done”, the results might not be as you expected.

Penile lengthening techniques or phalloplasty have been described in the urological literature for at least 40 years. Average erect lengths measured with a ruler placed gently on the pubic skin vary from 5 3/8 to 5 3/4 inches depending upon the city and year the study was performed. Many men with below average measurements may still appear normal and function quite well. For this reason, penile enhancement or phalloplasty should be considered an elective procedure.

Dr. Reed has been performing penile enlargement surgery since 1986. The procedure involves as needed release of the suspensory ligament, pubic liposuction or dissection, and taking down of the “turkey neck” deformity (peno-scrotal web). That portion of the penile shaft under the skin is about as long as the pendulous penis and assumes an arched course under the pubic bone. Release of this arch allows the penis to protrude further outwards.

Well motivated patients who follow post-operative instructions have achieved penis length gains up to 2 inches with the average increasing penis length about 1 inch.

My post operative regiment centers on the use of The Grip system for penile traction. After researching the various products available, I have found this to be the most affordable and best supported. Another system that is useful for post operative penile traction is The MegaVac by Dr. Kaplan. Men with prominent suprapubic fat pads will gain extra penis length. For example, if they have a 2 inch thick fat pad and 1 1/2 inch is liposuctionable, their total gain will be 1 1/2 inch plus whatever is gained by resecting the penile suspensory ligament.

Penile girth enhancement can be performed by one of three techniques: A. placement of dermal-fat grafts which are harvested from the lower abdomen or buttocks area (actually upper thigh just below the crease), B. insertion of AlloDerm® Strips, or C. insertion of liposuctioned fat.

AlloDerm® is an acellular donated tissue product and is the only product (FDA approved) capable of regenerating normal soft tissue. It eliminates the need for taking donor fat or dermis from one part of the body to another. Patient oriented information for AlloDerm® may be accessed via the LifeCell Corporation web site at http://www.lifecell.com. Liposuctioned fat has a better than 50% chance of requiring a touch up due to fat reabsorption or the formation of a fibro-fatty nodule.

Having done all these techniques, I have drawn certain conclusions. When length and girth enhancement are requested, these procedures should be staged to get the best results from both. The use of penile traction postoperatively makes for appreciable length gains beyond what surgery alone can produce. A longer penis deserves a longer graft or AlloDerm® product. To stretch these products from the “git-go” of lengthening is to give the penis and you an unnecessary work assignment. The simultaneous transfer of fat with lengthening will cause “thumbprints” or impressions in the newly injected fat when traction is applied. Again, these procedures must be staged.

Patients who are thin, or who undergo austere dieting programs do not hold on to fat well, and for this reason fat grafts may not be appropriate. If you are at least of normal weight, anticipate a gain of about 3/4 to 1 inch increase in circumference with dermal fat grafts and about 3/4 inch increase with AlloDerm®.

Credit cards or personal checks are not accepted. My office manager Anne will advise you to come prepared with a cashier’s check or traveler’s check. Initial consultation fee is $250.

All fees for surgery represent a comprehensive quote that provides for the surgeon’s fee, the facility fee, anesthesia fee, related supplies, and follow-up care.

Penile lengthening: $4,500.
AlloDerm® to enhance penile girth performed as an independent unrelated procedure: $7,950.
Alloderm® to enhance the head of the penis (glans enlargement) $3,950 when performed under local.
AlloDerm® is a registered trademark of LifeCell Corporation. The statements and opinions contained in this section are solely those of Dr. Reed, who does not have a financial interest in LifeCell Corporation or their product AlloDerm®, and should not be construed as a warranty, endorsement, or approval by LifeCell Corporation for the application specified above.

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