What Is Phalloplasty?

OK guys here it is... Phalloplasty is the surgical enlargement of the penis and I am willing to bet that as the technology improves and more surgeons offer it, this will someday be as popular to men as breast augmentation is to women.  I say this because men can enhance just about every part of their body with exercise and weight lifting, except for their penis and the bigger your muscles get the smaller your penis looks, also Americans are obsessed with size and as we know for women it is their breasts and for guys it is their penis.

What Results Can Be Obtained?
Length as well as circumference can be enhanced, an inch to two and a half inches longer and up to fifty percent thicker (except for the head)... The length you achieve can not be predetermined before the surgery, it all depends on how much length you have inside of you being supported by ligaments that the surgeon cuts detaching the penis from the pubic bone, allowing the penis to extend fully from the body.  The angel of the erection will be less acute and I would guess you lose at least some control.  At least one surgeon I read about reattaches the ligaments so the angle of your erection does not change, he is also the only one I have found that performs this surgery with a laser and microscope which reduces the size of the incision and scar tissue formation.

Lengthening
From what I have read results generally range from 1 inch to 2 inches flaccid and 1 to 1.5 inches erect.  The limiting factor is the patient's own anatomy.  There is no way to predict what that length will be prior to surgery and a small group of men (up to 6 percent) will have no length gain at all.  Postoperative stretching or weights are essential to success.

Girth Enhancement
As far as girth (thickness) enhancement goes you have a few options: 

  • Free fat transfer

  • dermal fat grafts

  • AlloDerm

With Free fat transfer your own fat is gathered using liposuction then the fat cells are treated to help reduce the chance of absorption and then transferred into your penis.

The Dermal Graft technique is the most invasive of the options because skin is removed from a donor site somewhere on your body and then treated and transferred to your penis.

The AlloDerm technique is the least invasive as well as the most expensive because you have to buy the AlloDerm (processed cadaver tissue) and then it is "installed" into your penis much like a dermal graft. Obviously it is the least invasive because it's not your own body supplying the material for enhancement.

I have read good and bad things about all of these techniques and I am not about to try and guess which one is best.  You will have to decide that for yourself.  It does look like AlloDerm is the easiest to remove if something goes wrong, but other then that there is way to much contradictory information out there to say one is really a better choice then the other.

I would recommend the laser assisted approach so you have less scar tissue and a smaller scar.  If you have pubic hair then that should camouflage the scar almost completely. It seems that the most complications come from excess scar tissue forming and sometimes even reducing length.  I would avoid any surgeons that still use the Z,V,Y or U incision.

Risks of Phalloplasty
The risk of infection is approximately 6%, which results in longer periods of antibiotic usage and excess scar formation.  Redoes are about 5%, so if you are not satisfied, with the results this may require more money and longer healing, no pun intended.  With Fat Transfer it is quite possible to develop irregularities in the shaft area, resulting in a lumpy appearance.  You can re-injure yourself or impede healing if you use it too soon. Take care and listen to your surgeon's advice.  There is a small chance of hematoma, which according to the Merriam-Webster Dictionary, "is a mass of usually clotted blood that forms in a tissue, organ, or body space as a result of a broken blood vessel."  

In Conclusion
If you are considering this procedure, please choose your surgeon wisely.  I strongly recommend spending as much time as you have on research because this a procedure that is still being "perfected" and the results are unpredictable.  If you jump into this and go to an inexperienced surgeon you could truly come up short.

Related Links
Please see our Men's Plastic Surgery Message Board for more information

References:
Author:  Marc Pfannenstein



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