Techniques & Expectations
techniques used for penile enlargement (enhancement phalloplasty) -- penile
lengthening and penile widening (girth enhancement) -- have been in the
urologic literature for many years.
There are various ways of enlarging the
penis. In my practice, patients either have a lengthening or widening
alone, or a lengthening and widening in a single session. Glanular enhancement
may be performed alone or combined with any procedure.
I personally see in consultation all of
my patients before and after surgery and perform all the surgical procedures
PENILE WIDENING (PERICAVERNOSAL)
Click to see before and after photos of widening procedures:
We have noticed a permanent increase in penile
girth (circumference) in the flaccid state with our pericavernosal
(P/C) Allograft Dermal
Matrix Graft (Alloderm ®) technique.
While a 40 to 50% gain in girth (flaccid state) may be achieved, most
men get an increase of about 30%. An approximate 10 to 15% gain in girth
is obtained in the erect state.
Because autograft dermal fat grafts for penile
widening require a donor site(s) and, therefore, incision(s) and
scar(s) --- 6 years ago I stopped using autograft dermal fat grafts
and since then only use Allograft Dermal
Matrix Grafts (Alloderm®) in my patients who wish penile widening.
The advantages of Allograft Dermal
Matrix Grafts (Alloderm®) over autograft dermal fat grafts are: it eliminates
the need for incisions and scars at the donor sites (because there are
none) and it significantly reduces the length of surgery.
With the Allograft Dermal
Matrix Graft (Alloderm ®) technique we are adding multiple layers
of Allograft Dermal
Matrix Graft (Alloderm ®)
under the penile skin on top of the erectile chambers to give thickness by "stacking" or "folding" the
grafts. I do not use strips of Allograft Dermal
Matrix Graft (Alloderm ®), but create a conjoined graft. There are
no contour defects and appearance and feel are normal. A penile stretching
device is suggested after the widening procedure to combat Allograft Dermal
Matrix Graft (Alloderm ®) contraction that might occur.
I have found this technique to be effective
with a high satisfaction rate.
PENILE WIDENING (ALBUGINEAL/CAVERNOSAL)
Some men wish a wider penis in the erect
state. In the last 7 years several techniques of albugineal/cavernosal
penile widening have been introduced that allow an increase in the volume
of the tunica albuginea in the erect state. These techniques have utilized:
dermal grafts, vein grafts and porcine grafts. Because of my experience
with Allograft Dermal
Matrix Graft (Alloderm ®) for pericavernosal girth enhancement in the flaccid state, I
am now offering albugineal/cavernosal (A/C) penile widening using Allograft Dermal
Matrix Graft (Alloderm ®) to obtain a wider penis in the erect state.
Because albugineal/cavernosal penile widening is a new surgical technique,
efficacy is not known and the risks and complications are not known. We
expect an approximate 30% gain in girth in the erect state and
10 to 15% gain in the flaccid state. A vacuum device is advised postoperatively.
COMBINED PENILE WIDENING PROCEDURE (PERICAVERNOSAL AND ALBUGINEAL/CAVERNOSAL)
For men wishing a wider penis in the flaccid
and erect state, I combine my standard technique of penile widening
(P/C) in the flaccid state using Allograft Dermal
Matrix Graft (Alloderm ®) with the new albugineal/cavernosal (A/C) penile
widening technique using Allograft Dermal
Matrix Graft (Alloderm ®) for flaccid and erect penile widening. Because
the combination is a new surgical technique, efficacy is not known and
the risks and complications are not known. We expect an approximate 30
to 40% permanent increase in penile girth in the flaccid state
and an approximate 30 to 40% gain in the erect state.
These procedures are performed in an outpatient ambulatory setting, either at a hospital or in a private surgical facility. State licensed personnel use a combination of anesthetic techniques that will assure you a painless experience.
SECONDARY PENILE WIDENING
Click to see before and after photos of
Sometimes a patient who has had penile widening
by: liposuction/lipotransfer (fat injection) or autograft dermal fat graft
or Allograft Dermal
Matrix Graft (Alloderm ®) wants
additional girth enhancement.
During the last six years I have used my
Matrix Graft (Alloderm ®) penile widening
technique to insert Allograft Dermal
Matrix Graft (Alloderm ®) above or below the previously inserted graft with very satisfactory
results in patients who had one or a combination of the above widening
procedures. Also review Frequently
Asked Questions about penile enlargement surgery (phalloplasty).
For more information
about your consultation or other surgeries that I perform, please click
on the below links.
AND SUPRAPUBIC FAT PAD