The lengthening procedure is performed by dividing the suspensory ligament of the penis. This is achieved via a 4 to 5cm scar about 3cms above the proximal penile crease and the areas of ligament attachment are divided all the way over the symphysis pubis.
To stop this reattaching, I use two distally based fat flaps (which means that the fat is always alive) to put in this area, so that the ligament doesn’t reattach and that the proximal penile shaft is pushed a little out from the body. I usually do not leave any drains in this area.
To increase the width of the penis I believe the best outcome is achieved with fat injections. I do not agree that fat injections become lumpy and I believe that this is the safest way to approach widening of the penile shaft.
Some plastic surgeons use dermal fat grafts, Alloderm or permanent fillers, however I have seen less than optimal results following procedures using these methods.
With the fat grafting method that I use, the person realistically needs to have at least some available fat deposits for harvesting (usually obtained from the central abdominal area), although I have obtained reasonable amounts of fat from people without much fat to spare. I usually inject about 25mls of fat for optimum results, but this can be less if people are relatively thin.
Post-operatively, the penis is quite swollen and usually about 50% of the injected fat does disappear, but I do not believe that I have seen a case where no fat survives at all, there is always some positive improvement in penile girth.
One of the benefits with the fat grafting technique is that it has minimal side effects, when compared to other techniques for penile widening. Patients have excellent and natural results, using the fat grafting technique.
I believe it is best to perform both the penile lengthening and widening procedures in the same operation. The reason I say this is because I in my experience, the fat injections from the widening procedure give more weight to the penis, which aids in stretching and lengthening the penis. I have occasionally performed a penile lengthening procedure without widening and in these few cases I have seen that the penile lengthening is less than optimal.
Post-operatively, I give clients a stretching device to optimise lengthening of the penis and to prevent the ligament from reattaching. This is commenced when the penis is comfortable, usually within the first week post-surgery and it needs to be continued for about three months.
The operation is performed under a general anaesthetic as a day only procedure.
Reversal of vasectomies (vasovasostomies) are good operations with good success rates. One needs to find the divided epididymis and reconnect it microsurgically. As plastic surgeons perform a lot of microsurgery in other areas of their specialty such as free flaps, nerve repairs, arterial and vein repairs I believe they are eminently qualified to do this procedure. I have done a lot of these procedures with very pleasing results. The results are very promising.
If the size of your penis has limited your lifestyle and intimate encounters and has led to anxiety or depression, then phalloplasty may well be the answer to your physical or psychological issues.
So in conclusion, penile enlargement should not be taken lightly, but when performed for the appropriate reasons, can have a dramatic effect on the lives of many men.Post Procedure Facts & Advice Send A Confidential Enquiry Meet Dr David Caminer