Autologous fat grafting for penis girth enlargement
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Consultant Plastic Surgeon, Hospital Moncloa, Avenida de Valladolid, 83, Madrid, Spain. This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3. Plast Aesthet Res ;2: The author analyzed retrospectively the outcomes of augmentation phalloplasty procedures performed in patients until November Emlargement these, correspond to girth augmentation with fat grafting and to composite augmentation phalloplasty girth augmentation with fat grafting and length improvement by suspensory ligament release.
In 16 patients girth autologous fat grafting for penis girth enlargement length enhancement were performed in two separate procedures. Of this patients, 87 underwent postoperative follow-up for at least 12 months and patients underwent enlargeement for at least 6 months. The average increase in circumference at 6 months was 1. Twenty-two patients showed minor complications that were treated without sequelae and without influencing the final result.
By judicious use of currently available techniques, it is possible to achieve stable increases in penis size. The use of composite techniques provides better final results than uatologous use of individual techniques enlargemenr alone due to the increase of the actual volume of the penis.
An adequate informed consent is essential in all patients due to the unrealistic expectations expressed by the majority of them. Adipose tissue, fat grafting, lipofilling, penis augmentation. One of the traditional benefits that aesthetic surgery offers to patients is the improvement in self-esteem. The appearance of the external genitalia, both male and female, can have similar degrees of influence on social enlargemebt and may cause a autologous fat grafting for penis girth enlargement similar to that generated by a lipodystrophy or a nose with inadequate proportions.
Given the unrealistic expectations sometimes fanciful that these patients tend to assume about the anticipated gtafting, it is essential to properly and thoroughly inform autologous fat grafting for penis girth enlargement about treatment characteristics, limitations, and what results they can expect.
Although a large number of patients who are interested in genital aesthetic surgery request a consult for purely aesthetic motivation, as in other domains of aesthetic surgery, there are many in which a functional defect coexists with the aesthetic burden that can worsen patient ft in sexual or social relationships. Generally speaking, aesthetic surgery of male genitalia is focused on increasing penis measures in both length and girth.
At the present time, there is only one technique capable of increasing girth in erection but none at least known to the author capable of increasing dynamically the length in erection. Therefore, currently, existing techniques are able to increase the girth in erection or flaccidity but not both. There are surgical techniques that increase the length in the flaccid state, but no reports known to the author that describe increasing the length of the penis in erection.
For these reasons the enhancement of the penis size is better achieved by performing several surgical techniques simultaneously or in stages. If it is assumed that the penis is a cylindrical body, a more successful outcome should seek to increase the entire volume diameter and length than only one of the dimensions [Figure 1]. There is only one exception to this approach which is the treatment of a buried or partially buried penis. In autologlus case, given the importance of adequate pubic skin redraping and marking the new peneopubic angle, the author recommends girth enhancement in a second staged step.
The penis can be approximated to a cylinder, and thus, enhancement of girth and length at the same time improves real volume. From left to right: An important factor that is difficult to standardize autologous fat grafting for penis girth enlargement the measurement of penile length and girth in flaccidity and erection.
Several ways to do this are postulated, with the main objective of obtaining an accurate estimate of the increase in these measures in postoperative follow-up for comparative purposes. As a general rule the established mean normal values of flaccid length are between graftinng. A normal girth will vary between 7. The author presents his experience in a retrospective study of augmentation phalloplasty procedures.
The final analysis focuses on the main increase in penis measurements girth and length in the flaccid state and the stability of improvement over time. The author analyzed retrospectively the outcomes of augmentation phalloplasty procedures performed in patients.
The main motivation for all patients was to achieve greater penis size without the development of any form of impotence or sexual dysfunction. Mean preoperative penis dimensions in the flaccid state were 8. Of the procedures, underwent girth enhancements with fat grafting and were undertaken for composite phalloplasties girth enhancement with fat grafting and length improvement by suspensory ligament release.
In 16 patients, these procedures were performed in two surgical stages, not less than 6 months apart. All patients signed the corresponding informed consent.
The age of patients ranged from 23 to 57 years with a mean age of 38 years. All cases of girth enhancement with fat grafts were performed under local anesthesia with sedation on an ambulatory basis; composite phalloplasty were performed under spinal anesthesia on an ambulatory basis as well. All pre and postoperative measures and pictures were taken in forced flaccidity applying a light traction on the penis for about 3 s.
Postoperative measurements were scheduled on the day after the operative procedure and again at 1, 4, 6, and 12 months postoperatively. The technique of fat grafting used in this series has been published previously. The engrafting process must be performed with extreme caution, placing fat fragments of no more than 3 mm in diameter to ensure a proper take and prevent necrosis and cyst formation. Whether girth enhancement is performed alone or in combination with suspensory ligament release, the infiltration cannula is advanced from the peneo-pubic angle towards the preputial skin or circumcision scar.
Autologous Fat Grafting for Penis Girth Enlargement
Efficacy and safety of penile girth enhancement by autologous fat injection for patients with thin penises. - PubMed - NCBI
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At the present time, there is only one technique capable of increasing girth in erection but none at least known to the author capable of increasing dynamically the length in erection. How to cite this autooogous If they don't grow in three days, the fat will die and be absorbed by the body. JavaScript is currently disabledthis site works much better if you enable JavaScript in your browser. This procedure is a pretty simple one but one that should only be done by an experienced and knowledgeable cosmetic surgeon. It As far as penis enlargement is concerned autologous fat grafting is a relatively new procedure.
Composite augmentation phalloplasty: personal experience after patients
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