Method of augmentation penile endoprosthetics using shell silicone implants

Penile fat grafting is a minimally invasive surgical procedure used to increase the thickness and shape of the penis by injecting the patient's own fat tissue under the skin of the penis.

Increasing the diameter of the penis is recommended if the patient is at a stable weight. The main advantage of this technique for increasing the diameter of the penis, compared to alternative, more radical methods, is safety. The patient simultaneously acts as a donor and recipient, which eliminates the risk of tissue rejection and unwanted reactions of the body, such as allergies.

Indications for penile lipofilling

An operation may be prescribed to correct the results of a previously performed procedure. However, the main indication for penile lipofilling is patient dissatisfaction with its shape or volume. The most common indications include:

• the patient's dissatisfaction with the appearance of his genital organ;
• unnatural shape of the penis and irregularities;
• insufficient diameter of the penis – up to 2 cm;
• decreased libido associated with complexes and related problems in the patient’s sex life.

Why do men decide to adjust the size of their penis?

• dissatisfaction with appearance;
• lack of pleasant sensations during sexual intercourse;
• partner's dissatisfaction;
• lack of control over the duration of sexual intercourse;
• injuries;
• defects in the development of the urethra;
• Peyronie's disease - curvature of the shaft of the penis;
• fibrosis of the corpora cavernosa;
• underdeveloped penis;
• erectile dysfunction of various etiologies;
• impotence as a consequence of endocrine disorders;
• age-related changes;
• correction of the consequences of operations on the internal and external male genital organs.

How is lipofilling of the penis performed?

Typically, local anesthesia is used for pain relief. Lipofilling of the penis is carried out in several stages: sampling of adipose tissue, its processing and transplantation of the resulting material. Adipose tissue is collected from donor areas - places with its greatest accumulation (pubis, abdomen, thighs, buttocks). The surgeon removes excess fat cells through micro-punctures using a special cannula needle with a rounded end (nerves and large vessels are not damaged when the needle moves under the skin). The extracted fat cells are prepared for further transplantation, cleaned of drugs, blood impurities and the remains of non-viable cells.

Then the surgeon, through micropunctures, introduces autogenous fat under the skin of the penis in thin layers along the entire shaft. The procedure is performed layer by layer to ensure uniform distribution of the material.

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Preparing for penis enlargement

Like any planned intervention in the integrity of the body, penis enlargement or plastic surgery requires appropriate preparation to determine the real state of the body and eliminate possible complications.

The patient is required to undergo laboratory tests of blood and urine, culture for microflora and infectious diseases. Conclusions on the patient’s readiness for intervention are given by a urologist, cardiologist and therapist. In case of surgery under general anesthesia, an ECG is taken and an anesthesiologist is consulted. Coordination with other specialists may also be required.

Rehabilitation period after lipofilling of the penis

Since lipofilling is not a traumatic intervention, rehabilitation is quick and without complications, subject to the doctor’s recommendations. In particular, it is necessary to limit the level of physical activity: you can return to sexual activity and light physical activity 3 weeks after the procedure, and to sports after 1.5 - 2 months. In addition, during the rehabilitation period, you should regularly carry out antiseptic measures prescribed by your doctor, and avoid visiting the solarium, bathhouse, sauna and swimming pool. The patient should wear underwear made from natural materials that do not injure the tissue.

Contraindications

Contraindications for penis mutilation may include:

• the presence of severe endocrine diseases,
• infectious diseases,
• urological diseases in a state of exacerbation,
• bleeding disorders,
• oncological neoplasms,
• age under 18 years,
• presence of mental disorders, etc.

The cost of penis enlargement depends on the chosen method of intervention, the need to treat infectious diseases and diligent adherence to postoperative recommendations in order to avoid repeated doctor visits.

Facial lipofilling for men

Lipofilling or facial liposculpture is the injection of your own fat into problem areas of the face. This operation allows the patient to regain youth and a fresh appearance of his face. As a result, the natural contour and volume of the problem area is restored, and wrinkles are smoothed out. This operation is safe and eliminates the possibility of allergies or rejection of the main component, which is your own fat.

How does the procedure work?

Before the operation, the patient is photographed so that the result can be fully assessed later. First of all, the doctor determines the boundaries of the problem area that will be subject to lipofilling, then the part of the body from which the adipose tissue will be taken is determined, usually the abdomen or thighs. The required amount of the component is 5-10 ml, so it is not at all necessary that the patient is overweight. The resulting fat undergoes a thorough processing procedure and is then injected into the problem area of ​​the face using special thin cannulas.

This operation is performed both under local anesthesia and general anesthesia, its duration is from 30 to 60 minutes. The effect is permanent, repeated surgery will only be required if the patient wishes to add additional volume.

With the help of facial lipofilling, you can get rid of folds, smooth out wrinkles, enlarge the chin, add volume to the cheeks, and correct the contour of the face.

The main areas of the face where this operation is performed:

• Upper and lower eyelids (as the fat layer increases, lost volume returns and wrinkles are smoothed out);
• Whiskey (after surgery, eyebrows are raised and wrinkles around the eyes are smoothed out);
• Cheeks and cheekbones (lipofilling allows you to restore volume to sunken cheekbones);
• Chin (in the chin area the subcutaneous fat layer is restored, the skin becomes more elastic);
• Nasolabial folds (folds and wrinkles smooth out and become less noticeable).

Recovery period

Facial lipofilling leaves no traces of intervention. On days 2-3, the patient may feel swelling, but it will completely subside by day 8. Bruises for lipofilling are very rare; there is no severe pain. As a rule, the patient leaves the clinic feeling well.

Gel Macrolane

Andrologists do not recommend inserting foreign objects into the penis because there is a high risk of complications such as oleogranulomas, uneven distribution of material, infection, contouring and contouring of materials. An exception is made only for fillers based on hyaluronic acid, which undergo degradation over time.

Macrolane gel is based on a natural polysaccharide - hyaluronic acid. It is found in the tissues of every person. Microline contains 2-3% hyaluronic acid and 97-98% water. There are no other impurities, so the drug is absolutely safe. After the introduction of the gel, the effect lasts for 16-18 months; it gradually undergoes biodegradation and is eliminated from the body naturally.

After any method of thickening the penis, sexual rest is required for at least 2 weeks. Neither lipofilling nor the introduction of hyaluronic acid are traumatic interventions, so recovery is quick and, as a rule, without complications.

Ligamentotomy

Ligamentotomy refers to a group of operations performed to lengthen the penis. The ligament is a penile ligament that attaches to the pubic symphysis. If this ligament is crossed, then it is possible to extend the part of the penis that was under the pubis, i.e. penis enlargement occurs due to the mobilization of hidden reserves of its length. The anatomical integrity of the penis is not compromised after surgery.

But there is one BUT. After the operation, the penis can either move forward or move inward. To avoid this, you need to use a traction apparatus such as an extender or stretcher for three months. With their help, you need to pull the penis away from the pubis. As it heals, dense scar tissue will form at the site of the incision, and this scar will prevent the inner part of the penis from returning under the pubic symphysis. Thus, ligamentotomy is just an auxiliary method; without the subsequent use of traction devices it is useless.

The initial surgical technique involved an inguinal approach. This approach seemed more rational, allowing quick access to the inguinal ligament. But in practice this turned out to be not entirely true. The operation took a long time, required a large incision and left a noticeable scar. In addition, there was excessive trauma to the soft tissues and, most importantly, the pubic approach made it difficult to subsequently wear the traction apparatus.

Now such operations are performed through the scrotal access, along its median suture. Technically, this is more difficult for a doctor, but the patient tolerates such an intervention easier, and the recovery period is more successful. Traces of the operation are almost invisible. And we emphasize once again that after ligamentotomy you need to wear a traction apparatus for several months.

As for sex, there are no restrictions. Only pain in the pubic area may bother me a little.

Who is the procedure intended for?

Male intimate plastic surgery is one of the most common areas in the field of plastic surgery. Patients resort to this method for various reasons, but world practice shows that the main motives are:

• the ability to increase sexual attractiveness;
• increase self-esteem;
• fill your sex life with new colors;
• get rid of the feeling of awkwardness and embarrassment when being in male company.

From the point of view of experts, the quality of sexual life is influenced not so much by the length as by the diameter of the penis. That is why its correction is the best way to achieve the desired results.

According to medical conditions, the procedure is carried out in the following cases:

• when the diameter of the head of the penis is equal to or less than the diameter of the shaft;
• to maintain proportions in case of increasing length;
• increasing the size of the head for the lengthening procedure using an extender.

Many men wonder whether they can have this operation without medical indications. The answer is yes, since there is no need to have any defects to undergo enlargement of the glans penis.

Indications and contraindications for surgery

As you know, the size of the penis affects not only the quality of sexual relationships, but also the psychological state of a man. In this regard, surgery can be prescribed both for dissatisfaction with intimate life and for complaints of uncertainty, shyness, fear of new relationships, etc., if a man directly associates these complaints with insufficient penis size.

In addition, lipofilling also has contraindications. The operation is not performed if sexually transmitted infections, inflammatory diseases, coagulopathy, chronic diseases in the acute stage, etc. are detected. Also, a man should understand that lipofilling allows you to increase the thickness of the penis, but not its length.

Lipofilling of the pectoral muscle.

Photo before surgery:

Video before and after surgery:

Reviews from patients

Alexey, 29 years old.

I’ve had complexes about the size of my penis since school. At the age of 23, I purchased an extender and used it to lengthen my penis by 3 centimeters, but then I realized that it had stretched and become too thin. This led to even greater depression. Ultimately, I decided to visit a surgeon, who suggested that I use lipofilling. The procedure is really effective. It's been 4 years and my penis is in excellent condition.

Artem, 40 years old.

Lipoplasty is a good solution for those who want to make their penis thicker, no matter what the reason is. Among my friends there are at least two people who have already undergone this procedure, not including me. There are no dissatisfied people. I don’t regret spending 20,000 rubles; if I had a choice, I would do it again.

Anna, 37 years old.

My husband and I made a joint decision to increase the size of his penis. I’ve wanted this for a long time, and he doesn’t mind. We had a choice - either penile prosthesis or fat injection. After reading negative reviews about implants, we decided to go with lipofilling. And they guessed right. The procedure was quick, there were zero complications, and it was cheap. Both are happy.

Possible complications

If a man decides to undergo such an operation, he must be prepared to take risks and not be afraid of complications. And complications can be in the form of:

• Bleeding, swelling and infection.
• Deformations of the penis.
• Loss of his normal sensitivity.
• Instability during arousal, so-called “subluxation” during sexual intercourse.
• Changing the angle of erection (not up, but forward or down).
• Erection disorders.

More than half of the patients do not expect the same result from the operation that is obtained in the end. In the course of the studies, it was found that even repeated manipulations do not bring the effect desired by a man. Therefore, think a hundred times before deciding to enlarge your penis. The only surgical indication is a penis length less than 8 cm in an erect state; in all other cases, it is better to be content with what you have and be healthy than to earn a bunch of unnecessary complications.

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