Penile Augmentation (Phalloplasty)
It is estimated that over 250,000 men worldwide have undergone phalloplasty; half of those have been in the US.
What is Phalloplasty?
Traditional penile-enhancement surgery involves one or both of two basic procedures. The first, to increase length, involves making
an incision at the base of the penis and snipping the ligament that anchors it to the pubic bone. This causes the portion of the
penis that is normally inside the body to fall forward, giving more length -- usually about an inch, but up to two and a half inches
is not uncommon. The second procedure, penis widening, adds girth to the penis. This requires a minor surgical reconstruction
of the penis internal structure. This simple procedure can permanently increase the circumference girth to 6 inches or more
(up to 2 inches in diameter). This is an ongoing process, which takes place naturally over the 1st year.
Are you a good candidate?
As with any cosmetic surgery, it is important to have realistic expectations the outcome of the surgery - this is a
prerequisite. If you feel that penile enlargement may be appropriate for you, make sure:
Your surgeon is aware of any and all medical conditions and any allergies you may have and. Also, tell your surgeon about any medications, Aspirin, vitamin E, herbal supplements or natural supplements you are taking (both prescription and non-prescription).
You are not prone to scarring problems such as keloids.
You do not smoke or drink excessively.
You have a good understanding of the limitations of the procedure.
Smokers are advised to stop for two weeks prior and at least two months post surgery. Complete cessation is recommended
as new research indicates that smokers heal very slowly.
Avoid aspirin, any aspirin containing medication or any other non-steroidal anti-inflammatory (NSAID),
such as Motrin® or Advil®, for two weeks prior to treatment. Because aspirin thins the blood, it can interfere
with normal blood clotting and increase the risk of bleeding and bruising.
Avoid drinking alcohol two weeks before your surgery.
Make sure to follow any fasting instructions the night before and morning of your surgery. Your doctor may insist on an empty stomach depending on the type of anesthesia.
Make sure that you arrange for someone to bring you home and to help you out for 24 hours after surgery.
Start your antibiotic prescription medication 24 hours prior to your surgery.
What happens during the procedure?
The procedure is performed in an outpatient surgical center. The procedures each take about 1˝ - 2 hours but depending on
the extent of the procedure, it could take longer. It is more advisable that both of the procedures are undertaken at the
same time. An overnight hospital stay is not usually required but you may spend few hours under observation.
Penis Lengthening:
This procedure is performed under twilight with local anesthesia. Incisions are made at the root of the penis where it
joins the pubic area. The penis is then released from its attachments (suspensory ligaments) to the pubic bone (symphysis).
Penis Widening:
Traditionally, this procedure can be done in several ways through a free fat transfer or grafting. The most common
substances used for grafts are ALLODERM® and dermis-fat.
At Luna, we do not use any fat grafts or synthetic materials. Our patent pending minor surgical internal reconstruction
procedure is simple and focuses on the natural progression of self-enlargement. The more erection the penis gets,
the larger the penis will grow. The enlargement process is so natural; there are no lumps or bumps, no distortion,
normal appearance with normal sensation, and undetectable surgical scars.
Are there risks or potential side effects?
As with any surgery, there are risks, including an allergic reaction to the anesthetic. Specifically, penis enlargement
carries the following risks and side effects:
swelling, bruising and mild discomfort usually occur
infection
sensation may be altered or completely lost
function may be altered but unlikely
erections may become more horizontal than vertical
delayed wound healing and/or poor scarring may occur
bleeding may occur and should blood collect (a hematoma), this may require further surgical treatment
Smoking can increase the risks of this procedure because nicotine constricts the blood vessels, decreases blood
flow to tissues and increases the chance of infection and poor healing. These risks are significantly reduced if you stop
smoking at least two weeks before surgery and wait until you are completely healed before starting again.
With respect to the results of these procedures, there are no guarantees with respect to the final lengthening with the
lengthening procedure, an average elongation is approximately 1 ˝ inch but this can vary from one to three inches.
Penis girth increases with time. The healing process takes time and the final result will not be readily visible for many months.
Recovery
You will wear a light pressure dressing for at least a week and elevation is recommended as well as wearing jockey shorts.
The penis and scrotum are usually swollen and bruised for two to three weeks. You will be sore in the groin and pubic regions
for up to two weeks, but this can be controlled with medication. You will see the doctor seven days after surgery.
At this time, it is possible that you are able to shower or bathe and start your own wound care and shaft wrapping.
Sutures are dissolved 2-4 weeks after surgery.
Many doctors will also recommend manual stretching at one week and a weight program, where post surgery, weights or a
nother traction method are hung from your penis to sustain and increase the length. Some patients maintain traction for up to
6 months after surgery, which will reduce the chance of retraction and in most cases results in further lengthening by
stretching tissues during its healing phase after surgery. Scars may take many months to fade and soften.
How soon does normal life resume?
It is highly recommended that you take one to two weeks off minimum, and then slowly reintegrate yourself back to
normal life. Avoid sexual intercourse and heavy sports and activities for at least 3 weeks. Avoid any erection for
the 1st week after surgery.
