Anasayfa » Penis Thickening with Abdominal Liposuction and Fat Filling
Penile dysmorphism surgery is becoming more popular today, as the use of puberty and medical technology becomes a priority. Historically, penile aesthetism surgeries date back to the 503 AD. It is reported that people performed supportive operations with sharp sharpness to satisfy their partners. This curiosity is still maintained today; penile thickening and lengthening come to the fore in the general aesthetic process as localization surgery.
The asthetic process in the genital area is not only about the penis. Aesthetic surgery on the scrotum and peno-scrotal junction also seeks insider satisfaction with respect to a better external look, rather than medically representing correction of a real anomaly. With operations performed on both the penis and scrotum areas, the region is reshaped and a better look is aimed at.
Penis thickening is one of the aesthetic surgeries preferred by men. We frequently perform this surgery by applying penile thickening with liposuction in combination with fat filling or hyaluronic acid to the penis. Because fat filling may cause irregularities and asymmetries in some cases, hyaluronic acid phalloplasty may be more inspiring. The experience of the surgeon is critical for surgical technique and performance in both methods. Some penile thickening methods have significant complications and should be avoided when operated by inexperienced surgeons.
Penis thickening refers to the increase of the diameter of the penis, including the diameter along the ventral side and dorsal side. At present, the most widely used surgical technique for penis thickening is fat filling, which refers to liposuctioning the fat from the abdomen and injecting it below the skin of the penis.
However, many patients need to repeat the surgery after initial treatment due to fat absorption. Some patients are also dissatisfied with fat filling due to deformation and irregularity of the penis, or subcutaneous nodules, more prolonged and moderate swelling, and chronic inflammation of the affected area after operation. This aspect directly affects the appearance of the penis and to some extent leads to male erectile dysfunction. However, relatively sensitive areas such as the penis, because of the rich perspective of micro-vasculature and the lack of large vascular blood supply, when the swelling pressure increases, there is a high risk of congestion and necrosis of the affected area’s fat tissue. A new operation method is needed to solve this problem, and to find a more effective and safer way to solve the problem of penis plastic thickening.
Finding a way to reduce postoperative recovery pain, preventing self-inflicted injury by limiting activity of the affected area of fresh fat that is covered with more powerful support, and improved clinical efficacy has become a hot topic of surgery and has attracted the attention of medical professors. Penile tissue damage is especially red when sensitive nerve blood vessels, support for wetting the barrier and the road to facilitate a smooth muscle relaxation and engorgement with blood. Any disease or injury that affects this pathway can lead to erectile dysfunction. Knowledge and information from various fields such as vascular surgery, microsurgical plastic surgery, tendon physiotherapy, and regenerative medicine were combined to create a new mode of find the best solution for penis plastic thickening. This clinical study will deserve the attention and endorsement of colleagues.
This study reported an operation that significantly enhanced the safety of fat filling, during which fat tissue with abdominal muscle fascia was embedded in the fat cavity of penis subcutaneous tissue and a small portion of fat tissue was used to protect the surface of the penis. Under the premise of securing the penile support point, swelling and bone absorption were reduced, the risk of fat grafting was significantly reduced, and the chance of operation success was improved.
Since the 1990s, the technique of penis thickening with abdominal liposuction and fat filling has been employed with the purpose of lengthening the penis and thickening its circumference. In recent years, as related techniques became increasingly mature, the effects of this technique became relatively stable and more optimized, and more publications have been incorporated with long-term follow-ups.
At present, the reports on penis thickening with abdominal liposuction and fat filling are relatively mature, and quite a few publications have verified that the technique has a relatively high security and very optimistic effects. Most experts also believe that it is the most reliable method to increase the penis circumference. Here, the key points, configurations, mechanisms, and techniques of penis thickening with abdominal liposuction and fat filling are introduced as follows. Subsequently, the relatively classical and mature academic viewpoints in the field at present related to it are also discussed.
Relatively mature liposuction techniques and penis filling techniques are required in the process of carrying out penis thickening with abdominal liposuction and fat filling. When operations are carried out, locations must be accurately tendered. During the processes of operation designations, machines must be carefully considered for the completion of liposuction and filling, and the ratio of stuffing and the degree of dough principle must be cautiously tended, thus making the penises thin and thick. In addition, repeated injections are required.
Then more stuff in the lining layer is required, and the stuff in the marginal layer is then not to be too many. After operations, the designated areas are required to rest, and they should have good care. Therefore, the manifestations of syphilis chronic penis inflammation shrinkage should be observed earlier and definitely. Then specific etiological detections are also required, and early treatments should be carried out.
Penile body thickening operation, which is to give a natural appearance to the body by providing the penis to obtain normal penis appearance or if it is desired by the individual, to plenish its diameter and capacity, has been applied by vortex fat fill method which leaves no surgical scar. It is an operation that provides natural appearance to the penis.
Lift intercourse, vacuum pump, erection rings, etc to induce swelling to push the penis into the liposuctioned area such as vacuum pump; recommendations vary from operation to operation. Loboco penis system in cases of micropenis, and Penum in cases of endocrine deficiency-related micropenis are preferred in quitative surgical treatments.
A penis is observed as “small” or “thin” even though its length and width are normally small. Most problems about penis appearance are emotionally and psychosocially disturbing problems rather than simple dissatisfaction with overall body appearance.
An individual may explain his penis as disproportionately small or unsuitable, even with a normal body appearance. These opinions can disturb sexual and social life. Penile thickening procedures aim to change this. Individuals considering this procedure are generally unaware of the necessity of having a cut in the pubic area.
Penile thickening is an operation for the patient who has a problem with their penis, not his healthcare provider. These kinds of problems can disturb sexual life and cause marriage problems. Therefore, the physician must spread information to the community to invest in scientific knowledge as a social responsibility. Penile thickening surgery gets numerous requests in some centers in order to increase male sexual satisfaction. However, this should be checked more scientifically.
Meanwhile, individuals with obesity can seem to have a small member. Due to an increase in the distance between the pelvic bone and penis where the root of the penis is placed, the penis that comes to sight can seem thin. The distance can be observed normally after the surgery by reducing regional lipoid either by applying abdominal liposuction or lower abdominal liposuction. The operation may even be planned based on patients’ satisfaction in certain circumstances, even if there is an empty appearance without the lipoid appearance.
Although the patients forecast the thickness of the penis before the operation, patients observe an unexpected visual appearance of their penis after the penis thickening. Liposuction and fat injection can be beneficial to patients with a regional fat structure. Individuals with abdominal, groin, and low back fat are the best fit individuals with the androgenetic fat structure.
Liposuction and fat filling can be performed in male patients who want to increase the circumference of their penis, whose penile nerve, vascular, and skin system is intact, and who have sagging abdomen and excessive fat deposits accumulated in the abdominal basin. Furthermore, liposuction-assisted mini-flaccid penis extending this method can be used to increase the flaccid length of the erect penis, and the success of penis thickening can increase sexual satisfaction in the community where such men live.
Many adult men ask to develop a higher percentage penis for various reasons. Although the erect length of an individual is approximately equal to the erect length of an individual, it may pose a visual issue if the thickness of the prominent penis head in some men is thinner than the length. In such cases, a sense of comfort and relaxation in men can lead to negative sexual impulses and adversely affect sexual satisfaction after urination or sexual intercourse.
In modern culture, many men undergo liposuction and abdominal wall surgery for weak erector and sagging abdomen, which also increases the rate of abdominal cutoffs in these surgeries. Three studies have exhibited that the combined treatment of liposuction with mini penile lengthening provided a mean increase in flaccid penile prosthetic lengths by 2.7 versus 1.045 cm. With good explanation, penile thickening surgery was performed post-puberty with basically two ways. The prominent penile tip support process is the first, which is excision of the prominent penile tip, bone dislocations to lessen the built-up pubis section so that the penile tip comes out, tissue transplants to cover the emptied section and supportive structures.
Patients can usually return to their home the day after the surgery. The penis area must be evaluated with the surgeon in regular intervals of 7-14 days. The evaluation sessions are performed between 2 days and 2 weeks, depending on the density of the filling, and lasting for 1-3 weeks. These sessions are important for efficient nipple nourishing and integration of the fat fillings in the penis tissue. The patients can generally start walking the day after the surgery and return to their social lives and work when feeling well.
Dressings, which can resolve the edema, will be used for 1-2 weeks; the area may be slightly swollen for 2-4 weeks. A patient with fat fillings alone can wait for 3-4 weeks and have sexual activities thirty days after the surgery. A patient who simultaneously has a stretching surgery at the rear section of the penis skin must rest for two weeks and have sexual activities after two weeks.
The penile bolster will be removed after 24-48 hours. On the 2nd postoperative day, it will be possible to return to work depending on the needs of the patients. On the 7th postoperative day, the patient will have the last control check in terms of control and sutures. The patient should pay attention to the following points after discharge:
Patients who have undergone fatty bulking to the penile shaft may have bleeding and complications. In patients who have undergone liposuction, a thickening operation may become edema, clogging or poor structure of the accepted oil filler. In this case, it should be kept in mind that not all patients will get the esthetic result they want, and they should also be warned.
For these surgeries, small or no surgical scars are of great importance for men who care about penis size. In the surgeries performed, there is practically no trace that will impair men. Liquid retention in the form of edema may be seen temporarily in the intervention area. The patient will have a tight appearance of the area where the fat filler is applied.
When only liposuction is applied, without adding fat, small scabs may occur. These scars can be seen in the intraoral area, especially for individuals prone to cutting in a negative direction. The body disappears after the first few days and healing will begin. In this early process, redness and edema disappear first, and offered will start.
Thickening of the penis using autologous fat from the abdominal region has several advantages: The material is easily transferred; it can be taken at the same time as it is injected; the process of taking the fat is also liposuction, which also provides a better aesthetic look for the groin; it is a material with a low rate of absorption; carries layers with the least possibility of immunological reactions with less cellulite used. In the surgical technique we developed, a more precise form was shaped by taking fat from the abdominal area.
Not cylindrical layers, but a more natural layer, hindered summing and oil cyst formation was placed under the Dartos fascia layer. Leakage and edema were prevented by special compression. A lower number of side effects were seen, and patient satisfaction was statistically approved with the cessation of compressive action after the first postoperative application.
Five to twenty-six percent of the adult male population is not satisfied with the diameter of the penis in the flaccid or erection period. However, studies have shown that the penis thickness does not exceed 3% in patient height and less than 9% in patient weight and the correlation between penis length and body size except forearm length.
Despite the lack of data supporting penile enhancement, surgery is still being requested by an increasingly male group who perceive exaggerated genital deficiency and seek an increase not only in their sexual lives but also in their social-psychological satisfaction. This situation, which presents an ethical problem, can cause disappointment after surgery because the expectation jumps to an unreasonable level.
Although there are various techniques, surgery has potential complications such as unsatisfied results, decrease of different eras, erectile restriction, and numbness. Definitive filler does not exist with biophysical characteristics. These were reasons why a simple, predictable, and efficient operation appeared in the main group in the literature. The subcutaneous accumulation of the abdominal region and the transplanted autologous fat increase the satisfaction in the patients, and it makes the surgical option flexible.
Penis thickening with autotransplantation of fat cells in the abdominal wall is an alternative method of size improvement. The advantage of this treatment over free fat plasty is the fatty tissue used, which is completely free from tension, the low invasiveness of abdominal lipectomy, the possibility of obtaining a large number of body fat cells, and the fact that, unlike the low revascularization anatomic structure, minimal loss of transplanted fat cells is observed.
Penile thickening due to fat transplantation into the abdominal wall is a simple practical method. Several hundred cc of fatty tissue can be taken because the fat used in the fat transfer procedure is free from tension when it is located in the layers of the abdominal muscles, which largely prevent the collected fat grafts from being injured.
The reason there is a minimum loss of fat and blood supply is that blood flows in all directions due to the rich blood supply from the surrounding areas, such as the aponeurosis of the abdominal wall and rectus abdominis muscle. Because of this anatomy, fat can be relatively widely extracted and dissected, and even with small quantities, fat cells can survive. Therefore, it can be admitted that fat tissue is a promising material for creating subcutaneous tissue space of the penile area and thickening the penile area.
The cost of penile fat grafting is comparable to the cost of a liposuction procedure that would be performed under general anesthesia in a hospital or outpatient surgical center. Since the penile fat grafting is usually performed under local tumescent anesthesia in the “office setting,” and a penile prosthesis is secured into place once the fat grafting is complete, the difference in the medical fee for penile fat grafting and standard liposuction surgery derives from the cost of the fat grafting, the cost of the specialized machine needed to extract the fat, the additional surgical material overhead for fat grafting, and the physician’s time, additional expertise, and often additional training.
There are other costs that can increase the overall cost of the procedure, including the hospital or surgical center fee, the anesthesia fee, the physician’s fee, the prosthesis, the nurse’s fee for postoperative pump training or injection follow-up, and follow-up visits. Additional procedures can also impact the cost of the entire process. These factors can impact the price of the surgery significantly, adding up to several thousands of dollars.
Penile girth enhancement can have an especially important role for men whose partner demands a larger penis or those not so well endowed that their penile size impacts their sexual performance. It may also be indicated for the man who simply prefers a larger penis. In the same outreach, over 35% of men indicated that they would undergo a cosmetic procedure to increase the size of their penis, and the majority of these men would choose a fat grafting procedure for this purpose. However, as mentioned in the previous questions, this elective cosmetic procedure to increase the size of the penis may be viewed differently than other standard plastic surgical procedures, and payment through insurance may thus be more problematic for the patient, making the decision-making process even more challenging.
Determining factors point out which method will maximize the success of the surgery during the preoperative preparation period and are effective in changing the surgical algorithm. The principles which are effective in changing the algorithm in the surgery of penile thickening with liposuction and fat filling and the results changing the method were discussed with the relevant factors. The skin features of the penis are important in the penile thickening process with liposuction and fat filling. The presence of a problem at a number that will uncover after the liposuction process in men is the biggest determining factor.
In circumferences higher than the average and greater penile length, it is seen that the penile skin is stretched more and in these cases, the thinning seen for the corpora cavernosa is found to be less intense when compared to other employees. The thinning of the subcutaneous fat in the penis skin, which ensures that penile forms are visible in magnetic imaging (MRI), may lead to the fulfillment of the surgeries with a sedentary lifestyle.
The people with this application should be warned about the thinning, which is one of the rare but clinically important causes and which will expose the vascular structures. The skin is an important part of the support of the penis and it provides the screening of the subcutaneous penile structures. Penile transparency can be shaped into various shapes.
Although the corpora cavernosa of the penis are filled with fat, the penis seems to be shorter in the early period after surgery. The length of the penis seems to decrease due to thorax and obesity and surgical intervention. The penis appears completely in normal length in 6 – 9 months.
It is important to take a photo of the erect position of the penis before the procedure in order to capture the upward angle. This image will help the surgeon anchor the fat graft to the top of the corpus cavernous.
Penile thickening procedures are completed in about 1.5 hours.
There are two excellent fat filling techniques. These are the chain microdroplet technique and the cell-assisted lipofilling (CAL) technique. In the chain microdroplet technique, microdroplets of fat are injected at equal distances under the glans of the penis to the sulcus coronarius, and a stronger, thicker, and longer penis is created.
The microdroplets will connect over time. In other words, a chain effect will occur. During sexual intercourse, the supportive, strong, and thickened fat tissue will provide stronger vaginal stimulation to the female partner.
With the thickness created with the chain effect in the midsuspension section, it will physiologically cause the reformation of the tunica albuginea with local connective tissue development, allowing the penis to move more and to create alternative angles of movement during sexual intercourse at a much wider angle.
The penile midsection is not elongated during or after surgery. The microdroplets will really help with additional erect penis rigidity. In addition, the additional rigidity achieved with the microdroplets will greatly assist the wild penis characteristic seen during sexual intercourse.
Afterward, the patient will realize much better sexual intercourse with the thickness created with the chain effect. The elasticity increases during sexual intercourse, the penis will become very strong, and increased libido will be apparent. The patient will distinguish the real increased sexual drive experienced during sexual intercourse.
After the procedure, it is natural to see swelling, bruising, mild pain, and temporary skin numbness and tingling. However, serious infections, hematomas, overfilling, fat lumps, excessive thickness, and irregularities may occur, as in all fat injection procedures. However, these risks can be minimized by choosing an experienced doctor.
There are no risks specific to the abdominal liposuction and fat filling penis thickening procedures. Complications that may arise in any operation can also apply to this procedure.