Submit your question below about any cosmetic procedure to be considered for posting with an answer from one of our board-certified plastic surgeons.
Note: ASAPS cannot give advice about specific medical problems nor should answers provided by responding surgeons be substituted for a complete medical history, work-up and an in-personal medical/surgical consultation. Sorry we can't answer all questions. We try to select questions that have the widest general interest.
The latest studies, reports etc on phalloplasty (augmentation, not gender realignment).
Different surgeons are quick to promote their own services and also to denigrate alternatives. Some offer the chance to undergo 2 or 3 procedures in 1 operation, others say risks indicate this is to be avoided at all costs (then they charge exorbitantly for multiple operations). Where can someone who is keen to undergo some kind of phalloplasty augmentation find unbiased information and if possible recommendations as to what procedure is considered cutting edge in terms of success and safety?
Look no further. Many members of the ASAPS deal with your concern every day. We must get calls on this area of concern almost every week. Here is what is presently working to increase the size or length of the male penis. First, one can release the ligament that attaches the penis to the pubis which normally causes it to become upright in the erect position. This will lengthen the penis 1/2 to 1 inch but the individual will no longer be able to bring the penis completely upright in the erect state. Next, fillers can be injected into the penis above the corpus spongiosum or main body of the penis. The most common filler utilized as you stated is a patients fat. This will increase the overall circumference of the male organ by 1 1/2 to 2 inches. Repeated fillings of fat can be required to create the best contour. Last, man-made devices can be inserted into the male penis to simulate an erection. These devices usually have no effect on the overall erect size or diameter of the individual male organ and usually are reserved for patients who are impotent. Please keep in mind that there can be the complication of impotence/ erectile dysfunction associated with all these types of procedures. I hope this is of assistance.
Gary R Culbertson, MD, FACS