Surgical techniques used for penis enlargement (enhancement phalloplasty) -- penis lengthening and penis widening (girth enhancement) -- have been in the urologic literature for many years.

There are various ways of enlarging the penis. In my practice, patients either have a lengthening or widening alone, or a lengthening and widening in a single session. Glanular enhancement may be performed alone or combined with any procedure.

I personally see in consultation all of my patients before and after surgery and perform all the surgical procedures myself.

PENILE WIDENING (PERICAVERNOSAL) Click to see before and after photos of widening procedures:

• Penile Widening
  
• Penile Lengthening and Penile Widening
  
• Penile Lengthening and Penile Widening and Glanular Enhancement
  
• Penile Lengthening and Penile Widening and Glanular Enhancement and Circumcision


• Penile Lengthening and Penile Widening and Glanular Enhancement and Scrotal Recession (Tissue Tuck)


• Penile Lengthening and Penile Widening and Pubic Lipectomy and Glanular Enhancement
  
• Correction of Retractile Penis
  

We have noticed a permanent increase in penile girth (circumference) in the flaccid state with our pericavernosal (P/C) Allograft dermal matrix graft (Alloderm®) technique. While a 40 to 50% gain in girth (flaccid state) may be achieved, most men get an increase of about 30%. An approximate 5 to 10% gain in girth is obtained in the erect state.

Because autograft dermal fat grafts for penile widening require a donor site(s) and, therefore, incision(s) and scar(s) --- 6 years ago I stopped using autograft dermal fat grafts and since then only use Allograft Dermal Matrix Grafts (Alloderm®) in my patients who wish penile widening.

The advantages of Allograft Dermal Matrix Grafts (Alloderm®) over autograft dermal fat grafts are: it eliminates the need for incisions and scars at the donor sites (because there are none) and it significantly reduces the length of surgery.

With the Allograft dermal matrix graft (Alloderm®) technique we are adding multiple layers of Allograft dermal matrix graft (Alloderm®) under the penile skin on top of the erectile chambers to give thickness by "stacking" or "folding" the grafts. I do not use strips of Allograft dermal matrix graft (Alloderm®), but create a conjoined graft. There are no contour defects and appearance and feel are normal. A penile stretching device is suggested after the widening procedure to combat scar contraction that might occur.

I have found this technique to be effective with a high satisfaction rate.

These procedures are performed in an outpatient ambulatory setting, either at a hospital or in a private surgical facility. State licensed personnel use a combination of anesthetic techniques that will assure you a painless experience.

SECONDARY AND TERTIARY PENILE WIDENING (PERICAVERNOSAL)

Click to see before and after photos of widening procedures:

• Secondary Penile Windening (P/C) and Glanular Enhancement
  

Sometimes a patient who has had penis widening by: liposuction/lipotransfer (fat injection) or autograft dermal fat graft or Allograft Dermal Matrix Graft (Alloderm ®) (pericavernosal) wants additional girth enhancement.

During the last six years I have used my Allograft Dermal Matrix Graft (Alloderm ®) penile widening technique to insert Allograft Dermal Matrix Graft (Alloderm ®) above or below the previously inserted graft(s) with very satisfactory results in patients who had one or a combination of the above widening procedures.

CONSULTATION

PENOSCROTAL WEBBING

SCROTAL REDUCTION

INFRAPUBIC AND SUPRAPUBIC FAT PAD