Penis Enlargement

Penis Enlargement.

Liposuction and lipofilling

 

This penile shaft enhancement procedure is simple, safe, and designed to increase both the length and circumference of the penile shaft. No foreign material or implant is used. This procedure does not interfere with sensation or function. Healing is relatively rapid, and you are up and about the next day and back to work in about a day.

Penis enhancement surgery is a relatively simple, safe operation performed under light general anaesthesia. Surgery involves two separate procedures. Both are entirely natural and do not involve the introduction of implants or other foreign materials.

 

Penile Lengthening

In the lengthening procedure, the doctor releases the suspensory ligaments that attach the penis to the undersurface of the pubic bone. This allows access to the section of the penis hidden behind the skin wall. He can then extend the length of the penis in proportion to the size of the internal portion.

The increase in length varies depending on a patient’s anatomy. However, results generally range from 1-1/2″ to 2.” The limiting factor is the patient’s own anatomy. There is no way to predict what that length gain will be prior to surgery. Post-operative stretching is essential to success.

In this procedure, no actual length is created. Instead, the internal portion of the penis is “advanced” or “externalized,” exposing greater length. This is accomplished by cutting a portion of suspensory ligaments which hold the penis against the undersurfaces of the pubic bone between your legs. (A 1″ incision wound and the ligament is detached.)

 

Another 3-4″ of the penis is located INSIDE the body. This penile root arches upward inside the body, and by resecting the suspensory ligaments, this upward arch is extended forward. A simple 1″ curvilinear incision in the pubic area is all that is required to gain access to the ligaments. For overweight men, removing some of the fat in the pubic area will also add to the perceived length increase of the penis. A small percentage (3-4%) of men who get no length gain at all in the erect state and rarely may even lose a bit of length due to scar tissue formation and retraction.

  • Pre-operatively patients usually need routine blood tests to be sure they are not anemic or pregnant. Photographs are taken to assess progress.
  • Patients should not smoke within three weeks of the operation. Of course, smoking is never a good idea and patients should quit smoking early and permanently.
  • No aspirin, ibuprofen, or similar drugs should be taken within two weeks of surgery. These medications can cause serious excess bleeding during, and after, the operation. If you have any questions about drugs you are taking, including over the counter preparations and natural herbs, please call the office.
  • Please shower the night before surgery and do not EAT or DRINK anything before your surgery or at least 6 hours before surgery. This prohibition includes coffee and juice in the morning. Oral medications can be taken with a sip of water.
  • You should be at the office surgicenter or hospital at least 4 hours prior to your scheduled surgical start time.

Complete abdominoplasty usually takes two to five hours, depending on the extent of work required. Partial abdominoplasty may take an hour or two.

Most commonly, the surgeon will make a long incision from hipbone to hipbone, just above the pubic area. A second incision is made to free the navel from surrounding tissue. With partial abdominoplasty, the incision is much shorter and the navel may not be moved, although it may be pulled into an unnatural shape as the skin is tightened and stitched.

Next, the surgeon separates the skin from the abdominal wall all the way up to your ribs and lifts a large skin flap to reveal the vertical muscles in your abdomen. These muscles are tightened by pulling them close together and stitching them into their new position. This provides a firmer abdominal wall and narrows the waistline.

The skin flap is then stretched down and the extra skin is removed. A new hole is cut for your navel, which is then stitched in place. Finally, the incisions will be stitched, dressings will be applied, and a temporary tube may be inserted to drain excess fluid from the surgical site.

In partial abdominoplasty, the skin is separated only between the incision line and the navel. This skin flap is stretched down, the excess is removed, and the flap is stitched back into place.

 
 
Information 
AnesthesiaGeneral.
Surgery Length2-5 hours.
Side EffectsTemporary pain. Swelling, soreness, numbness of abdominal skin, bruising, tiredness for several weeks or months.
Recovery PeriodBack to work: 2 to 4 weeks. More strenuous activity: 4 to 6 weeks or more. Fading and flattening of scars: 3 months to 2 years.
Stay in Hospital3 days
Stay in Thailand15-20 days
  • You will be allowed to eat and drink once you are awake. If you are an in-patient, you will be well looked after in hospital and gentle mobilisation will be started on the first post-operative day.
  •  If you are to have dartial abdomino plasty surgery as a day case, you will only be allowed home once you are fully awake, able to walk and talk and once you have had something to eat and drink and have passed urine. The person collecting you from the clinic will be given instructions as to how to look after you. You will be given pain killers to take home with you. At home you should rest for the first night. It is a good idea to have some extra pillows to place under your knees as you will find it most comfortable to sleep on your back with your knees up. On the first day after surgery, you should try to get up into a comfortable chair and should be able to walk to the toilet.
  • The drains are usually removed after only 3 days when the drainage has diminished to acceptable levels.
  • Swelling and bruising take about 3 weeks to settle. To help diminish swelling and bruising the corset or pressure garment should be worn and arnica, a homeopathic preparation, can be begun from about day 2 post-op.
  • Mobilisation should be gentle, but begun early. Immediately after surgery you should start with wiggling your toes and ankle and knee movements to help prevent leg clots. Avoid crossing your legs in bed. On the first postoperative day you should mobilise to a chair, walk to the bathroom and a little around your room. Thereafter mobilisation should progress so that gentle exercises can be begun about 3 weeks after surgery. Vigorous exercise should be avoided until you can do this comfortably.
  • Depending on the procedure you have, you may be able to begin work after about 3 days (liposuction), a week (mini tummy tuck) or longer, possibly up to three weeks or more for a full tummy tuck.

SPECIFIC INSTRUCTIONS:

TIGHTNESS: Your abdomen will feel tight for a month or longer. If you have had a muscle repair as well (the usual case), you will feel the most tightness down the center of your tummy where your surgeon has actually repaired your muscles. This hurts more than any other part of the procedure.

HEALING OF SENSORY NERVES: Usually, the skin of the abdomen remains partially or completely numb for several months or longer. Tingling, burning, or shooting pains indicate regeneration of the small sensory nerves. This feeling will disappear with time and is not cause for alarm. It may take as long as 2 years for sensation in your abdomen to be restored completely.

FEELING OF FULLNESS:  You may pleasantly find that you feel full sooner than normal when you begin to eat regular meals.

ACTIVITIES:  If your job keeps you sedentary, you may plan on returning to work in 7-14 days, with the understanding that you will still have discomfort with motion. Please discuss this with your surgeon and the nursing staff. Here again, swelling may indicate too much activity. Do not plan on resuming aerobic or strenuous exercise for about 4 weeks after surgery. Let your body tell you what it can do.

Potential Surgery Risks and Complications vary from patient to patient depending on a range of factors and the extent of surgical work required. Regardless of how remote, the potential risks are listed below are possible. Your own research is essential especially if you are considering surgery. Following pre and post surgical care and instructions will also reduce your risks. See the following potential risks and complications include and not limited to:

Medical:

  • Temporary pain, swelling, bruising, infection, scarring, fluid build up (seroma), bleeding and haematoma, blood clots in the legs and chest, thrombosis, embolisms, numbness, Keloid scarring, heavy scarring, reaction to anaesthesia and medications
  • Long recovery time
  • Poor wound healing or Necrosis (common with smokers)
  • Wound separation, Suture complications
  • Numbness or other changes in skin sensation, nerve damage

Aesthetic:

  • Asymmetry and uneven incision site (never guaranteed)
  • Asymmetry of belly button (if repositioning)
  • Dog ears at ends of incision
  • Skin loss and Skin discoloration and/or prolonged swelling