While surgeons who do penile cosmetic surgery are consistent in their view of how to lengthen the penis, they are divided on methods to increase the thickening or girth. To increase the circumference of the penis, something must be added to it.
Transferring the patient’s own fat obtained through liposuction was the earliest form of tissue transfer and is still popular today. When first done in the 80s, the results were inconsistent and the revision rate was high.
Since then, surgeons have gained great experience in using the patient’s own fat for cosmetic application as a filler. New techniques were developed to harvest the fat which resulted in better and longer lasting results where it was placed. Still, criticism of fat as a graft has persisted because of uneven results and unpredictability.
Great strides have been made when it was discovered that adding the patient’s own blood components rich in growth factors called PRP (Platelet – Rich Plasma) resulting in almost complete acceptance of where fat is placed. The processing of these factors – previously common only in a hospital setting – are now available in the outpatient office setting resulting in the use of fat with its adherent advantages including no risk of foreign body reaction or rejection and usually an abundant supply. Scarring is minimal, usually one fourth of an inch, because the only incisions needed are for a small cannula.
Penis widening can be done alone or in conjunction with penile lengthening. We use several methods to help patients get the penile girth gain that is right for them.
Fat transfer is a penis widening technique using liposuction. We take fat cells from the abdomen or thigh and inject them under the skin of the penis.
The second common girth-enhancing technique is the addition of grafts to the penile shaft. The graft can be the patient’s own tissue from another part of the body or the use of Alloderm®, which is treated graft material from another human. In each instance, the graft material is sutured to the appropriate place on the penile shaft resulting in a 35% increase in circumference. When fat injections are used, three months after the first injection, the second fat injection can result in an increase of up to 50% in girth.
The maximum degree of enlargement is not possible for everyone, due to anatomical differences between individuals. The patient must have a realistic expectation when undergoing this surgery.
Each of these methods has advantages and disadvantages. Dr. Capriotti will discuss your options with you in detail so we can choose the best solution for you.