There are several different factors to consider when it comes to determining the best way to surgically enlarge a penis, which is a procedure known as phalloplasty. Both length and girth may be changed and this may require only one procedure, or several, depending on your current size and what you would like it to be.
Patients who have lengthening procedures usually leave for home the next day. You could probably return to an office environment in 3 days. Many patients choose to have their consultation on a Thursday and their surgery on a Friday so they can relax over the weekend and return to work at an office environment on Monday.
From surgery anticipate a 3/8″ increase in length and with dedicated use of traction, 8 hours a day in divided sessions. Anticipate a 1/8″ gain each month such that after 6 months you’ll have 3/8″ plus 6 x 1/8″ or 9/8″. We say about an inch longer erection in 6 months. Flaccid lengths will be correspondingly longer.
The American Urological Association (AUA) and the Urology Care Foundation consider subcutaneous fat injection for increasing penile girth to be a procedure which has not been shown to be “safe or efficacious.” The AUA also considers the division of the suspensory ligament of the penis for increasing penile length in adults to be a procedure which has not been shown to be “safe or efficacious.”
Whenever you stop using traction whatever you have gained is permanently yours. If you continue, more length gains will be accrued.
We do not do simultaneous surgery, such as any combination of length, girth of shaft, girth of glans, circumcision, or pubic liposuction. Hardly a week goes by when some disillusioned patient done elsewhere calls us for a revision.
With AlloDerm, we can say quite conservatively you can anticipate a 3/4” gain in circumference if you have not already had penile girth enhancement which is permanent as far as we know having followed patients for 8 years or so who have had AlloDerm. Most patients will do a lot better than that.
AlloDerm is like particle board, when immersed in body fluids; it swells and swells for several days. This spreading of the collagen fibers is helpful to permit an in growth of a capillary bed followed by new cells of your own making.
While you do not have to be circumcised for lengthening, you need to be circumcised for girth enhancement.
AlloDerm patients must be on strict bed rest with the exception of getting up to use the commode or eating in their room for 4 days.
Surgery is the zero day, and we certainly recommend you stay at the Daddy O Hotel, one block from the office so I can see you daily as your penis will continue to swell for several days, and your dressing will be replaced often to accommodate a larger sized penis. Wherever you stay, please ask for a room on the ground floor.
We hope to have the pleasure of serving you whenever your travel plans include the South Florida area.
Harold M. Reed, M.D. FICS
Senior Member of the American Urological Association
Member Society of Genito-Urinary Reconstructive Surgeons
Founding Member and Treasurer of American Academy of Phalloplasty Surgeons
Founding Member Sexual Society of North America
International Society for Sexual Medicine