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What is Penis Lengthening (plastic) Surgery?
The cosmetic procedure was pioneered by Dr. Long, Professor of Plastic Surgery from China. In 1984, a
young man who had his penis bitten off by a dog during infancy asked Dr. Long if he could lengthen his
penis so that he might marry. A reconstructive procedure using plastic surgical techniques was performed
successfully. Dr. Long was then able to offer his knowledge and skill to cosmetic patients who, although
normal, was unhappy with their size.
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Penis Enlargement procedure is designed to increase the length of the visible or
apparent portion of the penile shaft. This is accomplished by releasing the ligament which suspends it from the
under surface of the pubic bone called Suspensory Ligament of Penis. That free up more of the penis for external stretching. Weights are worn during the postoperative period in order to maintain the newly acquired length and to extend the penis further. It is estimated that an increase in length of anywhere from half an inch to two-and-a-half inches should be expected following use of the weights. The outcomes are unpredictable as they depend on multiple factors that include initial penile length and elasticity as well as the patient's adherence to an external stretching regimen daily for several months to years. Sterilization (vasectomy) can also be performed at the same time as penile lengthening.
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What is Hidden Penis (plastic) Surgery?
When done properly, surgery is relatively noninvasive and effectively provides functional and aesthetic improvement while cures profound self-esteem issues that affect men.
Hidden penis is where the penis is buried in the pubic fat. When standing or sitting, the penis is partially or completely hidden in the pubic fat and skin or scrotum, causing embarrassment and discomfort.
This condition can be congenital or as a result of obesity, radical circumcision, chronic inflammation, aging, or various cosmetic procedures, (fat injection, tummy tuck or failed penile lengthening with a VY advancement flap).
The underlying abnormality for hidden penis is lack of a synchronous attachment of the skin and dartos fascia to Buckâ€™s fascia and the corporeal bodies.
As a result, the corpora and skin do not stay connected as a unit. The corporeal bodies telescope proximally inside the scrotum and pubis, causing the penis to hide in the pubic fat pad, while the penile skin stays out.
The goal for hidden penis surgery is to make the penile skin and erectile bodies one unit. In most men and boys, elevating the pubic skin, removing the pubic fat and tacking the pubic skin to the underlying muscles secure the penile skin on the pubic side. If there is no excess pubic skin or significant fat, the skin at the penopubic junction is tacked directly to the erectile bodies.
Despite the above and other techniques, the penis can still stay buried in the scrotum in some patients. In order to prevent this, the skin at the penoscrotal junction is tacked to the erectile bodies to stabilize the skin to the underside of the penis.
These relatively noninvasive techniques will keep the penis exposed, thus markedly improving self-esteem and also preventing the inflammation often associated with a chronic buried penis.
Before Penis Enlargement Surgery (Phalloplasty)
Will penis function be affected?
No. Function (urination and copulation) should not be affected. But, the angle of the erection may change
slightly from more vertical to more horizontal.
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Does phalloplasty surgery affect penis sensation?
Transitory changes in feeling due to swelling and bruising are normal after any surgery. Permanent loss
of feeling is a rare complication.
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Does insurance cover phalloplasty?
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Who is a candidate for the phalloplasty?
Cosmetic surgery is elective and best performed on healthy realistic patients. Those who want to enhance
their penis length are candidate. Smokers are advised to stop for two weeks prior and at least two months
post surgery. Complete cessation is recommended as new research indicates that smokers heal very slowly.
What are the risks?
Although the technique is not complex, the location and its significance to the patient make the surgery
risky. Patients have only one penis and it is therefore important that they read the consent form very
carefully and understand that there is no guarantee to any gain and if post op traction, weights are not used,
all gains will be lost.
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Can length and girth procedures be performed at the same time?
No. Patients should wait for 6-12 months after lengthening before fat injection or dermal-fat grafting is
performed. Injected fat cells are mobile and fragile. They would be adversely affected by the post-op penis
lengthening protocol. Beside I do not like the outcome of girth enhancement and I rather not perform it on any
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Penis Lengthening Surgery (Phalloplasty Operation)
The surgery is performed at the hospital. Different incisional approaches have been used to release the suspensory ligament and those incisions are made at the root of the penis (junction of the penis
and pubic area). The penis is then released from its attachments (suspensory ligament of penis) to the pubic
symphysis (pubic bone). Post-op traction is used to reduce the chance of retraction and provide more natural
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How long does the Phalloplasty operation takes?
The procedure takes less than couple of hours and the patient remains for observation for at least 1-2
hours prior to discharge. Patients must have someone to drive him home and stay with them the first post-op
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After Penis Enlargement Surgery (Phalloplasty)
WHEN CAN YOU RETURN TO WORK?
Light duties may be resumed in a week but it is best to take at least two weeks off work, especially if it is
WHEN CAN SEXUAL ACTIVITIES ARE RESUMED?
It is recommended that the patient refrain from sexual activities for at least 2 weeks. Cold compress can
be used to reduce nocturnal stimulation for the first 10-14 days post-op.
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WHAT IS TO BE EXPECTED DURING THE HEALING PHASE?
The penis and scrotum are usually swollen and bruised for two to three weeks. Pain is not severe.
Soreness in the groin and pubic regions which lasts for about ten days is controlled with light oral pain
medications. The scar in the pubic hair area may take many months to fade and soften but it is hidden and
usually is not a concern.
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HOW MUCH ARE THE PENIS LENGTHENED?
The amount varies with each individual. At present, there is no test or examination to determine the
amount pre-operatively. From 1/2 to 2 inches is a reasonable estimate. Therefore, those men who have larger
than average length should consider the risks before having this surgery carefully. Also, the use of weights
(traction) attached to the penis after surgery not only maintains the new length, but also may add further
length and should be done for 3-6 months daily and thereafter on weekly basis to prevent scar tissue
What are the risks & side effects of Penile Lengthening operation? Phalloplasty risks, Phalloplasty side effects
In practice, the following side effects happen quite rarely and you physicians will exam you thoroughly to
minimize the Penile Lengthening risks & avoid Phalloplasty side effects:
- Excessive swelling and discoloration
- Bleeding and hematoma, seroma
- Infection and / or abscess
- Dehiscence (wound breakdown, opening up of incision)
- Bad scars (red, wide, raised, thick, painful, visible and contracted scar)
- Pain (early, late, neuroma)
- Abnormal nerve sensation: numbness, decreased sensation, itching, paresthesias (Abnormal sensation such as ï¿½pins and needlesï¿½ or ï¿½burningï¿½)
WHAT IS THE FOLLOW-UP AFTER PHALLOPLASTY?
Patients can be seen the next day to go over their weight routine if needed. Their dressings are changed
and instructions are given with respect to bathing and other activities. It is recommended that patients wear
loose clothing on the day of surgery and for the early healing period. The next visit is two to three weeks.
Sutures are absorbable. Lead weights or other forms of traction are started as soon as possible. Some
patients maintain traction for up to 12 months after surgery. This reduces the chance of retraction, stretches
shaft skin and in some cases results in further lengthening by stretching tissues which could not be cut at
HOW CAN OUT OF TOWN PATIENTS BE TREATED?
You should forward a complete physical examination available on my website. Our staff and Dr.
Movagharnia will try their best to assist out of town patients, but we can not guarantee a surgical booking
until Dr. Movagharnia has examined the individual. It may be possible to coordinate everything with only
one extended trip to Atlanta. We also recommend that patients stay in Atlanta for at least couple of days
after surgery. All patients must have a companion (friend, spouse or nurse) with them for drive back to the
hotel and the night after surgery. Post-op convalescence can be arranged at an extra cost.
What is the Cost of Penis Enlargement cosmetic operation & insurance coverage? Phalloplasty cost, Phalloplasty insurance
During your private meeting with Dr. Movagharnia, you will receive detailed information about penile
lengthening and the costs of this procedure. We appreciate the sensitivity of the procedure and we will
respect your privacy. When you select Dr. Movagharnia, you will be treated with warmth and outmost respect.
We will make sure you are well informed about penile lengthening, so you can make the best decision for you.
Dr. Movagharnia is proud to be the only plastic surgeon that can offer penile lengthening to patients in
metropolitan Atlanta and patients from all over the USA. Please schedule a consultation with us today and
discover why we have a reputation for providing meticulous, compassionate care.
Further information about Penis Enlargement plastic surgery (Phalloplasty):
For more information about Penis Enlargement surgery, please check out
CCRS Frequently Asked Questions (FAQ) and if you cannot find your answer then
email CCRS Top Plastic Surgeon or call CCRS @ 770-951-7595 to book a private consultation session.
Top Penis Enlargement Atlanta, Top Phalloplasty Atlanta by Dr. Fara @ CCRS Clinic at http://www.penislengtheningatlanta.com .
For more information please refer to:
Penis Enlargement (www.Wikipedia.org)
Penile Augmentation By Fat Injection (The American Society of Aesthetic Plastic Surgery www.surgery.org)
Does Penis Enlargment Work? (www.WebMD.com)
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CCRS serves plastic surgery patients from Metropolitan Atlanta and all over Georgia from:
Marietta, Smyrna, Sandy Springs, Dunwoody, Alpharetta, Lawrenceville, Norcross, Union City, Tucker,
Peachtree city, Acworth, Kennesaw, Douglasville, Rome, Thomasville, Macon, Savannah plus Hilton Head SC and Chattanooga, TN and many more cities around the country.
See other surgeons first, then come to see the best surgeon at CCRS.