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What's the safest and best method for penis enlargement surgery?

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  • What's the safest and best method for penis enlargement surgery?

    A little background, I had lengthening and dermal grafting surgery (dual augmentation) with Dr. Gary Rheinschild in 2004 at a clinic called Total Life Enhancement in San Luis Obispo, California. I tried hanging weights for a few months with little length gains to show, but I did make a nominal gain. I gained decent girth with over an inch added that I still have to this day. Right now I'm looking to further my enhancement, and I want to get past all the ads and headlines to find out what is the safest and best method for penis enlargement surgery today. For those that are not familiar with the former Total Life Enhancement!


    It's 2016 and there have been many advancements in penis enlargement surgery in just the past couple years. As penis enlargement surgery reaches the mainstream with recent articles in GQ magazine featuring Los Angelos Urologist, Dr. James Elist and his patented pneuma penile implant. The pneuma implant was developed by Dr. Elist many years ago, and since the origination, there have been many reviews online regarding the silicone implant on review websites like realself.com.

    A few weeks previous to the Elist GQ article, a well-known drug cartel kingpin, Joaquín El Chapo Guzmán, made recent headlines after a Rolling Stone interview with Sean Penn, El Chapo has "male enhancement surgery" in Tijuana just weeks after the interview with Penn and while on the run from his recent prison escape. With all these enlargement surgeries mentioned in the media lately (not news), what is a man to think?

    2016 rolls around... I was hoping for the genetic answer to penis enlargement, or stem cells for increasing penis tissue. A true breakthrough to hit the headlines, not recycled advertisements like this "Huge News!, The Penis Implant is Here" just released in February's edition of GQ. GQ is about 8 years late on that headline...

    For the sake of this discussion, I'm not including PMMA because it is considered a non surgical method, even though PMMA is permanent and can be compared to the similar methods of application of FFT (free fat transfer), FFT is only considered a surgical procedure because of the harvesting methods of the fat to be injected. There is some buzz about FFT and stem cells, but from what I can tell, the whole - stem cell FFT - information seems to be just old phalloplasty clinics repackaging an old product so it sounds like some modern breakthrough. Yes, I bet all FFT and blood has some degree of stem cells in them, but I don't think the stem cells they're talking about are in fact - penis tissue stem cells - for new penis growth.

    I find some interesting advancements in stems cells for penis erect tissue engineering from Dr. Anthony Atala, M.D. Dr. Atala is the Director of the Wake Forest Institute for Regenerative Medicine, and the W.H. Boyce Professor and Chair of the Department of Urology at Wake Forest University, North Carolina. He is the leading tissue regeneration expert in the United States for penile erect tissue engineering and regeneration with a focus on injured troops at this point, but reconstructive procedures are being performed. Here's a headline you won't see in GQ: Engineered Penile Erect Tissue - wakehealth.edu

    For this discussion, I've included FFT, but not PMMA, or engineered penile erect tissue procedures. Free Fat Transfer is the harvesting of adipose tissue via liposuction and injecting it into the penis with a cannula. Initial results are similar to PMMA, but FFT longevity is questionable. From hundreds of personal accounts from men, FFT is often reabsorbed by the body and can leave an unsightly lumpy appearance from uneven absorption. The most up to date plastic surgeons also share this opinion of fact, Fat Injection to increase penis girth. With the longevity of FFT results in question, FFT is probably one of the safest methods in the application of surgical penis enlargement for girth. BUT, since the girth result is not permanent, and can leave a penis asymmetrical and lumpy, additional risky surgery may be required to return the penis shaft to a smooth and natural state.


    FFT - Free Fat Transfer Penis Girth Surgery - Harvesting and Processing (GID)

    FFT Injections After Removal
    Must be logged in to view pictures!





























    Penis Grafting Surgeries

    Belladerm, Alloderm, and Dermal grafting for penis girth is probably the most intensive method of phalloplasty. Belladerm and Alloderm are donor tissues that can add a significant amount of penis girth. Belladerm is harvested from living donors, and Alloderm is harvested from cadaver donors. All genetic and DNA material is stripped from the tissue leaving a blank slate.

    The acellular dermal matrix grafts are surgically implanted under the skin and attached to the tunica. Belladerm and Alloderm have also been used to enlarge the glans penis. In recent years, Belladerm has become the more popular tissue utilized for penis enlargement surgery and is considered a permanent enlargement. There have been some reports of the longevity of Alloderm tissue implanted in the penis being less than permanent, shrinking down and hardening several years after implantation.

    Dermal grafts are tissue grafts harvested from your own body. Also referred to as, autologous dermal grafting, the harvested tissue can add several inches of erect circumference and is considered permanent. Similar to Belladerm and Allografts, dermal grafting is a very intensive and risky surgery. Any surgery where there is tissue grafting and, or, tissue implantation there are many risks involved. My dermal grafts were harvested from my lower back, and there was additional risk involved from the harvesting area.

    Over the years I've been in contact with many men that have had dermal grafting and donor grafts, in the earlier days there were a lot more complications associated with this type of surgery. Grafting techniques and surgical methods have come a long way since my procedure, but I don't think I will opt for additional grafts in the future because of how intense the whole process is.

    The healing time for grafting enlargement surgeries can be several months. Currently, grafting methods have improved by techniques of insertion and limiting incision sites. Multiple incision sites also mean multiple points of entry for infections to pass into that area. Limiting the need for multiple incisions to insert the grafts material has improved both the safety and aesthetics of phalloplasty girth techniques.


    Joe Rogan Experience Video Featuring The Penuma Implant For Men



    subcutaneous soft silicone penile implant









    Dr. Elist Penuma Silicone Penile Implant

    Silicone implants seem to provide a very smooth, and obviously permanent result. Similar to grafting methods, any surgery that introduces an implanted material will introduce serious post-op risks.

    From reports, healing with penuma silicone prosthesis implants is very patient involved and aftercare is also very intense and can last for a few months. Due to the risks and intensive aftercare, silicone implants are not an option for me.









    Ventral Phalloplasty

    Ventral Phalloplasty is a method I've actually considered. Ventral phalloplasty is penoscrotal web reduction. Penoscrotal web is the flabby, extra skin that connects the testicle sack to the ventral, or underside base of the penis. This surgery doesn’t introduce any implants, or grafts and seems to have a high patient satisfaction rate. Without the use of grafting, or implants the safety factor of phalloplasty increases. Although watching the following ventral phalloplasty video the surgery looks intense and probably has a good deal of uncomfortable healing, but compared to grafting, the ventral penoscrotal web reduction is probably much less patient involved in regards to aftercare.


    Ventral Phalloplasty - Penoscrotal Web Reduction

    Penis Lengthening Surgery

    Penis lengthening is generally accepted as a safe procedure, and like ventral phalloplasty no implants, or tissues are introduced to the penis. Recent improvements that I have witnessed since my surgery are advancements in scar placement, and lengthening surgery is now performed with traction and in the erect state.

    From my surgery, I have a transverse scar, and I think it would make sense to gain suspensory ligament access via the same scar if I ever considered gaining more length. If I was having lengthening for the first time, I would whole heartedly opt for the Surgery LIFE Enhancement method where the surgeon utilizes a testicle skin incision for lengthening, but an additional scar would be necessary in my case.


    Surgery LIFE Enhancement Penile Lengthening under Traction
    Must be logged in to view pictures!























    I'd like to hear from anyone that's had these types of penis enlargements, your results, & possible complications that ensued after your procedures.

  • #2
    I was researching surgeries that would increase blood flow to the penis and also information about penis grafts that are grafted with blood supply. I found a saphenous graft method that's harvested from tissues and veins located in the tops of your legs. Not necessarily for penis enlargement, but these are surgical options for Peyronies disease, and erectile dysfunction.

    A similar penile curvature correction surgery is performed in the first video but there are no veins grafted for additional blood supply. The following videos are very graphic and extreme. I haven't had these surgeries personally, nor am I endorsing them! For educational purposes only!


    Bilateral Saphenous Vein Grafting is a medical procedurethat grafts the saphenous vein to the tunica albuginea for increased erection potential.


    Penis Curvature Correction | Peyronie's Surgical Treatment


    Penile Revascularization Surgery for Erectile Dysfunction

    The surgical part of the video starts at 4:57

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    • #3
      I feel pmma is the safest and fastest way to gain penis girth. We only live once. Let's use it while we still can. What is it going to take for you to gain your confidence back in the bedroom? Why not gain that now? I'm going in for the lengthening procedure soon.
      I have had incredible results with SLE. If you have any questions and would like to speak with me over the phone, contact SLE and tell them you want to speak to Big Cuban Cigar. I've been where you are. Let me help you improve your condfidence.

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      • #4
        I even didn't know that penis enlargement is possible. Anyways thank you so much for this thread.

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        • #5
          Wow, incredible write up and very detailed and (graphic) images with membership. I've looked at this a few times not logged in and didn't know what I was missing! Thanks SLE!

          Comment


          • #6
            Originally posted by Fist Pump View Post
            For the sake of this discussion, I'm not including PMMA because it is considered a non surgical method, even though PMMA is permanent and can be compared to the similar methods of application of FFT (free fat transfer), FFT is only considered a surgical procedure because of the harvesting methods of the fat to be injected. There is some buzz about FFT and stem cells, but from what I can tell, the whole - stem cell FFT - information seems to be just old phalloplasty clinics repackaging an old product so it sounds like some modern breakthrough. Yes, I bet all FFT and blood has some degree of stem cells in them, but I don't think the stem cells they're talking about are in fact - penis tissue stem cells - for new penis growth.
            Originally posted by Fist Pump View Post
            I find some interesting advancements in stems cells for penis erect tissue engineering from Dr. Anthony Atala, M.D. Dr. Atala is the Director of the Wake Forest Institute for Regenerative Medicine, and the W.H. Boyce Professor and Chair of the Department of Urology at Wake Forest University, North Carolina. He is the leading tissue regeneration expert in the United States for penile erect tissue engineering and regeneration with a focus on injured troops at this point, but reconstructive procedures are being performed.
            Originally posted by #MrRobot View Post
            Bilateral Saphenous Vein Grafting is a medical procedure that grafts the saphenous vein to the tunica albuginea for increased erection potential.
            It would be awesome to see mass spectral imaging of stem cell penis procedures, h.a., pmma, and fft side by side vs. phalloplasty surgeries like saphenous vein grafting and dermal grafts to see the difference in volumes, growth patterns, and how everything is spaced out in the penis. There isn't much of a data set on any of the popular materials used for penis enlargement. MS imaging would show in great detail how the different penile implants create girth within the penis. With phalloplasty, we can only tell from dissections...

            We know FFT is a biological material like hyaluronic acid except it's in a state of solid pieces. FFT and HA are absorbable and solid pieces of fft often absorbs
            disproportionately. PMMA is a synthetic and can not be broken down like fft and the hyaluronic fillers like voluma. If we could see high res spectrometry imaging of the different internal implants we could see the metabolites and penis growth in action!

            Cheers! I'm ZML





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