|Penis Enlargement Sydney|
Penis enlargement surgery, also known as phalloplasty, is a procedure to enlarge the penis permanently. Men seek penile enlargement for both physical and psychological concerns - most patients who seek penile enlargement have a desire to not only feel more confident, but to also correct issues such as performance anxiety or impotence that have stemmed from insecurities about their penis size.
While length is a primary concern, penis enlargement surgery in Sydney can widen and lengthen the penis during one surgical procedure in most cases. On average, Dr Moore performs 200 penis enlargement surgery procedures per year, with the majority of patients ranging in age from their late 20s to early 60s.
As with all cosmetic procedures, it is very important for patients to thoroughly research the risks, results and side effects of their chosen procedure and to choose a qualified surgeon who has extensive experience within the particular area of surgery.
What is involved in the procedure?
As part of complete penis enlargement surgery, the penile lengthening procedure essentially exteriorises the part of the penis that is hidden inside the body, which makes for about one third of the total penis length. Penile lengthening is done by cutting the ligaments at the base of the penis via a low abdominal incision. These ligaments act as the "guy ropes of the tent" and, once severed, allow the penis to lengthen naturally. Tissue is then placed between the pubic bone and the lengthened penis.
The length of the penis is very variable at rest & is a reflection of the amount of blood flowing through the penis. This is why the penis looks larger in hot weather than in cold weather. If one were to take a group of 100 men & measured their Stretched Penile Length (an internationally recognised standard) then approximately 50% of the men would have a Stretched Penile length of 15 cms ( 6 inches) 25% would be longer & 25% would be shorter. The Stretched Penile Length (SPL) most closely correlates with erect length & is actually the maximum length that your erection can achieve. Often the true erect length is less than the SPL. Some Surgeons claim that most men are interested ONLY in increasing the flaccid length of the Penis. Dr Moore's experience over some 42 years of Penile Surgery is that MOST men who want Penile Enlargement want an increase in BOTH flaccid & erect length. It is the rare individual who only wants an increase in flaccid size only.Many of the earlier operations for increasing penile length achieved only increases in the flaccid state.
Dr Moore discovered that his earlier procedures (done mostly in children with Micropenis) had not resulted in an increased erect length once these children had passed Puberty. As a result Dr. Moore modified his operation to the one used today & he now achieves increases in length BOTH flaccid & erect. In fact his operation is the only one capable of producing increases in ERECT length & as this operation is patented it can only be done, in Australia, at The Australian Centre for Penile Surgery in Sydney.
To widen the penis during penis enlargement surgery, Dr Moore's prefers dermal fat grafts taken from the stomach or buttocks to widen the erectile cylinders of the penis underneath the skin. This ensures the increase in diameter is even all along the shaft and back inside the tissues deep within the intra-pubic region.Fat injection by this technique is not permanent. Some surgeons claim a 30% retention of the injected fat but in Dr Moore's experience it is usually much less than 30% and all the injected fat may and often does, disappear entirely. Worse still some fat may persist as lumps (Pseudo-Lipomas) resulting in a very deformed Penis ( Cobble Stone Penis). This requires further surgery for its correction after the initial penis enlargement surgery.
This is the reason that Dr Moore no longer offers the fat injection technique & has not done so since the late 1900's.
The second procedure to widen the penis is done by dermal fat grafting. The dermal fat graft is taken from the buttock/thigh fold or abdomen and inserted beneath the skin of the shaft of the penis.
Dermal Fat Grafts (DFG ) have been the main stay of penile widening since their introduction to penise enlargement surgery by Dr Moore in 1988. They use the patient's own tissue & because of their anatomy have an excellent take rate far better than almost any comparably alternative graft and produce a permanent result.
The two procedures widening and lengthening can be performed simultaneously or individually.
Smoking must be stopped two weeks prior to surgery. Both are done as day surgery cases under general anaesthetic.
NB. Patients who are not circumcised may need simultaneous circumcision in order to avoid problems that may result from the thickened foreskin if it were to remain intact following penile widening.
What is the difference between using fat injections and dermal fat grafts to widen the penis?
Fat transfers by injection often have excellent initial results, but over time the fat is reabsorbed into the body. In a significant number of patients, some pockets of fat persist and cause a distorted, lumpy appearance. This can be very difficult to repair and usually requires complete removal of the remaining fat followed by dermal fat graft surgery, which is why dermal fat grafting is the preferred initial technique.
Can I choose my own shape and size?
Everyone's penis size and shape is different, so the degree of penis enlargement possible will depend on the patient's individual anatomy. Having said this, the length of the penis can usually be increased between 2.5 and 5cm in its erect state, and in its flaccid state the length can usually be doubled. Width can be increased by around 1 to 2cm in both the flaccid and erect state.
How long does the procedure take?
Depending on the patient, the penis enlargement procedure takes around four hours to complete.
What can I expect after surgery?
For 48 to 72 hours after the penis enlargement surgery Sydney, the patient is fitted with a ‘pain-buster' system, which uses a catheter to release local anaesthetic to the area of surgery. During this time the patient takes medication to suppress erections so that the grafts and sutures don't dislodge during the healing process. Patients are required to refrain from smoking for six months after surgery, as healing and recovery is inhibited and the chance of wound breakdown/infection is greatly increased in smokers. This can be explained to you in greater detail during your initial consultation.
Following the widening procedure, the penis will be very red and swollen. Recovery takes up to six weeks.
After the penile lengthening procedure, a small wound at the base of the abdomen is the only evidence of surgery. This wound heals quickly and is well disguised by the pubic hair. Following lengthening, both the penis and the scrotum are swollen and this takes some time to resolve.
During all types of recovery, patients should refrain from sex for at least six weeks. If post-operative instructions are followed, including two weeks of bed rest, recovery will not be painful in most cases. Bandaging is removed after one week and the sutures dissolve by themselves. Patients are typically back to normal activities in four to six weeks, although the tissues may not fully return to normal for nine to 18 months after surgery.
Postoperative pain is managed by a Pain Buster system which delivers a metered dose of local anaesthetic into the operation area. You will be pain free. There may be some discomfort but you WILL be pain free. Some oral pain relief is also supplied.
Following penis enlargement surgery Sydney you will be required to have two weeks of bed rest, lying flat in bed in order to minimise any excessive swelling. You may go to the bathroom & sit up to eat otherwise you must lie flat. It is useful to put the foot of the bed up on two telephone books so that you are lying slightly head down. By doing this excessive swelling will not be a problem.
Excessive swelling strains the blood supply of the penile skin & may cause it to die resulting in loss of shaft skin. This is almost entirely avoided by lying flat. But should it occur the defect can be repaired by further surgery.
Also during this time you will take a combination of three drugs to prevent you having erections (especially important in penile widening).
A side effect of these drugs is that they will make you very drowsy. You will take them for the same two weeks as your two weeks bed rest. So that two weeks should pass quite quickly.
After the initial two weeks you can start to mobilise during the third post-operative week. However there is a complete six week post-operative ban on all violent physical activity (gym, jogging etc.), sex in all forms and lifting weights in excess of half a kilo.
Post-Operative Follow Up
Follow up post-surgery is necessary to prevent complications and to ensure the required outcome.
During the first two weeks Dr Moore is available 24 hours a day, 7 days a week on his mobile phone number which is supplied in the pre-operative pack.
The first follow up visit is at 4 weeks. If everything is going as expected then the next visit is at three months post-operative. At that visit you will be taught how to perform scar stretching exercises. A month later another visit enables Dr Moore to check your technique and to make sure that you are getting the result that you should be.
If everything checks out it will be necessary for you to attend in follow up every three months until you scar is mature (usually 12-18 months post-operative).
Is there any scarring involved?
Patients will have a small scar on the lower abdomen after penis lengthening. For dermal fat grafting, scarring fade between one and three years depending on the type of graft and donor site.
Penile lengthening is a permanent procedure. Most men are very pleased with the results from both an aesthetic and functional point of view, and any dissatisfaction is typically associated with the fat injection technique. Many of these patients later opted for a Dermal Fat Graft or have required surgical correction for their penile deformity.
Are there any risks?
Both penis enlargement procedures (lengthening and/or widening) are generally of low risk and carry with them the general risks associated with any type of surgery, such as infection and bleeding. There is typically no interference with function, sensation, erection or urination. While dermal fat grafting is permanent, fat transfer by injection is not.
Retraction is rare, but can occur as a result of normal scar contraction, which is managed by post-operative scar stretching exercises. Not performing scar-stretching exercises properly may result in permanent loss of some or all of the extra length gained at surgery. In very rare circumstances, a natural excess of adrenaline production may cause the penis to shrink.