FOAM PLASTY


Penoplasty (phalloplasty): Male Intimate Surgery

Intervention

30 to 45 min

Convalescence

15 days minimum

What is penoplasty?

What is penoplasty

Penoplasty or phalloplasty, is a surgical technique consisting in the enlargement and lengthening of the penis. It improves the aesthetic appearance of the penis without placing a prosthesis or visible scars. The size of the penis can have an impact on the sexual performance of men, which leads to complexes in their sexual life as well as their social life (prospering in a group such as in the locker rooms of a gym, the wearing a bathing suit, etc.).


When the size of the penis is not satisfactory, a phalloplasty is possible. The perception of dimensions is often not the same from one man to another. When the penis is in a state of flaccidity (at rest), it measures on average ten centimeters long and nine centimeters in circumference. When erect, the penis reaches on average fifteen centimeters in length and twelve centimeters in circumference.

Desires to increase the size of his penis, must remain realistic. Doctor Delobaux takes into account the real motivations and expectations of the patient in order to avoid disappointment of the latter when the final result is obtained. It is very important to have a serious, realistic reason which determines the will of the candidate.

Who are the candidates for aesthetic penoplasty?

Contrary to popular belief, penoplasty is no longer a taboo subject. This intervention helps to restore confidence and men are more interested in knowing the techniques and the results. The ideal candidate for aesthetic penoplasty must have the following characteristics: A clear psychology of the patient; Discomfort in intimate life: insufficient length or thickness, excessive retraction of the penis at rest; Discomfort in social life: locker room syndrome, complex bathing suit Complex linked to malformation: embarrassment in professional life, difficulty in establishing relationships, feeling of worthlessness, presentiment of failure; The request can only be accepted after a thorough clinical examination, in order to determine the different characteristics of the penis.

Contraindications:

There are contraindications relating, in particular, to general anesthesia. All this question will be discussed with the surgeon, Dr. Alexis Delobaux before the intervention. As any medical act is not without risk, penoplasty also presents some and this can cause the appearance of small modules in some cases. In practice, candidates for penoplasty are required to have a clearly realistic motivation. Excessive attention focused on the penis, masking psychological disorders require the care of a psychotherapist.

What to do in case of functional problems?

penoplasty

Functional disorders relating to erection must be seriously treated alongside any intervention and therefore only represent temporary contraindications.

However, serious cases of dysmorphophobia are real contraindications because it is a question of a psychiatric condition that does not require surgery at all. In the majority of cases, “the small penis syndrome or the locker room complex cannot be considered as psychological disorders except by practitioners who are unaware of the very essence of the suffering of these patients”.

The best proof remains the satisfaction and well-being of these men who have benefited from this surgery in Dr. Delobaux's office.

In summary, when a candidate for penoplasty suffers from erectile dysfunction, we do not immediately recommend enlargement penoplasty. His case must be the subject of serious studies beforehand before considering any action.

The course of the penoplasty intervention

penoplasty bordeaux

The surgery can be performed under local anesthesia or under general anesthesia without hospitalization for a period of thirty to forty-five minutes.


Lengthening penoplasty should be combined with thickening. It will allow to increase the diameter of the penis, at rest and in erection.


The weight of the fat injected at the level of the penis contributes to increasing the thickness of the cutaneous tissue. Patients prefer thickening alone more, since the intervention is less cumbersome. However, both procedures can be performed at the same time.

penoplasty before after

Thickening penoplasty

Enlargement is done by the technique of lipofilling consisting of the reinjection of the patient's fat extracted from the abdomen, pubis, internal or external region of the thighs, or buttocks. These parts are rich in adipocytes that are not very sensitive to weight variations and promote better maintenance of the fat graft over time. The fatty tissue is removed by Dr. Delobaux, without prior infiltration, a quantity of fat varying between 40 and 80 cm3, using a suction cannula with a foam tip attached to a syringe. The fat is then exported directly without decantation or centrifugation. The injection of fat is done at the level of the furrow which separates the glans from the body of the penis (the balano-preputial furrow). The surgeon performs a smooth seeding of the penile caliber with small amounts of fat averaging 0.5cm3 down to the base of the penis at its pubic angle. Similarly, hyaluronic acid can be an alternative to fat injection. The procedure is faster and the volumizing effect is more imminent than lipofilling, but the result is temporary and the injections must be repeated approximately every 18 months.

Lengthening penoplasty

Advances in intimate plastic surgery have allowed thousands of men to increase the size of their penises while lengthening their penis. It is therefore the emergence of penoplasty. It is a surgical intervention with partial section of the suspensory ligament connecting the penis to the pubic bone. It does not cause any embarrassing modification of the erect penis. To achieve this, Doctor Delobaux, the best plastic surgeon in Bordeaux, and specialist in penoplasty, begins by making a pubic incision of a few centimeters, then he then partially or totally cuts the suspensory ligament of the penis (the ligament connecting the penis to the pubis). This process makes it possible to exteriorize an internal penis segment while enlarging its size by 2 to 4 cm. It is therefore important to note that this elongation is only visible at rest and does not have enough impact on the size of the erect penis.

What are the usual postoperative consequences of penoplasty?

The medical team places a drain in the operating area, which is removed the same evening or the day after the operation. Hospitalization usually lasts only one day (outpatient): It is possible to go out the same evening. Hospitalization sometimes lasts one night at the clinic, if you live alone at home for monitoring after general anesthesia. The sutures are absorbable.


The postoperative consequences are very light:


    The resumption of urination (urination) is immediate. Sexual intercourse is only authorized after 30 to 45 days. Sports activities can resume 15 days after the intervention, with the wearing of briefs. and usual, there is during the first weeks or the first months following the intervention: An edema (swelling) at the level of the penis, which disappears naturally in a few days. within a maximum of 21 days. It is possible to feel pain at the operating site, but these are significantly reduced by the systematic implementation of local anesthesia. The period of cessation of professional activities is between 2 and 5 days. The result is immediately visible. However, the final result is obtained within 3 months, after the complete disappearance of the oedema.

The results

One year after the phalloplasty intervention, the penis gains approximately 2 to 4 cm in length and 2 to 3 cm in circumference. The natural appearance of the penis is maintained, as well as its sensitivity. The patient does not feel any pain or discomfort during intercourse or coitus.


Thickening of the penis: Result observed at rest and in erection


If the length of the penis remains unchanged over time, additional sessions of fat injections are often necessary in order to obtain the desired thickening volume. Indeed, after a session, the penis gains 2 to 3 cm in circumference. This increase in size can evolve and reach 3 to 5 cm after 3 sessions. The patient is often informed of this development to enable him to anticipate the final result and avoid disappointment from the first injection. The thickening is gradual, and it is visible both at rest and in erection.


Lengthening of the penis: Result is observed only at rest


The surgical operation does not modify the length of the cavernous bodies which intervene in the erection.

The price of phalloplasty

The price depends on the type of intervention, the anesthesia and also according to the stay.

In case of thickening alone, the price starts at 3000 euros.

Conversely, when the procedure combines lengthening and thickening, the price is set at 5500 euros.

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Frequently asked Questions

  • Is a penoplasty treatment possible?

    Yes, there is support from social security but in the rare cases of micropenis: penile lengthening by "unburial of the penis by fixation of the fascias". Conversely, penile lengthening for aesthetic reasons is not covered.

  • What is the type of anesthesia?

    Penoplasty is usually performed under general anesthesia. But to avoid the patient the postoperative pain, a local anesthesia at the root of the penis (penile block) is systematically carried out in order to reduce it significantly.

  • What happens before the penoplasty procedure?

    A clinical examination is essential. It allows to evaluate the possibilities of elongation of the penis, and the zones where the fat can be removed in case of thickening. Two cosmetic surgery consultations spaced at least 15 days apart are then necessary or even mandatory, during which medical photographs are always taken. Doctor Delobaux will give you very important systematic medical instructions.

  • How is the scar in lengthening penoplasty?

    The scar usually appears in a V or semi-circle completely camouflaged by pubic hair. This type of scar is preferable to Z or VY plasties, which give a very unsightly appearance to the pubic area.

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Bordeaux HD Liposuction | Dr. Alexis Delobaux
88 Avenue des Frères Robinson 33700 Mérignac, France 06.73.43.43. 47
contact@lipohdbordeaux.com

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