Transplanted fat tissue needs a lot of blood flow to stay alive. The body does not recognize the transplant for 72 hours after surgery and consequently receives no blood flow (which is why we employ our Affirmall technology before your procedure).

The fat tissue is placed in the layers of subcutaneous tissue that surround the penis organ. Only tiny capillaries supply blood to the subcutaneous tissue area, which has essentially no veins or arteries. As a result, the success window for blood flow is particularly small.

Cigarette smoking reduces blood flow. It will result in the failure of a fat tissue transplant. We don't try any procedures that we think might go wrong. A successful fat tissue transplant cannot be achieved by "cutting down" to one or two smokes per day. It is doomed to fail. You don't want to squander any money on this route to a thicker penis if you can't entirely quit smoking for at least six months (three months before and three months after your surgery). It will all fade away after six months, making a non-surgical girth enlargement using Juvéderm Voluma or Bellafill a considerably better value.

When most patients finally decide to go ahead with an enlargement procedure, they typically feel compelled to get as big as possible as quickly as feasible.

That's a nightmare that's asking to come true. Select girth bulking agents mean you can’t go another direction in the future. Others have a finish some men don’t find appealing. Thus, the first thing we strongly advise is start with an agent that doesn’t hinder any future options.

The thickness of the penile organ is enhanced by adding a bulking substance to the subcutaneous tissue layers that surround it. The subcutaneous layers in the image are rather small to start. To secure a positive outcome, you can only add so much at once.

Human skin and tissue are extremely stretchy, which is great news. The pliability of fat tissue and skin can be seen in the size changes of women's buttocks throughout time. Unfortunately, it takes a long time to expand safely.

Given enough time for the skin to extend between procedures, you can theoretically add practically infinite quantities of penile thickness. The amount of penile width you can add during a single treatment has limits. The most you can safely increase your girth is one inch at a time. Unfortunately, expanding width beyond a certain point might make the penis appear unusual because the width proportion in relation to the glans (head of the penis) becomes out of alignment. It can also change the appearance of a circumcised penis into an uncircumcised one in extreme situations. Because of the increased response from intimate partners, some guys are fine with this development. Others don't think it's attractive.

To compensate for the alterations in proportion, you can have a glans enlargement, although they don't last long. Because the glans houses your "orgasmic" nerve endings, you must be very careful what you put anything there. Enhancing a penis that can't attain climax negates the purpose of the effort, doesn't it? There are no permanent bulking agents that are regarded safe for the glans at this time.

Dermal grafts are a type of surgical penile thickness enhancement that involves the implantation of a new layer of outer dermal tissue to improve girth. Dermal grafts for penile augmentation are not available at Rejuvall. We don't think the outcomes, cost, or long-term results are a winning combination.

In the past, we've done dermal grafts. Dermal grafts have certain desirable features, such as the more natural stiffness of the shaft skin while erect.

Why Don't We Provide Dermal Grafts for Penile Augmentation?

There are two main reasons why we do not now offer dermal grafts for penile enlargement.

1. The Value Proposition isn’t Appealing: A patient can get up to half an inch of more thickness from a dermal transplant. If you want a thicker penis, you can't add more later. A fat tissue transplant cannot be added on top of it. We discovered that most guys like to increase penile thickness by more than a half inch. Similarly, we find that some patients are unsure of whether thickness is appropriate for them early on. Do you remember our number one tip from our list of "Keys to a Successful Penile Girth Enlargement"? Keep your choices open. We believe that these treatments do not result in a significant increase in girth and limit future alternatives.
2. Long-Term Resilience of Biologic and Synthetic Dermal Tissue Issues: Transplanted dermis tissue ages and contracts at a different rate than our own tissue over time. When you think about it, it’s logical. Is your facial skin the same as it was seven years ago when you glance in the mirror? Did your best friend's skin alter in the same way that yours did? We've had a several individuals who had cadaver skin transplants come to our facility for shaft unevenness treatment and we’ve found them to be better than manmade versions. Even the highest grade synthetic dermal grafts, according to clinical research for burn sufferers, will begin to show alterations within a decade, with some showing changes in as little as five years.

Repairing morphed dermal grafts usually necessitates surgery. We don't think this particular set of circumstances is appealing.

No, and we never will.

However, we are one of the leading clinics for guys who need repair after such enhancements.

Silicone, whether through black market injections or FDA-approved forms, is, in our opinion, the absolute worst product for anything related to penile augmentation. Some people are drawn to injectable liquid versions because of its inexpensive cost and lengthy life.

In contrast to injected PMMA, which can be softened chemically or surgically removed if you're unsatisfied with the results, injected silicone remains in your body for the rest of your life. If you start with silicone, you won't be able to switch to another type of penile girth enlargement — you'll be trapped. Finally, because silicone limits the view of ultrasonic sonography, a urologist will never be able to evaluate your inner penile health if the necessity arises. Remember that the term "life-lasting" can also refer to your ability to deal with challenges for the rest of your life.

A silicone implant to enlarge a penis, we believe, is also a bad choice. Manufacturers of penile prosthetic implants for severe erectile dysfunction tried this decades ago to keep the penile length the same as before the prosthesis was installed. They noticed that this resulted in an unacceptably high number of cases of infection, as well as many men developing a fibrotic buildup at the base of their organ (a side effect of intense sexual intimacy) and, in some cases, serious Peyronie's disease.

Female silicone implants for breast augmentation live comfortably on the rib cage. Between intercourse and masturbation, a penis' journey is significantly more aggressive. In our judgment, the risks and drawbacks significantly exceed the benefits.

We advise new patients tart with procedures that provide them the most options in the event that they change their minds later.

As a result, we don't advise a newbie to use the only FDA-approved PMMA product (Bellafill). Once PMMA is injected into the subcutaneous tissue surrounding the penis organ, other potential future girth enhancing options such as a Fat Tissue Transplant or Dermal Graft Transplant are no longer viable options because PMMA permanently reduces the amount of blood available in the outer shaft tissue to support any type of transplant. Also, as previously said, it prevents a urologist from using duplex Doppler ultrasound technology to examine within your penis in the event you suffer a penile health event in the future or need PGE injections to improve function as you age.

A penis that has been thickened beyond its natural proportions appears unnatural. Some of those photos were taken right after an operation, so there is some swelling that will subside in a few months.

We offer girth procedures for men of all sizes, shapes, and health conditions, as well as non-surgical options.

However, we discovered two sorts of guys who will not have a positive outcome if they begin with a penile thickening surgery.

A patient who has an engorged suprapubic fat pad covering a visible section of his flaccid penis shaft is not a good candidate for penile thickening as a first treatment. It will visually shorten the broader penis, sometimes significantly. In such cases, one of our LifeSize processes is the best place to start.

A patient with a Micropenis diagnosis is usually not a good candidate for girth expansion to begin with. While it does not actually shorten the penile as much as it does in obese patients, it usually provides the impression that it is. For such patients, we believe a penile lengthening operation is the best option. After first properly maximizing their length, a micropenis patient can increase girth.

Our ground-breaking Affirmall technology offers the most viable fat tissue transplant accessible. In addition, patients must get crucial pre- and post-surgery care. Those who do not adhere to their treatment plan do not get the same level of success as those who do.

Our average loss from fat transplantation is 37%. To compensate for this loss, we collect and implant 50 percent more than is required.

After the post-surgical swelling reduces, which can take up to four months after a surgical girth surgery, some patients feel they've "lost it completely." An examination generally indicates that they still have one inch of thickness; they had become accustomed to seeing 2 inches of additional thickness and imagined that was what would happen. We've discovered that attempting to transplant enough to achieve such a big girth gain will result in failure. Six months to a year after the first treatment, a second procedure can be performed to add thickness.

Our fat tissue transplants are usually successful. It's all-natural, long-lasting, and you can switch to another process at any time.

Our specialist is regarded as one of the world's best penile reconstruction surgeons. According to him, there are over 30 potential ways a girth-enhanced uncircumcised penis can go horribly wrong. Several of these outcomes have the potential to be disastrous.

It is not secure. We're not going to do it. We strongly discourage patients from taking this route.

The majority of circumcisions are performed by the delivering physician shortly after birth. Infancy circumcisions are conducted by drawing the foreskin away from the glans and cutting away the superfluous skin along the penile shaft for the sake of speed.

If your circ was performed shortly after birth, you will notice a "lighter" toned skin coloration in the area closest to the glans (head) of your penis either flaccid or erect. Because it was originally located beneath the outer foreskin before that was clipped away, the "inner prepuce" has a less dense and durable dermis than regular penile shaft skin.

The Problem: A Scar Line That Isn't Visible

When an incision into the epidermis is made, a scar emerges during the healing process. The scar from deep incisions is frequently visible on the surface of the skin. The scar becomes imperceptible with minor incisions, such as those used during a newborn circumcision, although it persists beneath the skin.

Until the advent of penile girth enlargements, none of this usually mattered. Sexual performance and sensitivity are unaffected by the prepuce skin in the distal region of the penile shaft.

In roughly 20% of individuals undergoing a penile girth enlargement, we noticed that infancy circ scar lines impede the healing process. The length of recuperation time is determined by how deep the circ was cut into the tissue surrounding the penis organ by the delivering physician.

Unfortunately, an infant circumcision cannot be reversed, and we have no way of knowing the depth of the original incision before an expansion.

As a result, it's something we've learned to navigate throughout girth enlargement operations, but it can take patience and devotion on the side of the patient to follow prescribed aftercare practices or return to our clinic for follow-up visits.

Three possible causes of delayed healing along the Circ Scar Line

1. Obstruction of lymphatic drainage

When the residual circumcision scar line is deep enough to create a barrier that prevents post-surgical swelling fluids from easily entering the area behind the circ scar line, it is the most common hindrance to healing from an infantile circ. In essence, the scar line obstructs the lymphatic drainage that is required for optimal healing.

Between the circ line and the glans, this ailment commonly manifests as a "pinched" narrow line around the penile shaft. A thick neck area around the glans is often caused by trapped fluid from swelling that can't be efficiently reabsorbed into the body.

Non-surgical enhancements from a thicker circ scar line are usually easier to resolve than surgical thickening methods due to the fact that non-surgical techniques result in less swelling. It's also why we insist on starting with 10ML of the chosen dermal filler during the initial session, so we can condition the inner prepuce. This is especially true with agents like PMMA and Radiesse because the subsequent inflammatory that results in the formation of long-lasting level III collogen can cause substantial edema when used in higher doses.

2. Circumferential Scar Line: Fat necrosis gets trapped behind the scar line.

A fat tissue transplant is precisely what it sounds like. To make the penis naturally thicker, healthy, living adipose fat cells are extracted from a specific area and transplanted to the outer layers of the penis.

We collect "extra" fat cells in case some of the transplanted fat cells don't make it through the relocation process (We typically lose about 35 percent ). 

Fat cells that have died beneath the circ scar line are normally reabsorbed quickly by the body. Fat cells that die above the circ scar line, on the other hand, might get stuck and unable to reabsorb, resulting in palpable lumps known as fat necrosis (dead fat cells). We can remove them but it require follow up procedures.

3. Inadequate blood flow in the inner prepuce

The residual scar from an infant circumcision not only prevents swelling fluids from entering the penis in a healthy manner, but it also prevents blood from flowing within the inner prepuce in some cases (when the incision was cut more deeply and penetrated the Tunica Dartos or Bucks Fascia), meaning that transplanted tissue with a FTT can't absorb any nutrients required to stay alive.

With a FTT, we transplant living adipose fat cells to the outer layers of your penis, as previously mentioned. Those transplanted cells will most likely perish if they can't get critical nutrients for living since their capillaries were damaged during a baby circumcision.

Unfortunately, because the scar isn't visible from the outside, we can't tell which guys will have substantial issues from a circumcision scar prior to an enlargement treatment.

Resolving infant circumcision scar lines healing concerns

Rejuvall offers both at-home and in-office solutions for disturbed healing caused by a deeper circumcision scar line than usual in children.

Please follow your provider's recommendations for healing and make time for in-office follow-up appointments if they are requested.