Dr. Stephen X. Giunta
For more information contact: email@example.com
Penis Enlargement Surgery
WHAT IT DOES: A procedure that releases the suspensory ligaments that attach the penis to the under surface of the pubic bone.
RECOVERY: 1 week or
ATTENTION: PHALLOPLASTY REVISIONS
Please note that all phalloplasty patients undergoing surgery must use the Helping Hand Extender (penile stretching device), which is included in your fee. Post-Operative Penile Stretching is Essential to the Success of Penis Enlargement Surgery. Read more...
WHAT IS MISL PHALLOPLASTY™?
The MISL PROCEDURE is MINIMALLY INVASIVE SURGERY with LASER. We are pleased to announce that we are now offering the NEWEST procedure in cosmetic surgery for men. This is a penile shaft enhancement procedure that is simple, safe and designed to increase both the LENGTH and CIRCUMFERENCE of the penile SHAFT. No foreign material or implant is used. This procedure does not interfere with sensation or function and is done on an outpatient basis in the confidential setting of our outpatient surgical facility. Healing is quite rapid and you are up and about the next day and back to work in a day or so; as a rule.
THE MISL PHALLOPLASTY™ PROCEDURE:
Penis enhancement surgery is a relatively simple, safe operation performed on an outpatient basis under light general anesthesia. Surgery actually involves two separate procedures. Both are completely natural and do not involve the introduction of implants or other foreign materials.
In the lengthening procedure, the doctor releases the suspensory ligaments that attach the penis to the under surface of the pubic bone. This allows access to the section of the penis hidden behind the skin wall. He is then able to extend the length of the penis in proportion to the length of the internal portion.
The increase in length varies depending on a patient's anatomy. However, results generally range from 1-1/2" to 2." The limiting factor is the patient's own anatomy. There is no way to predict what that length gain will be prior to surgery. Post-operative stretching is essential to success.
INFORMATION FOR MEN WITH PENILE IMPLANTS FOR ERECTILE DYSFUNCTION OR POST PROSTATE CANCER TREATMENT
We are often asked about MISL
Phalloplasty™ (Enlargement and Lengthening) in men who have
had either solid or inflatable implants placed to treat Erectile
Dysfunction (ED). These men often complain of loss of length or
discomfort to their penis, or that the implant causes discomfort
to their partner during sexual relations.
Generally referred to as a groin or inguinal hernia or a "rupture".
If you are known to have a groin hernia you should let your phalloplasty surgeon know about it.
Since these areas are intimately related, I feel that the hernia should be fixed before or even after the phalloplasty surgery (if it is a small hernia), but not as a rule at the same time as phalloplasty surgery.
I examine every patient before surgery to see if there is a hernia and if it is significant.
TO SOME COMMONLY ASKED QUESTIONS
MUCH AND FOR HOW LONG WILL THE FAT SURVIVE?
Q. WHAT CAN I DO AS A PATIENT TO HELP THE RESULTS?
Everyone should realize that for the best results a full COMMITMENT to the program for four to six months is necessary. Sad to say, those who don't follow instructions can compromise initial good results.
Q. ARE THERE
ANY LONG TERM ILL SIDE EFFECTS?
Q. WHAT IS MY RESPONSIBILITY AS A PATIENT?
In choosing to undergo elective Cosmetic
Penile Enhancement Surgery, you must realize that a full four to
six month (and possibly even more) commitment to the staged surgery
and postoperative process is necessary for the best results.
Q. WILL I STILL BE ABLE TO HAVE
Q. WHY IS FREE FAT TRANSFER (FFT)
USED AND NOT DERMAGRAPHS OR ALLODERM?
To understand what has brought about this misinformation, we need to examine the beginnings or early years of Penile Enlargement (P.E.). Knowledge was gained through our experience with transferring or grafting free fat from liposuction to other areas of the body (such as the face) that some of the fat graft, for various reasons, would disappear. To compensate for this loss, a little extra "over fill" was done. This usually worked well in areas where a small amount of fat was used such as the cheeks, lips or deep facial wrinkles. For the best results we found that repeating this method in a few months worked well.
The problem arose when a few very high profile doctors, using this theory of "over fill," put excessive fat in the penis and the body could not develop a blood supply to the grafted fat quickly enough. Some of the fat died and was absorbed into the body. Unfortunately the fat was not evenly absorbed, and this resulted in lumpy, distorted penises which were difficult to correct.
Improperly performed lengthening procedures which did not apply good Plastic Surgery principles (such as Z plasties, Y-V plasties, U plasties, etc.) left unsightly visible scars and created unacceptable results, thus causing Phalloplasty to be legitimately criticized by many unhappy patients. Unfortunately, this "bad press" has still persisted.
Several years ago at Aesthetic Plastic Surgery International (APSI), I abandoned these techniques and quickly discovered that the best results in FFT could no longer include the practice of over filling the penis. I then fabricated surgical instruments to take the appropriate size pieces of fat and developed techniques for placing them properly in the penis in two stages at least three months apart. Along with adding a combination of special nutrients to prevent the fat from being absorbed and to promote increased blood supply to the graft, I found this to be the simplest and safest answer to the problem.
At APSI, we are continually working along these lines to keep improving results. I am happy to report that results are very good and getting better. The incidence of cyst, nodules or any other complications with this procedure is now very, very low and easily fixed.
Let me share a few words about Dermal Fat Grafts (DFG) and AlloDerm. I have seen and repaired many cases where the DFG have twisted, shortened, become infected and have ultimately caused permanent loss in penile length. Unsightly large painful donor site scars have also occurred. Many times it is very difficult to control the size of the thickening with these DFG and, as a rule, you only get one chance at a good result.
AlloDerm, recently used by a few surgeons, is a thin sheet of CADAVER (a dead person's) preserved and treated skin. The skin is rolled in several layers around the penile shaft for thickening. This procedure has only been used for a couple of years and, to me, seems very cumbersome and expensive. While I have seen a few complications thus far, the final word in AlloDerm is still quite a distance away.
For more information about AlloDerm read: An Open Letter From Dr. Giunta to Prospective Penis Enlargement Patients Regarding Fat Transfer and Alloderm®
For more information, contact: firstname.lastname@example.org
or call 703-845-7400
We are pleased to offer a 50% discount to spouses, partners, or family members of our Phalloplasty patients until June 30, 2013.
LAST MINUTE SURGERY
WE SUPPORT OUR TROOPS!
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