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Penile, scrotal,
and abdominal deformities following penile enlargement (enhancement
phalloplasty)
surgery can often be corrected using plastic surgical and penile/genital
surgical techniques.
Examples of
these deformities are:
- thick scars,
- wide scars,
- depressed hairless
scars,
- lower abdominal cavitation,
- penile deformity,
- penile shortening,
- partial or complete
absence of penile shaft (buried penis),
- hair on the penile
shaft,
- abnormally low hanging
penis,
- penile fat nodules,
- excessive penile skin
at the tip of the shaft,
- scrotum at the base
of the penis (scrotalization).
When previous
enhancement phalloplasty surgery has not been effective/successful, genital
reconstructive surgical techniques can be employed. These may take the form
of:
- Scar revision.
- Penile lengthening,
possibly without an incision on the penis or abdomen.
- Removal of injected
fat (lipotransfer), dermal strips, dermal fat grafts and cystic masses.
- Penile girth
enhancement ("widening") with removal of injected fat (lipotransfer) or dermal strips,
dermal fat grafts and replacement with an Allograft
dermal matrix graft sheet wrapped over the corpus cavernosa. Allograft
dermal matrix graft strips are not used.
- Recreation of the
penopubic and penoscrotal junctions.
- Contour correction
with insertion of Allograft
dermal matrix graft.
Sometimes,
excessive penile skin may have been removed during circumcision, resulting
in a "turkey neck" at the peno-scrotal junction. A scrotal tissue tuck can
easily be performed to give the appearance of a longer penis.
A telephone consultation is always
desirable before meeting Dr. Whitehead in the office for a Comprehensive
Evaluation and Consultation. There is no charge for the telephone consultation.
The fees for Revisionary / Reconstructive surgery vary depending upon what
procedure is required. The charge for the in office Comprehensive Evaluation
and Consultation and, if necessary, photographic documentation, is $270.
Most likely
your insurance company will reimburse you for penile revisionary/reconstructive
surgery because the procedure(s) is not for cosmetic reasons but
is for correction of an abdominal or penile or scrotal abnormality due
to a previous surgical procedure.
Penile Revisionary/Reconstructive
Surgery
Gallery
Click on links
to see before and after photos
Patient
1
Patient had a history
of penile lengthening with advancement of pubic skin using inverted V to
Y advancement flap and penile widening with dermal fat grafts (see pre-op
and post-op photos).
Patient
2
Patient had a history
of penile fat injections (lipotransfer), penile
lengthening, insertion
of dermal fat grafts, insertion of silicone strip to penile shaft with
subsequent extrusion (see pre-op and post-op photos).
Patient
3
Patient had a history
of penile lengthening and penile widening with dermal
fat graft strips (see pre-op
and post-op photos).
Patient
4
Patient had a history
of penile lengthening with inverted V to Y incision and penile widening
with fat injection (lipotransfer) (see pre-op
and post-op photos).
Patient
5
Patient had a history
of penile lengthening and penile widening with fat injections (lipotransfer)
(see pre-op and post-op photos).
Patient
6
Patient had a history
of penile fat injections (lipotransfer) and penile lengthening with inverted
V to Y incision (see pre-op and post-op photos).
Patient
7
Patient had a history
of fat injections (lipotransfer) and penile lengthening
(see pre-op and post-op photos).
Patient 8
Patient
underwent revisionary surgery consisting of removal of lipotransfer
fat strips and insertion of Allograft
Dermal Matrix Graft (Alloderm®) sheet.
Patient 9
Patient
had a history of albugineal/cavernosal penile widening
with Allograft Dermal Matrix Graft for girth enhancement
in the erect state with good result and insertion of Allograft
Dermal Matrix Graft (Alloderm®) strips
for penile widening in the flaccid
state (see pre-op and post-op photos).
Patient
10
Patient
had a history of penile silicone injections and several attempts
at correction of deformity including partial circumcision of distal redundant
skin (see pre-op and post-op photos).
Patient 11
Patient
had a history of penile lengthening and penile
widening with dermal fat
grafts (see pre-op and post-op photos).
Patient
12
Patient had a history of penile
widening with Allograft Dermal Matrix Graft
(Alloderm ®) (see pre-op and post-op
photos)
Patient 13
Patient 14
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