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:

1. Scar revision.
2. Penile lengthening, possibly without an incision on the penis or abdomen.
3. Removal of injected fat (lipotransfer), dermal strips, dermal fat grafts and cystic masses.
4. Penile girth enhancement ("widening") with removal of injected fat (lipotransfer) or dermal strips, dermal fat grafts and replacement with an Allograft Dermal Matrix Graft (Alloderm ®) sheet wrapped over the corpus cavernosa. Allograft Dermal Matrix Graft (Alloderm ®) strips are not used.
5. Recreation of the penopubic and penoscrotal junctions.
6. Contour correction with insertion of Allograft Dermal Matrix Graft (Alloderm ®).

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 charge for the 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.

Patient 1

• Hairless depressed scar in pubic area
• Decreased penile length (low hanging funneling penis)
• Hair on base of penile shaft
  

Patient 2

• Absence of penile shaft
• Decreased penile length
• Hair on proximal 2/3's penile shaft

Patient 3

• "Railroad tracks" palpable under the skin of the penis
• Proximal penile humps on left and right side very noticable with erection
• Graft adherence to the skin at top of the penis near the base

Patient 4

• Hairless depressed scar in pubic area
• Penile deformity due to fat nodule

Patient 5

• Penile deformity due to fat nodule

Patient 6

• Penile deformity due to fat injection
• Depressed and separated infrapubic scar

Patient 7

• Large inflammatory pseudocyst of penile shaft
• Buried penis

Patient 8

• Large epidermal cyst of penile shaft
• Buried penis

Patient 9

• Hairless depressed scar in pubic area
• Loss of proximal one inch of dermal fat grafts