The best candidates
The best candidates for this surgery are men in good health, psychologically stable and realistic in terms of their expectations. The patients that will see better results with this type of treatment are those, that present in maximum erection a length equal to or less than 10 cm, in which a gain of between 1.5 and 3 cm will be a remarkable change. As for the thickening, any man can be subjected to this treatment effectively.
Planning your surgery
In the initial consultation, we will ask you to expose us without shame, your expectations about this treatment, we will ask about the functionality of your penis, and about your habits as to taking any medication, drugs, vitamins, or any previous illness.
Preparing for your surgery
We will give you specific instructions on how to prepare for surgery, including certain suggestions about what to eat and drink, about smoking, what vitamins or medications to take or avoid. Follow these instructions carefully, which will help your surgery to go unhindered and you will also have a more comfortable postoperative period. When making preparations, be sure to arrange for someone to accompany you home after surgery and help you for a few days, if necessary.
Where will your surgery be done?
The surgery is performed in our operating room, which has all the necessary medical equipment and the greatest comfort for you. You should arrive about 30 minutes before the scheduled time, to make the entry procedures, make a complete medical history, and take preoperative photographs. In your room you can change clothes. After the surgery, he will stay in the clinic for two to four hours, until we make sure everything is in order and he can return to his home, where he will continue to rest.
Types of anesthesia
Peneplasty can be performed under local or general anesthesia. We prefer local anesthesia, accompanied by mild sedation, since it has many advantages with respect to general anesthesia, such as less bleeding, good cooperation on your part, rapid recovery and much less risk than general anesthesia. With this local anesthesia, you will be slightly sedated, numbing your penis and surrounding area, which will make you feel pain; You will be awake during surgery, however you will be relaxed and insensitive to pain.
The peneplasty lasts between 90 minutes and 2 hours approximately. As for the surgery for thickening: by means of a special syringe, we will perform a minimal liposuction of the abdomen. We will then process the extracted fat which will be grafted in pure state under the skin of the penis to achieve thickening. The instions will be minimal, generally in the number of 3, approximately 1 mm, located in the foreskin area, or in the skin of the base of the glans. As for surgery for the penile enlargement, we will make a small incision in the form of an inverted V in the area of the pubis (or in other cases a straight insicion, perpendicular to the penis, of approximately 2 cm in the pubic area) and through this we will make a cut of the suspensory ligament of the penis, which releases the upper part of the penis and produces its elongation or lengthening. Then close the incision by suturing its edges so that the inverted V takes the form of an inverted Y (or in the case of the straight insicion, only the edges will join, leaving a straight scar).
You will leave the operating room with your bandaged penis, and you should have it for a few days. It is usually a surgery that does not cause any problems, although if present, they will be totally controllable through the analgesic medication that we will prescribe. You should take antibiotics for 7 days after the surgery. The points of the penis, which correspond to the three small punctures through which fat is injected, tend to fall on their own. Those of the pubis are removed around the seventh day. The scars will soon be covered by pubic hair and there will be no signs that you have undergone surgery.
Potential risks or complications
In the hands of a qualified surgeon, it is unlikely that a peneplasty present complications. However, any surgical procedure, however minimal, presents risks, and we should think of them as a possibility. Adverse reactions to anesthesia. Infections are very rare if you take the antibiotics due. Appearance of small hardnesses, in the form of balls, due to fibrosis of the fat. Sensitivity and function disorders, such as urinary incontinence or impotence of varying degrees, rarely occur.
Getting back to normal
You can resume your sexual activities two weeks after treatment. At the beginning, you should be cautious and careful in your movements, but with the passing of days you will reach greater freedom. During the recovery period, some people may suffer from depression. This is normal after all surgery, however minimal.
Results after a peneplasty
You can get a noticeable increase in the thickness of your penis as well as in its length. The angle of the erection will not change and its functionality will not suffer any loss. Most men who have undergone this treatment feel very satisfied and better prepared to lead a full and happy sexual life.