Penis Enlargement Surgery Phalloplasty – BCOSS Clinic : Cosmetic Surgery Bangkok

1. Liposuction and lipofilling

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. Healing is quite rapid and you are up and about the next day and back to work in about a day.

Penis enhancement surgery is a relatively simple, safe operation performed 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.

2. Penile Lengthening

In the lengthening procedure, the doctor releases the suspensory ligaments that attach the penis to the undersurface 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.

In this procedure, no actual length is created, rather, the internal portion of the penis is “advanced” or “externalized,” exposing greater length. This is accomplished by resecting (cutting) a portion of the suspensory ligaments which hold the penis against the undersurfaces of the pubic bone between your legs. (A 1″ incision wound and the ligament is detached.)

Actually, another 3-4″ of the penis is located INSIDE the body. This penile root actually arches upward inside the body and by resecting the suspensory ligaments, this upward arch is extended forward. A simple 1″ curvilinear incision in the pubic area is all that is required to gain access to the ligaments. For overweight men, removal of some of the fat in the pubic area will also add to the perceived length increase of the penis. There is a small percentage (3-4%) of men who get no length gain at all in the erect state and rarely may even lose a bit of length due to scar tissue formation and retraction.

Pre-Operative

No aspirin, ibuprofen, or similar drugs should be taken within two weeks of surgery. These medications can cause serious bleeding during and after the operation. If you have any questions about drugs you are taking, including over the counter preparations and natural herbs, please call the office.
Do not eat or drink anything after midnight of the night before your surgery. This prohibition includes coffee and juice in the morning. Oral medications can be taken with a sip of water.
The genital area will also require shaving prior to any procedures.

The Operation

The operation usually takes about 1 – 2 hours and it may be necessary to have a circumcision performed at the same time as the lengthening and/or enlargement procedures, as this avoids swelling of the foreskin, which can last for several weeks.

Information
Anesthesia	General.
Surgery Length	2-5 hours.
Side Effects	Temporary pain. Swelling, soreness, numbness of abdominal skin, bruising, tiredness for several weeks or months.
Recovery Period	Back to work: 2 to 4 weeks. More strenuous activity: 4 to 6 weeks or more.Sexual activity 3-4 week.
Stay in Hospital	1 day
Stay in Thailand	10 days

Post-Operative

Most patients can return to work the following day. The support bandage must be to worn to ensure that the skin heals smoothly and to reduce swelling. One week is usually sufficient.
If you have just the fat transfer procedure, sexual activity can usually be resumed in 10 days to two weeks. If you have the lengthening procedure, then sex may be resumed in 3-4 weeks. However, it takes three to six months to achieve maximum erection length. Most importantly, post operative stretching or weights are essential.
Most patients find the post operative course quite tolerable. There is minimal pain in the penis and most patients complain of discomfort rather than pain, which is easily controlled with pain pills.
There has been no reported loss of sensation from the procedure. When erect, the penis remains firm with a thick cape of fatty tissues surrounding it. In about 5% of patients, the fat can form small nodules that can be easily taken care of as a minor outpatient procedure under local anesthesia.