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Post by sheldon on May 2, 2011 17:33:31 GMT -5
;D Smartman,
I am not sure about those methods! I give those ancient peoples credit for their innovation and using what resources they had. Who knows, probably safer than some of today's PE surgeons!
Thanks for the info!
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Post by sheldon on May 2, 2011 17:40:08 GMT -5
That fat guy shown in replies 65, 66, and 67 is using Dan Salas' device. Note the glans is not protected and could be prone to blistering due to the pressure, hence the cotton in the device. The link to buy this at Dan Salas' Phallocare is not working.
FYI: Thegrip's advantage is that the top of the penis and glans is wrapped with Coflex® and put into a protective sleeve, then with the penis in the protective sleeve is put into the vacuum chamber. This is suppose to protect the glans from blistering.
As always, not endorsing either product, but compare these two products with the Bib and decide for yourselves.
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Post by poiuytrewq24uk on May 8, 2011 16:27:17 GMT -5
New1inch, By ONLY cutting the ligaments wont give you a great gain in length you might have no increase or sometimes you might get a decrease in length and you have to do physiotherapy > 6 months post op. to prevent that. But these doctors tried to add more techniques to increase the length (e.g. by pulling the hidden corpus cavernosum and suturing the tunica to the periosteum and closure of the skin by either double z-plasty or scrotal flap or other techniques) to prevent any failure (of course they tried only to cut the ligaments before but they had failures so that why they modified it) . new1inch check the post-op pic.(http://www.oxygenzone.co.uk/?q=content/penis-enlargement-and-penis-lengthening) , you see the increase in flaccid length and the shaft's skin covering part of the glans i.e. they did not stretch the penis before taking the pic.?? like other doctor would do , if you see other sites of other phalloplastic surgeons you will see the flaccid penis is stretched post-op before they take the pic. The only thing I wanted is to see is the scar ( it is covered with pubic hair) (which is common in v-y plasty) Is this a new operastion then? Im desperate for length will this proceedure kill the angle? The european site ith the greek head doc and the Dr.Panfilov one is giving me too much hope. is the possible 4cm gain in erect size??
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Post by hoddle10 on May 8, 2011 17:15:40 GMT -5
There isn't an operation by which you can gain real length. None of the procedures discussed here, other than that I mentioned by Perovic, lengthen the penis. All the other procedures discussed simply expose more of the penis by removing obstructions such as ligaments and skin. For most people the ligs aren't even an obstruction when it comes to exposing more of the penis when erect. The skin often is, but not to the point where it's worth all the scars that will be made by the incisions to remove the skin. Pull your penis outwards at your erection angle and I bet you that you wont feel that the ligs are preventing it being pulled any further out. However, if you pull downwards, in the direction of your flaccid hang, you'll probably feel tension of both the ligs and the surrounding skin. Hence when they are cut you'll straightaway see a flaccid gain. But to see erect gains you'll have to wear a stretching device and I bet you wont gain at a rate any quicker than the likes of Olof or New1inch, who have gained without having their ligs cut.
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Post by smartman on May 8, 2011 17:27:42 GMT -5
poiuytrewq24uk, I will try my best to have more information about Dr.Panfilov. What I have found he used to work with Lemperle in Germany ( he was Prof. Lemperle's assistant ) I will ask Lemperle about him and to get more information.He wrote in his Portrait - ((The global player’s multi-facetted education- Dr. Panfilov received the crown of his education – as he himself calls the title of medical specialist for surgery and plastic surgery – at the Goethe University Clinics in Frankfurt/ Main. Those years of apprenticeship under the guidance of the renowned plastic surgeon Professor Lemperle carry a special importance for Panfilov. Professor Lemperle not only taught him how to perfect his surgical skills. He also taught him the importance of critically considering medical dogma. Until today, Panfilov has maintained a friendship with his former teacher. Dr. Panfilov contributes to Prof. Lemperle’s texts. And vice versa: the ‘master’ who lives in San Diego committedly contributes to the publications of his former pupil. )) that is the site ((http://www.clinicolymp.com/olimp%20stari%20sajt/clinicolymp.com/www/en/Portrait.htm)) Dr.Panfilov was chosen together with 40 co-authors from the international scene to contribute to Professor Lemperle‘s unique text-book "Aesthetic Surgery". The chapter written by him is called "Psychologie in der Ästhetischen Chirurgie" ("Psychology in Aesthetic Surgery"). I have found more pic.'s in his site, also you can see the pubic scar (it is not so bad)in the 1st pic. www.clinicolymp.com/olimp%20stari%20sajt/clinicolymp.com/www/en/Penis%20enlargement.htm
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Post by smartman on May 8, 2011 17:32:05 GMT -5
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Post by smartman on May 8, 2011 18:09:45 GMT -5
I have just send an e-mail to Dr.Panfilov asking him- 1- What is the average gain in erect length can you get ? almost all phalloplastic surgeons said you get only flaccid gain and no erect gain. 2- Do you advice your patients to use a stretcher or weights post-op. ? 3- Many chinese doctors use successive z-plasty or scrotal flap for the wound closure after cutting the lig. , what do you think of this technique , please? What I realize all the penises in the pic. are uncircumcised (so in his technique you dont have to be circumcised is it because he is using only autologous fat I have noticed in the post-op. pic.;s most part of the glans is covered with foreskin, do you think he stretched the penis in the post-op. pic;s just to exaggerate the gain or not it is real ,what do you think???This Q. is for uncircumcised guys (I am circumcised so I cant tell).
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Post by mustang2020 on May 8, 2011 19:44:28 GMT -5
The issue of actual erect length gain after a lig cut seems, for me at least, to be very puzzling. I read about a few who had the lig cut and they gained less than an inch after months of religious stretching. On the other hand I read of many who had no gains after their lig cut. This is my impression and I did not sit down and did an actual count so if I am off, let me know.
I am at a stage where I am highly considering a lig cut to compensate for possible retraction if I remove my implant so this topic is of utmost importance.
What are your thoughts? (I know this has been discussed before, but this needs more talk)
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Post by smartman on May 10, 2011 11:33:16 GMT -5
This the reply from Dr.Panfilov to my e-mail- To answer your questions: 1. This is the truth: I do not measure erected penises only flaccid. I would not feel comfortable to let them get erection in my office. My measurements show average legthening in flaccid stage about 2.4 cm (from 1.5-5.0) and thickening of 2.6 cm (from 2-4 cm). When I started this kind of surgeries 1997, I gave no promises to get any improvement in erected condition. But my patients stated it is very well obvious also in erected situation as well. At the final appointment of my patient from Nurenberg – Germany (who was 44 of age, married, two children) he told me: “You have no idea how much selfconfidence I gained”. You can see his pictures (before/after) as picture Nr. 30 and 31 in my article “Augmentative Phalloplasty” in “Aesthetic Plastic Suregery” journal Volume 30-September 2 from March/April 2006. Also in this article the pictures Nr. 42 and 43 show the fat which I have explanted 6 month after the inicial surgery because it was too much fat in the preputial skin. The picture 43 shows totally vital fat. I comletely disagree with Gottfried’s opinion about autologoues fat transfer. 2. The stretchers or weights one can use preoperatively (they are effective as long as you apply them) but not postop. ---> you may demage the fat cells. 3. I feel that V-Y plasty on the upper part of penis root gains about 2 cm of skin lengthening and the scar is superb hidden bellow the pubic hairs. The scrotal adhesions I sometimes correct it by Z-plasties. My friend doctor Sava Perović was my host in Serbian Accademy of Sciences and Arts where I gave my lecture on 26th of October 2006 under the title: “Anthropodesign: Aesthetic Surgery between corporal Identity and Social Ethics” and he has treated some of his patients in my “Clinic Olymp” in Novi Sad. He was a great surgeon and a great friend. Unfortunatelly he passed away a year ago. The most experience surgeon with penis enlargements (over 2.000 such surgeries compared with my 200) has Dr.Marc Abecassis from Paris . As I have learned autologous fat transfer from Sidney Coleman in New York , the penis enlargement I have learned from Marc in his clinic on Monmartre. He has a wanderfull sentence about this operation: “One centmeter in penis by men means one kilometer in their heads”. This is the same as too small breasts in women: they do not feel competent enough in intimate matters, the same couple of centimeters the nippels procede forewards, the same operating time as breast enlargement, the same psychology, the same price (only € 3.000 all inclusive price for out patient surgery procedure in our Clinic Olymp” in Novi Sad – Serbia). I am happy to tell you that I am very proud to have learned in Gottfried’s clinic at Goethe University in Frankfurt – Germany . Not only the surgical techniques, but allso ethic rules and scientific work I have learned from him. The most important lecture: never trust to old rules in science and medicine – think them twice over, establish your own opinion, do not trust blindly to old wisdoms… My best regards: Dr.med. Dimitrije E. Panfilov, prof. IAAPS "CLINIC OLYMP" A.Cesarca 18/8, 21000 Novi Sad , Serbia Tel.: +381 21 47 27 000 Fax: +381 21 47 27 001 E-mail : panfilov@clinicolymp.com www.clinicolymp.comwww.iaaps.bizNova knjiga: "TAJNE ESTETSKE HIRURGIJE (Elit-Medica ; ISBN 3-8304-3090-6) Textbook: "AESTETIC SURGERY OF THE FACIAL MOSAIC" (Springer ISBN-10: 3-540-33160-3, ISBN-13: 978-3-540-33160-5) So I will do some search on Dr.Marc Abecassis in Monmartre.
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Post by poiuytrewq24uk on May 10, 2011 12:48:25 GMT -5
Heres the thing.
If you gain by pulling more penis out, shouldnt that make the erection bigger?
Eg You have a two inch flaccid (4 erect)and the doc pulls it out to make it a 5 inch flaccid.
Shouldnt the erection then be longer if the flaccid itself is longer than the old erection?
I have a lot of fat and skin around the pubic area, I think I could gain more than 1 inch of usable penis if I had the fat and skin taken away plus lig cutting as mine are tight.
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Post by hoddle10 on May 10, 2011 12:55:30 GMT -5
Heres the thing. If you gain by pulling more penis out, shouldnt that make the erection bigger? Eg You have a two inch flaccid (4 erect)and the doc pulls it out to make it a 5 inch flaccid. Shouldnt the erection then be longer if the flaccid itself is longer than the old erection? I have a lot of fat and skin around the pubic area, I think I could gain more than 1 inch of usable penis if I had the fat and skin taken away plus lig cutting as mine are tight. You aren't pulling it out, you are lowering the angle. But when it's erect it will go back to the normal angle, unless they cut the ligs too deeply, but then your penis will be unstable. They are called "suspensory" ligaments for a reasons. They hold the penis up to the pubic bone. If you cut them, the penis will drop down and hang lower.
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Post by poiuytrewq24uk on May 10, 2011 14:49:11 GMT -5
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Post by smartman on May 10, 2011 15:34:32 GMT -5
Some chinese surgeons they use silicon sheets after cutting the ligaments ( silicon spacer???) for elongation of the penis ( 1.8-5.1 cm )
Zhonghua Zheng Xing Wai Ke Za Zhi. 2007 Jul;23(4):307-9. [The penis prolongation and augmentation combined with autologous granular fat injection and silicone implantation]. [Article in Chinese] Xie YC, Zhang Y, Fan JC, Liu YB, Liu LQ, Wang Q. Source Plastic Surgery Hospital of Chinese Academy of Medical Science, Beijing 100041, China. Abstract OBJECTIVE: To prevent the retraction of the penis after prolongation and augmentation.
METHODS: After all the superficial and part of the deep suspensory ligament amputation, we implanted the silicon sheet (the length 2.3-3.6 cm, the width 1.5-2.5 cm, the thickness 2-3 mm) and injected autologous granular fat (30-48 ml) into penis.
RESULTS: 16 patients (age 22-63 years, averagely 38 years) underwent this kind operation, the prolongation length is 1.8-5.1 cm, the average was 2.91 cm, the increased diameter of penis was 0.6-1 cm, the average is 0.85 cm, the following period is 3 months to 2 years. The results are satisfactory with the penis retraction less than 8%, and less than 10% decrease in diameter.
CONCLUSIONS: This method is an ideal way of the penis prolongation and augmentation, the implantation of the silicon sheet is effective way to prevent the retraction of the penis.
PMID: 17926853 [PubMed - indexed for MEDLINE]
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Post by hoddle10 on May 10, 2011 16:13:15 GMT -5
A penis stretcher is different and many report gains by using them both before and after surgery. But internms of surgical solutions there isn't much on offer. We need to distinguish between real penis lengthening and all the current surgical methods which try and expose more of the penis. To genuinely lengthen the penis itself, I can't see that being possible for a very long time via surgery. I posted a video earlier in the thread in which the surgeon used rib grafts to lengthen the penis, but not by much and as can be seen, the surgery is very risky and highly invasive. All that can be done at the moment are techniques (those outlined in this thread) which try to remove any obstructions and move the penis you already have further forward. Sometimes these pocedures are successful but also very often not. If your skin or ligs aren't restricting your length, which is often the case, then you wont gain any advantage from surgery. When the new forum is up and running you should post some stretched flaccid pics, at different angles, so we can see if you have short skin. Also an erect shot, where we can see your erect angle, might give us a better idea if you'd benefit from the lig cutting.
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Post by poiuytrewq24uk on May 10, 2011 17:27:10 GMT -5
Might do. BIt scareed posting pics.
I can say I have a lot of skin but maybe its due to fat pad as when i try to stretch the exposed glans (uncut) it just wont budge. It used to but now i feel a hard vein near the base that just wont stretch.
erection wise, the harder it gets the shorter it feels and it curves and points up.
Ive always felt like I was happy with the underside of the penis but the top part just doesnt seem to look as swollen up and to its full potential unless im sitting down, straighten it and pull back the fat pad.
Its annoying.
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