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Post by Skeptical One on Dec 31, 2010 19:51:44 GMT -5
idm, how long would you say you've had your penile FFT for? Just wondering because the retention isn't so clear if you haven't at least hit the 2 year mark (where you experienced fat loss at your scar site). I'd hope though, it would survive as long as possible.
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Post by idm on Dec 31, 2010 22:07:43 GMT -5
Just to clarify. The non penile scar revision procedure which involved a fat transfer which was not treated, seemed to absorb fairly rapidly w/in a 2 year period, if my memory serves. At the time I didn't know about the graft treatment vs non treated and the procedure was performed by a fairly young plastic surgeon,. If I were to seek further correction (which I don't), I'd have Giunta do it b/c I believe in this method. Let me make it perfectly clear that I'm sharing MY experience and I'm not suggesting anyone to go to Giunta per say -i AM saying, that if you decide to get fft make sure the doctor knows about the platelet enrichment process and make SURE he or she perhaps, not only knows about it, but uses it and can explain it to you.
I'm convinced staging and graft treatment is key to success in this procedure.
To give a bit of perspective in comparing my (non penile scar correction procedure) to the pe procedure- A much larger volume of non treated fat was transferred in a single session and most of it absorbed fairly quickly, a MUCH smaller amount of fat was used in the initial penile fft and a significant amount, (roughly the amount that was approximated pre-op) survived.
My understanding from talking to Giunta is that he considers this typically a 2 round deal-the initial, and a phase 2. He does not use the term "top up" or necessarily believe the penis will require "maintainence" post op.
I think this term (which I erroneously used myself a time or two), is used by physicians who do not treat the grafts and therefore anticipate the need to perform further revisions..."Top ups".
As for the penis. as I've said previously, I had lig release and fft 1 year ago. I spent a full year stretching/and a few months pumping prior to the 2nd stage (which was very recent Its important to note that in the penile fat transfer it was comparatively much LESS fat that was transferred and when compared against the amount transferred for the purpose of scare revision in the other procedure, much less absorbed and a greater amount of the graft (even though some absorbed)..."Took".
Right now my penis, as expected 2 wks post op is huge, due to having received a fresh fft and of course still some swelling. Of what I have I will lose some but based on what I was told by the doctor, beacuse of the portion of the previous (initial) graft, which took (vascularized/survived...a greater portion of the 2nd stage is expected to also survive.
I know my penis 1 year post op was significantly larger than it was prior to penile surgery. I expect that one year from now, I will be able to say it is significantly larger 1 year out from the 2nd stage. I hope I explained that in a way that is understandable.
My current flaccid girth is just shy of 6". I know some of this will diminish but some will remain, Erect girth is around 7 but erections still hurt! I may opt for another fft w/Giunta in the spring as my goal is to solidify if not slightly surpass 7" girth.
For better or worse-no more penile surgeries other than what I've described here.
Idm
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Post by idm on Dec 31, 2010 22:13:33 GMT -5
Sorry repeated 1 section twice...
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Post by iain01 on Jan 2, 2011 6:32:35 GMT -5
Hi , yes I would say both my fft were failures! And my first dermal dermal was not a failure but didnt really give me a lot, after reabsorbtion say 1/4 inch, this was done by Rhenschild, probably lucky to still jhave a normal dick lol. The second dermal was brilliant at first I had a monster , the skin was very tight when erect, prob about 6 1/4 mid shaft and at least 7 at the base, after about 6 months this settledto my current stats which are 5 1/2 mid shaft erect. I do not have a lot of skin so tried pumping to stretch it, but dr k says this will damage the graft and shrink it, so im in a noway situ . I belive 6" is the magic number to make girls scream and Im 1/2 an inch short, so I pump anyway, my girl knows about it and we do it together I pump her clt aand my cock at same time, she loves girth and isnt fussed about length. Im just a tad under 6" length. I didnt have the spacer, but I had mine the day before chad had his disaster and I belive he had the spacer. I didnt have the glans enlarged and wouldnt like anything foreign injected into me. IF fft would hang around I would do it again in a shot as it was a piece of cake compared to the dermals. All in all I would say dr k was ok, The only thing I didnt like was when I was being taken home I was a bit scared if anything went wrong as I was in usa and from the uk so I asked him for his mobile in case of emergency as I dont know how the medical system works in the us, I heard you have to pay for everything!! Anyway luckily all went went but a few months later I found the note and then realised he had just put his office number on. I think dermals are still the best but you have to live with a bloody big scar, if someone can tell me how to load pics on here I will post my penis and scar and you can decide.
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Post by jonappleseed on Jan 2, 2011 10:06:33 GMT -5
iaini01. would like to see those pics when someone let's you know how to upload.
did you talk to other guys who had dermal fat grafts? did they lose legnth? i've always wondered how a dermal graft and alloderm are put in the exact same way but people don't seem to hear about the length loss with the dermal unless there is an infection.
it is a pain in the ass procedure though, literally. where did he cut the fat out of your body from?
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Post by jonappleseed on Jan 2, 2011 10:16:44 GMT -5
well, i found the answer to my own question. dr. reed use to promote dermal grafts over allo/bella as little as a year ago but now his webste says: "Dermal-fat strips are associated with graft contracture, which may result in palpable fibrous cords and penile shortening. Liposuctioned fat (or autologous fat transfer, AFT) despite mention of new handling techniques can undergo either zonal or complete reabsorption in some patients, or may form palpable lumps called fibro-fatty nodules. In my practice, AFT is used only for small touch ups. Lack of girth enhancement at the base is often seen as once the "test tube" is filled up, fat tends to spill into planes of least tissue resistance, i.e. the pubis or scrotum. The use of liquid silicone is mentioned as an abhorrent, high incidence of complications procedure. See "silicone disasters." AlloDerm® is an acellular cadaveric dermal matrix product and is capable of stimulating an ingrown of connective tissue with blood supply if one does not overly pack the penis with "stacked" dermal-matrix.. It eliminates the need for taking donor fat or dermis from one part of the body to another. Patient oriented information for AlloDerm® may be accessed via the LifeCell Corporation web site at www.lifecell.com. BellaDerm™ is equally available and is also an acellular dermal product. Their web-site is www.belladerm.org/ BellaDerm is packaged moist and does not have to be refrigerated. It comes from live donors, especially those who have tummy tucks with large surfaces of skin removed." www.penisdoctor.com/enlargepenis.htm
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Post by hoddle10 on Jan 29, 2011 17:19:37 GMT -5
IDM, am I right in thinking that your first FFT with Giunta was before he introduced his new PRP method and the second with it?
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Post by idm on Jan 30, 2011 0:38:54 GMT -5
Hey Hoddle-
No; actually I had my initial "phalloplasty" just before Christmas last year (09)and the second stage almost a year to the day of the first surgery (10). Giunta was already using the platelet enrichment treatment of the grafts.
One of the guys here indicated that he had fft and it completely absorbed, he also indicated he pumped. I've learned that pumping can destroy grafts in general.
I think the pumping can be very good to prepare one for surgery but apparently its detrimental after.
Idm
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Post by honested on Jan 30, 2011 1:02:56 GMT -5
Hey IDM,
Great stats! Congrats on your progress.
If you don't mind me asking,
What is your current/beginning erect lenghth and as well as you beginning girth?
Any girth over 6" would be fantastic.
Best,
Honested
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Post by hoddle10 on Jan 30, 2011 7:45:25 GMT -5
Hey Hoddle- No; actually I had my initial "phalloplasty" just before Christmas last year (09)and the second stage almost a year to the day of the first surgery (10). Giunta was already using the platelet enrichment treatment of the grafts. One of the guys here indicated that he had fft and it completely absorbed, he also indicated he pumped. I've learned that pumping can destroy grafts in general. I think the pumping can be very good to prepare one for surgery but apparently its detrimental after. Idm Do you know how long he's been doing the PRP for? I'm assuming you were one of the first.
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