A penis with a small volume can cause significant discomfort in everyday life. The penis is covered with a skin covering called the penile sheath. The purpose of this intervention by your Aesthetic Surgeon in Marseille is to perform injections of hyaluronic acid under the penile sheath and the glans.
This phalloplasty can in some cases be combined with penis lengthening surgery. It may require several sessions to achieve the desired result. It makes it possible to obtain an increase of 20 to 30% of the initial circumference.
Important: after the operation, once the results have stabilized, the patient finds sexual intercourse without any discomfort, with the same sensitivity of the penis which completely regains its natural appearance.
The intervention
This operation uses hyaluronic acid, a natural product physiologically present in the body; which is used as a volumizer for various areas of the face and silhouette. For an aesthetic penoplasty for which the patient expects excellent resistance over time, Dr. Christophe Desouches selects hyaluronic acid of the best possible quality.
The purpose of the operation is to perform this injection of hyaluronic acid under the penile sheath via a small diameter cannula (round-tipped needle), in order to leave the penis and surrounding tissues intact.
The surgeon starts the procedure with regular injections of hyaluronic acid from the penis to the glans. The objective is to obtain a harmonious distribution while respecting the anatomy of the penis. In a second phase, the practitioner performs regular injections of hyaluronic acid in the opposite direction, and on the sides, in order to obtain the result the best balanced, that the patient will be able to appreciate at rest as well as in erection.
It is advisable to provide 5 to 10 syringes of hyaluronic acid during the session to see a significant improvement in the circumference of the penis.
A second session can be considered after 1 month if the patient would like more volume.
The anesthesia used is generally local without sedation. The procedure is usually performed on an outpatient basis, with same-day discharge.
The operation lasts from 30 minutes to 1 hour, depending on the amount of hyaluronic acid to be injected.
The initial consultation
The initial consultation is an opportunity to examine you, discuss your discomfort and explain the expected results. It makes it possible to search for antecedents that may require rules of caution such as genital herpes or smoking.
Complications
Even minor surgery carries risks. These complications are extremely rare and usually minor in this case. The risk of reaction to anesthesia cannot be ruled out. Complications sometimes encountered are infection or hematoma.
In exceptional cases, there may be partial skin necrosis. Edema may persist for several months but is generally self-limiting.
Before surgery
It is imperative to stop smoking at least two months before the surgery, tobacco being a factor in the failure of fat grafting. Taking aspirin is prohibited 10 days before the intervention. Before the surgical act, it is necessary to wash with an antiseptic soap.
On the day of the operation, allow enough time to arrive at the scheduled time, without excessive stress. It is important to provide someone who can accompany you home after your hospitalization.
Post-operative follow-up
The postoperative course is generally painless.
Significant edema may appear and generally takes 10 to 15 days to subside.
Sexual abstinence is imperative for 4 weeks.
The professional activity, if it is not particularly physical, can be resumed after 24 hours.
The gain in circumference is on average between 2 cm and 2.5 cm.
The injection of hyaluronic acid is perfectly tolerated, there is no rejection and the practice of all the usual physical activities and sports can be resumed in complete safety. In the same way, no discomfort will be observed during erections.
