A penis of a small volume can cause significant discomfort on a daily basis. The penis is covered with a skin sheath called a penile sheath. The purpose of this intervention by your Cosmetic 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 take several sessions to achieve the desired result. It allows to obtain an increase of 20 to 30% of the initial circumference.
Important: after the operation, once the results have stabilized, the patient will regain 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 figure. For an aesthetic penoplasty for which the patient expects excellent durability over time, Dr Christophe Desouches selects a hyaluronic acid of the best possible quality.
The goal 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 the surrounding tissues intact.
The surgeon starts the operation 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, which the patient will be able to appreciate at rest 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 wants more volume.
The anesthesia used is generally local without sedation. The operation is most of the time performed on an outpatient basis, with a discharge the same day.
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 yourself, discuss your discomfort, and explain the expected results to you. It makes it possible to search for the antecedents which may require rules of caution such as genital herpes or smoking.
Complications
Any surgery, even minor, carries risks. These complications are extremely rare and usually minor in this situation. The risk of a reaction to anesthesia cannot be eliminated. The complications sometimes encountered are infection or hematoma.
In exceptional cases, there may be partial skin necrosis. Edema may persist for several months but is usually self-limiting.
Before surgery
It is imperative to stop smoking at least two months before surgery, tobacco being a factor in fat graft failure. Taking aspirin is prohibited 10 days before the operation. Before the surgery, it is necessary to wash with antiseptic soap.
On the day of the operation, sufficient time should be allowed to arrive on time, without undue stress. It is important to provide someone who can take you home after your hospitalization.
Operative suites
The postoperative effects are generally not very painful.
Significant edema can appear and usually takes 10 to 15 days to resolve.
Sexual abstinence is imperative for 4 weeks.
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. Likewise, no discomfort will be noticed during erections.
