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Penile Enlargement Surgery

Penis enlargement  (also known as penile augmentation or penile enhancement surgery), it  consists of two surgical procedures to enlarge the penis, one is used to increase the girth of the penis, and the second is used to increase the length of the penis. Typically, patients opt to have both penis enlargement procedures carried out at the same time.

Increasing the girth of the penis relies on fat cells (usually from the patient’s abdomen) being transplanted (injected) around the penis. The procedure, known as fat transfer, bulks-up the penis and can increase the girth of the penis by 1 to 3 inches. One of the possible drawbacks is that the transplanted fat cells feel soft, somewhat like female breast tissue. Additionally, increases in the girth of the penis achieved this way can often disappear as the fat cells are reabsorbed back into the body. Sometimes, the re-absorption of the transplanted fat is uneven and the penis is left looking lumpy and unsightly.

A variant of the fat transfer method called “dermal transfer” may overcome the fat re-absorption problem. Dermal transfer uses strips of skin and fat together. The skin stops the fat from being re-absorbed into the body but because this procedure requires strips of skin and fat to be grafted onto the penis the surgery is more complex and the risk of disfigurement is much greater.

Penis lengthening procedures are quite different from the procedures used to increase the girth of the penis. The tissue in the penis that fills with blood is called the corpora cavernosa. This spongy tissue normally extends from the penis back into the body. In some cases, half of the corpora cavernosa may be "concealed" inside the body. Penis lengthening relies on releasing this concealed tissue which has the effect of increasing the length of the penis. Releasing the concealed part of the penis is done by cutting the suspensory ligaments that keep the corpora cavernosa anchored within the body. This moves the concealed part of the penis forward achieving additional penis length outside the body. This type of penis enlargement surgery can result in substantial flaccid size gains but sometimes only a small increase in the erect penis length.

The side effects of this penis lengthening surgery stem from the fact that with the suspensory ligament no longer anchored to the pubic bone, the penis is effectively “floating loose”. If the penis is flaccid this will not cause any problems but if the penis is erect then several problems may occur. Floating loose from the pubic bone, the erect penis can slip and shift around during sex. And without the suspensory ligament to hold it, erections can point downwards. Nowadays, more sophisticated surgical techniques mean that this can be minimized but the angle of erection is still likely to be reduced no matter how the surgery is carried out.

Penis enlargement surgery has advanced a long way since the early days when penile disfigurement was almost a certainty but many surgeons still refuse to offer penis enlargement procedures because of the risks associated with it. Candidates for penis enlargement surgery should seek advice from their own doctor and ideally undergo counselling before consulting with surgeons offering these procedures

Post-Operative Care 

1. ·                         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.
2. ·                         If you have just the fat transfer, sexual activity can usually be resumed in 10 days to two week. If you have the lengthening, then sex may be resumed in 3-4 week. However, it takes three to six months to achieve maximum erection length. Most importantly, post operative stretching or weights are essential
3. ·                         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.
4. ·                         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 from small nodules that can be easily taken care of as a minor outpatient procedure under local anesthesia

Dr. Juta Jansi: Cosmetic Surgeon Expert In Thailand

Dr. Juta is a known expert and undoubtedly one of the best surgeons in the field of cosmetic surgery. He was much sought after for his expertise in the leading edge of Sex reassignment Surgery, Facial plastic Surgery, Mammoplasty and liposuction.

Dr. Juta received his Doctor of Medicine Degree from the University of Chulalongkorn, Thailand in 1984. Prior to specializing in plastic surgery and sex reassignment surgery, Dr. Juta had 24 years of experience as a Plastic and reconstructive surgeon, performed over a thousand cosmetic reconstructions which continually improved and achieved excellent results because of his high standards and proven techniques in the surgical arena. He continually updates himself in all aspect of cosmetic surgery both national and international.

He received several citations as a General and plastic surgery specialist, member of the Society of Aesthetic Plastic Surgeons of Thailand and The Society of Plastic Surgeons of Thailand. He also attended Fellowship in Maxillo-Facial Surgery Taipei, Taiwan and Fellowship in Microsurgery Taipei, Taiwan. At present, Dr. Juta Jansi joined the prestigious Plastic and Reconstructive Surgeons at Bumrungrad Hospital and Srinakarin hospital.

With his passion and artistic talent, Dr. Juta is highly respected by his peers and patients for his unique techniques that ensure satisfaction, safety and outstanding performance.

How To Choose A Certified Plastic/Cosmetic Surgeon In Thailand

When choosing a plastic surgeon, it is important to consider a number of factors. Medical training and surgical experience are primary indicators of the surgeon’s qualifications.  Board certification is another important criterion. No single factor can guarantee you the best doctor for a specific procedure. Ultimately, it is up to you to decide which surgeon is best for your specific goals and expectations.

To become a plastic surgeon, a doctor must obtain an M.D. (Doctor of Medicine) or a DO (Doctor of Osteopathy) degree. Following this, there are several paths the doctor may follow. Many doctors now spend five to six years in an integrated plastic surgery residency, although some complete three years of general surgery and two years in plastic surgery. 

What does it mean to be a Board Certified Plastic Surgeon?

Choosing a Board certified surgeon can be a very tough job because of the personal information being shared. Just open the yellow pages, magazines, brochures or view news paper advertisements and you’ll find plastic surgeons promoting all kinds of society memberships and board certifications but don’t be confused between boards and societies. Societies are merely professional associations. Board certification is the minimum criterion you should use in selecting a plastic surgeon. So, it is very important that you learn about the doctor’s education, training, certification, and experience in order to guarantee a successful outcome and to make the best choice.

Beware of lots of Letters after the Doctor’s Name:
Many fraudulent doctors’ have quite a few letters after their names. In fact, multiple letters may be the telltale sign of an inadequately trained doctor trying to impress the public. Definitely, your doctor should have the letters M.D (Medical Doctor) or D.O (Doctor of Osteopathy) after his name. He might even have one or more master’s degrees or might also have PhD but these degrees are irrelevant to plastic surgery. Patients are advised to select a board certified plastic surgeon.

Guide to choose a Plastic Surgeon:

• Get Referrals: Begin your search for a plastic surgeon by asking friends, relatives, family doctor, colleagues that are willing to meet with you and share their results of the surgery. Hospital staff such as nurses, surgeons and anesthesiologist is also excellent sources of referrals. You may also do research on the internet, magazines, or in the yellow pages. Chances are a few names will stand out from the others. It will help give you the best possible recommendations.

• Check the qualifications of the surgeon: One of the most important qualifications you should look for in a plastic surgeon is that they are board certified but you must need to know what board has certified your plastic surgeon and be sure that the surgeon has graduated from an accredited medical school.

• Meet the surgeon: Look at pictures of past procedures done by the surgeon. Choose an ethical and confident surgeon and friendly staff members for a long lasting relationship and you should expect good communication, understanding and comfort from the surgeon.