Belladerm is expensive and I think would need importing from the US, so would be too costly to be a viable option in the UK. But it’s also not really a good product for PE surgery. It’s really no different to Alloderm, it’s just new. The PE surgery business has to keep changing as there is no good opition. Alloderm had serious limitations, hence it was never universally used within the PE industry. Now they’ve introduced the “new” material called Belloderm, but it’s just then same. The issue’s with not strecthing and causing the penis to shorten are still there. The problems with encapsulation, which can happen years after implantation, are still there. And the biggest problem is that despite is being quite invasive surgery, the results are unpredictable. Some guys gain upto an inch in girth, but most between 0.5” and 0.7”. And this is when using two sheets of the stuff, which increases the chances of infection. Ask as Dr who uses Belloderm for burns grafting what he thinks of a Dr that sticks two sheets on top of each other and he’ll be less then complimentary. That’s the main reason Alloderm never became the “answer” to successful PE surgery. To use such material safel, one should just graft a single sheet. The guy who introduced Alloderm to PE surgery was Dr Whitehead in NY. But he would only use one sheet for safety reasons and thus would only yield gains of about 0.3”. Hence other surgeons have tried experimenting with more than one sheet of either Belloderm/Alloderm and thus the outcomes are often poor and hard to correct. I’d say about 75% of the time it’s succesful, but compared to other forms of plastic surgery, a 75% rate is totally unacceptable. And the consequences of having a botched surgery on your penis are dreadful. It’s actually a pretty easy surgery to carry out, yet only about 5 Dr’s in the entire US do it. This should tell you all you need to know. It’s simple to perform and there are millions of men who would like a bigger penis, yet virtually no Dr is doing it, whilst every plastic surgeon peforms boob jobs.
The fat used by UK surgeons isn’t really any more crap than belloderm. The problems associated with fat injections are largelly avoidable if one is trying to achieve a modest gain of about 0.6”, similar to those produced with belloderm. The problem is that no one wants PE surgery that produces such modest gains, so they inject too much in and the fat absorbs unevenly. Soma had a succesful belloderm surgery, but the last two guys on this forum (baywatch and big dipper) who had fat injections are also delighted with their results. The only reason people currently think Belloderm in the best option is because they don’t associate it with alloderm, when other than the fact the donor for one comes from dead people and the other alive people, they are the same thing. So whilst it seems Belloderm is the new kid on the block and thus isn’t tainted by a poor history, this isn’t true.
