Gottaget and Jakeman,
I think what your on to is known as flaps. Heres a surgeon in the U.S. that is doing this procedure.
He explains as follows: Flaps
Turndown supra pubic flap, originated by Dr. Gutstein, is raised through parallel subcutaneous suprapubic incisions. This tissue retains blood supply at its base and is tunneled under the shaft skin and anchored near the rim of the head.
Advantages: Donor site is largely within the hair-bearing pubic area. Lengthening can be done through the same incision. No need to turn patient to obtain buttock tissue as in dermafat grafts. Theoretically, the best survival since some blood supply is preserved.
Disadvantages: Micro-dissection takes time. Some bulge at turnover area at base of penis which reduces over time.
Heres a medical journal article you may find of interest: Penile Girth Augmentation Using Flaps “Shaeer’s Augmentation Phalloplasty”: A Case Report
Osama Shaeer, MD*, and Kamal Shaeer, MD*
Introduction. Current girth augmentation techniques rely either on liposuction/injection or on the use of dermal fat grafts. These procedures have serious disadvantages, including regression in gained size, deformities, irregular contour, and asymmetry. Ideally, the augmentation technique should ensure durability and symmetry. This case report describes the first application of a flap (superficial circumflex iliac artery island flap) in penile girth augmentation.
Materials and Methods. The superficial circumflex iliac vessels were identified and the groin flap was elevated from lateral to medial, rotated toward the penis, and tunneled into a penopubic incision. It was wrapped around the penis short of the corpus spongiosum and insinuated under the glans.
Results. Six months after surgery, the patient had an erect girth of 19.5 cm and a flaccid girth of 16.5 cm, compared with 11 cm and 7 cm, respectively, before surgery, thus maintaining the intraoperative girth gain. The outer surface felt smooth with no lobulation. The size of the glans was proportionate to the shaft’s girth.
Conclusion. This case report shows that the application of flaps in penile girth augmentation may provide a reliable alternative to the currently applied techniques. Glans flaring promotes the aesthetic results and is applicable with other techniques of penile girth augmentation. Shaeer O, and Shaeer K. Penile girth augmentation using flaps “Shaeer’s augmentation phalloplasty”: A case report. J Sex Med **; **:** **.
Here’s where you can purchase the entire article: http://www.blackwell-synergy.com/do…4.x?cookieSet=1
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