Penis enlargement surgery By Skin Graft/Dermal Fat Graft is a procedure that aims to increase girth of the penis

Other approaches may take the form of cosmetic surgery to give the appearance of a longer penis.

Penis extension medical procedure can include different methods, all of which plan to expand bigness of the penis. As a rule, individuals have the medical procedure for restorative reasons.

In spite of the fact that penis broadening a medical procedure might work sometimes, there is no assurance that it will be successful, and the strategies convey some danger.

The vast majority who settle on the medical procedure have a typical, working penis, making the medical procedure corrective. In these cases, the expense can be an obstruction for some individuals.

Most surgeries involving live tissue cells use skin grafts from the patient’s own body which tends to be safer than using tissue cells from someone else. The chances of the skin tissues being rejected by the body are also greatly reduced when they come from the patient. Also, if an infection occurs, which is rare, treatment of the infection is more easily done if the skin that was transplanted is from the patient himself. Also, some simply feel more comfortable using their own skin rather than somebody else’s, regardless of how safe the alternative method may be.

Surgical procedure
A circumference incision was made along the coronal sulcus and the penile shaft was degloved to the level of penoscrotal junction. And the suspensory ligament was incised. To overcome the post-surgical retraction of the penis, the tunica albuginea was sutured with 1-0 silk sutures to the proximal tunica dartos at the 10-, 12-, and 2-o’clock positions to keep the penis in a stretched position. A square-shaped incision (8–12 cm × 4–6 cm) was made and the full thickness dermis graft was fetched from inguinal region for girth augmentation. The upper epidermis and the subcutaneous fat of the graft were removed off, leaving a free dermis graft of approximately 0.2–0.4 cm in thickness. Then, the graft was implanted on the dorsal surface of the tunica albuginea (leaving the ventral surface-corpus spongiosum uncovered), covering from the base of the penis to the coronal sulcus with the dermal surface lying just above, and the graft was fixed to the tunica using 4-0 absorbable sutures. The redundant foreskin was removed and the incision was closed. A ‘V-Y type’ incision at the peno-scrotal junction to remove the redundant skin was made, then the tunica dartos were interruptedly sutured to the tunica albuginea. Finally, the incision was closed and a urethral catheter was placed.

Type of Anesthesia use:
Penis Enlargement Surgery by Skin Graft is performed under general anesthesia