Dermal-fat graft augmentation is a more extensive procedure than injecting fat but should give a better long-term result. A mild compression dressing is placed around the penis for about 6 days, which enables the graft to firmly attach to the new blood vessels. Voiding is not a problem. The operation is usually performed as an outpatient in a surgicenter, but some patients want to stay overnight in the hospital or in a plastic surgery recovery center.
Discomfort is mild to moderate, mostly from the buttock incisions. The patient is able to walk but sitting is uncomfortable for several days. He must remain locally for about a week after surgery for dressing removal and postoperative care. Light activities are resumed in about seven days; more strenuous activities, including sex, are allowed in about six weeks.
Dermal-fat graft augmentation has complications of penis shortening, penile curvature, and asymmetry if segments of the graft do not completely survive. Other complications common to all operations can occur such as infection, bleeding, and wound problems. However, deforming complications are uncommon if surgery is performed by a skilled, experienced surgeon.
The dermal fat graft procedure works very well most of the time and tends to stay permanently; however long term follow-up is unavailable and some problems can occur. Some physicians are using Alloderm (cadaver skin) instead of dermal fat grafts to augment the penis. The Alloderm has the advantage of avoiding the donor scar from the dermal fat graft. Alloderm is promising, but it is too soon to know if it will permanently last.
Enlargement Surgery :: Medical Penis Enlargement :: Grafting Effectiveness
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