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  #11 (permalink)  
Old 02-10-2010, 03:23 PM
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Hey londonlad,

I also looked into Reed's approach with staging the procedures but in my opinion the biggest risk is infection. Thats why i chose to get both done in one surgery. I figurre 2 surgeries doubles ur chance of infection. Also after getting it done i can see why its sooo important to be circumcised. I had a cafeter in for 2 days after my surgery and there is still a good amount of swelling and blood collection near the head of the penis. However it was gone after 2 days.

As for contraction Rosenthal told me he puts fat in the area after he cuts the ligamnets to stop re-attachment. i was smaller length wise rite after surgery but in my opinion its cause at first the belladerm makes it to painful to get a full erection and i think the skin might be a little tight from the new girth. im back at my full length now and its only been a month and i havent even started stretching.

I didnt get anti-biotics during surgery but for 3 weeks after surgery i was on anti-biotics. 3 a day not sure which ones.. (i can see if i can find an empty bottle if u really care what kind)

Another reason i picked rosenthal was because he's a urologist and this is all his does. I didnt like the idea of having a plastic surgeon do it. Some guy that does breast implants monday, penis enlargment tuesday and a tummy tuck wed just cant be as good in my opinion. Also i didnt want an incision on the head of my penis and alot of the doctors still do that, but rosenthal doesnt.

Next time i talk to Rosenthal ill ask your questions for you. Prob talk to him in a week or so.

And finally about those journal articles. I accessed them through my friends account at his university. I think if u really want to find some yourself you can pay to join medical journal sites and they give you access to there archives, etc.
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Old 02-11-2010, 06:49 AM
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kingpin,

I hope you're able to stretch the belladerm. Does Rosenthal insert the bella behind the base so there's some to pull/stretch out? I'm pretty sure docs don't (can't??) do that with dermals, allo, and bella. Hard to imagine. If you're able to stretch it...well, that would be a good thing to know! Since you've read about Reed, you know that the advantage of staging is so that you can gain length before a difficult to stretch girth material is inserted.

8 x 6. Good luck!

I wonder why Rosenthal tends to get modest gains with allo and now bella? I know another doc is getting 1 - 1.5" with bella. Maybe anything over an inch is not a good risk? I'm sure he has his reasons.
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Old 02-11-2010, 11:05 AM
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Hey seeker,

Yes Rosenthal inserts the bella passed the base.. I can even feel that it is applied beyond the base, so i dont think that is a concern when i stretch and from the other patients i talked to it didnt seem to be a problem either.

As for my gains. I only gained .6 erect but i prob gained about 1.1 or maybe even more non erect. However i dont really care about my flaccid size so i didnt bother mentioning that gain to you guys. Im almost positive when other doctors say they are getting 1-1.5 increase they mean non-erect. Cause as far as i know none of these docs do there measurements on the erect penis. Rosenthal told me that it is possible to get 1 inch erect increase but i dont think it is. I didnt talk to anyone that got that sort of result erect from one procedure. Then again im not the doctor , so i cant really say for sure.

Thats why some ppl get the widening done twice. there was one guy i talked to that had widening done 3 times...

I see what your saying about Reed and i was considering him, but i didnt like the fact that he is getting a bit older. He might get Dementia or something soon like Rheinschild lol ( no matter how good a surgeon you are age gets everyone eventually) Also i didnt want two surgeries cause of the increase chance of infection. Also when i checked Reed doesnt take credit and since he stages it, it will cost even more. However i do think Reed is also one of the better doctors doing this procedure....
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Old 02-11-2010, 01:45 PM
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Hi Kingpin:

Congrats on the success of your surgery.

I am thinking about having the lengthening surgery done. I have read about some doctors placing fat (and in some cases a silicone ball/object) near the pubic bone to keep the ligament from reattaching. It makes sense to me, although I don't believe all doctors do this. Before I read your thread, I was mainly considering Dr. Reed. However, Rosenthal seems like a good doctor and I like the idea of blocking the ligament so that it doesn't reattach. I have a few questions that hopefully you could answer when you get a chance...

1). What kind of fat does Dr. Rosenthal use to stop the ligament from reattaching? Is it alloderm or belloderm, or your body's own fat?

2). Does the placing of the fat near the pubic bone cause a lump or noticeable protrusion?

3). You said you spoke with Dr. Reed. Do you know if he blocks the ligament from reattaching?

4). How soon after surgery are you allowed to stretch? Do you know if the amount of time is different if you have lengthening surgery alone?

Best of luck to you. Please keep us updated on your progress.

Regards,

ACU
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Old 02-11-2010, 02:19 PM
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Kingpin,

Thanks for your reply. Does Rosenthal think you can gain a post-op inch? If you haven't asked him this, would you?

It's interesting that he places the bella internally. I guess he wraps the internal penis with belladerm. Is the bella past the base in contact with tissues and such that it would bond to (anchoring it)?

Wow, 3 girth procedures. Hey - if you want a huge unit and have an equally huge bank account...

I'm considering belladerm for a reconstruction. I had a dermal done in 96. Botched job. It contracted, leaving a large bump at the base and a significant gap behind the glans. Mid penis is fantastic though! LOL

Seriously, if the base and end of penis held the graft like the middle did, I would've had a good result. My surgeon was horrible. I'm quite sure he didn't stitch the graft in place. Maybe dermal grafts have potential? My doc didn't tell me anything about post-op stretching or care. He didn't know. In 96, it's true, they knew less. I'm not the only botch job for this doc. He's gone from the phalloplasty game. Kinda the Canadian Rheinschild. Except he wasn't old or mentally unstable, just bad.

Anyhow, even after losing some of graft over time, I still gained 1.5" mid shaft. Maybe this doesn't matter since the rest is botched. But I do know it is possible to gain 1.5" erect. Perhaps the dermal used was too big causing the problems I ended up with?

I don't know what my flaccid girth gain is. More than 1.5".

I'm considering Reed. Never thought about his age. I'm following braveheart's result. Maybe this Dr Solomon is an option? But, like you, I'd prefer an urologist. Reed and Alter. Also, like you, the Elist implant never really appealed to me. I'm pretty sure my recon surgery would be 2 stages.

Rambling here...take care,

The Seeker
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Old 02-11-2010, 05:20 PM
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cheers again for the detailed replies mate

yes its a good idea to speak to a urologist, it will be great to hear Rosenthal's answers relayed via Kingpin

in the meantime it only costs $100 to speak to Gary Alter for a detailed phone consult, maybe some of you can get further than I did. He was very detailed when it came to my botched foreskin but when asking him about girth surgeries at the end of the convo, he said "I am opposed to all girth surgeries as I have seen many terrible complications" and he said that he hasn't done any for over ten years but kind of went quiet and didn't seem willing to discuss further. He asked me my dimensions and then said you are average and get it out of your mind. As we know its almost impossible to do that. Maybe he thought I was one of "them", as in one of us crazies lol. I still wanted to hear more about what he has seen go wrong.

Can you have sex and do girls notice Seeker the defects? 1.5inch gain is massive but yes maybe too much for a single surgery as the body needs to reprogram itself to send more blood down there to revascularise the graft and maybe you just had too much for it to cope with. Still, its good to know

Anyway Reed is mostly against dermal grafts now as he says Alloderm is more reliable/ predictable. His blog is interesting to read (penisdoctor.com/blog)

Keep the info flowing guys
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  #17 (permalink)  
Old 02-12-2010, 09:20 AM
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London,

Yeah, I'm functional, though I'm generally self-conscious enough that I choose to abstain. The 1/3 of penis near the base isn't functional. The lump isn't fitting anywhere. Girth there is probably 9" (due to the proximal lump). The lump has no feeling. So, yeah, girls know!

Alter and Reed seem to be leading choices for a recon surgery. Alter trys hard to work with you have (material from the botched surgery) to make you happy and functional. When I'm ready to do a recon, those two docs will be the first ones I have discussions with.

Gaining 1.5" is nice. I had even more post-op, but lost graft over the years. The last 5+ years have been stable.
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Old 02-14-2010, 11:57 AM
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i understand wher eyou are coming from man,

wow 9 inch girh at the base?? wtf wow

do you think with reconstruction you will get feeling back...surely the skin has some nerves?
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Old 02-14-2010, 12:23 PM
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I cant wait to see kingpins photos and hear his answers from Rosenthal

In the meantime can anyone shed light on this comment from Dr Reed regarding Alloderm

"AlloDerm (a donated tissue product), is costly. Ninety-five per cent may be gone in 2 years, but is replaced by an ingrowth of cells of the patient's own making"

Penis Surgery, Penis Enlargement Surgery, Penile Surgery, Penis Plastic Surgery, Penile Enlargement Surgery

Are we back to square one in 2 years again? Anyone had it over two years ago and kept it or grown enough cells through it to maintain decent erect girth?
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  #20 (permalink)  
Old 02-15-2010, 08:42 AM
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The numbness is at the base only. The graft bunched up there. It's covered by skin drawn down by a VY plasty. Remove the bunched graft...feeling returns? Otherwise, I have full sensation. 9" comes from the 6" girth with a hairy lump (bunched up graft with VY plasty) at the base. Stick a golf ball at the base...not hard to measure 9" with that there. Sex speed bump.

When you question reed's alloderm statement, are you wondering what type of cells replace the dissolved alloderm? As the allo becomes more pourous, does it fill in? Connective tissues? Vascular system?
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