Australian surgeons

I was just wondering ,are there any reputable Australian surgeons who use alloderm for girth enhancement ?

Not to my knowledge - I believe at present most Australian phalloplasty surgeons (and there are only a few of them) are either using liposuctioned fat from the lower abdomen/pelvic region or grafts harvested from the buttocks for girth enhancement. The good news is that using your own tissue minimizes the risk of rejection but, there are some significant downsides with both these procedures.

Firstly, with the liposuctioned fat, this is actually injected under the skin of the penis. The result is that while the penis is initially thicker, it doesn’t feel very natural - a bit squidgey. Secondly, the fat will be reabsorbed by the body making top-ups necessary. But what is worse is that usually it’s absorbed at an uneven rate resulting in a misshapen penis. Often fat nodules will form, up to the size of a pea, making the penis lumpy and unattractive. Most phalloplasty surgeons will not perform this procedure because of it’s high client dissatisfaction rate.

The skin graft method is more successful however this too has it’s own set of problems. Fat is harvested from the crease where the buttocks meet the thigh and is then sewn under the skin onto the sides of the penis. Reabsorbtion can also a problem with this method, but the evidence so far suggests that the formation of nodules is less likely. However, what can happen is that the fat graft can become detached from it’s seating and float ……. not a good look! :eek: There is also a greater risk of infection at the donor sites and the healing time is much longer.

Alloderm has been touted as the “great white hope” by many surgeons in the US. It’s harvested from cadavers (dead people) and this tissue is processed to destroy most of the genetic material. What is left are strips of a honeycomb-like material which act like a neutral base for the host. Ideally, the host populates this sponge-like material with it’s own cells and it becomes part of the body. It was initially used in Burns Units at hospitals with considerable success but it’s only relatively recently been used in phalloplasty surgery so it’s long term effects are not yet known. It’s known issues are rejection by the host and it becoming unseated.

By far the brightest star on the horizon is an Australian discovery. Scientists have devised a method to grow an alloderm type material from cells harvested from the host’s own body and they have found a way to spectacularly accelerate the growth rate. Substantial amounts can be grown in only a few days. The implications are mind boggling - theoretically, rejection issues should be very rare and the harvesting is non-invasive. It is at present being used in several Australian hospitals to treat burns victims. As to when this technology will become available to phalloplasty surgeons …….. I wouldn’t hold my breath!

In the mean time, have you tried any girth exercises? A lot of guys report a good deal of success with them - just remember to start off slowly and gently!

lil1 :lep:

Anyhow, I liked your information on these procedures. On the OZ breakthrough you say that getting a sample is non-invasive. How non-invasive is it? The same donor idea logically reduces rejection, but what do you mean by unseating itself? How ugly does that look? In theory is it easy to fix then the other operation gone bad scenarios when it deseats itself as alloderm or direct donor alloderm?

Thanks for your time and effort. I am just too curious and couldn’t pass up a chance to ask from someone with good knowledge in this field.

Thanks for the reply and the excellent info.

Hey Lil, glad to see you’re back. :)

Echoing TT’s question:

Is the OZ self-donor thing based on growth from the stem cells? According to a show I saw awhile ago on the Discovery Channel or one of its clones, skin can now be quickly and easily grown in large quantities. I don’t remember the details.

How does this work for girth enhancement? Grow skin from the patient, poke it full of holes, and use it as a substrate to hold injected fat in place?

All surgical methods sound icky to me. I prefer more “natural” methods, such as repeatedly screwing a hose clamp down on my snake to make him overly-engorged and angry. ;)

The report said they only need a very small tissue sample - they didn’t elaborate further but displayed it as a tiny piece grasped by a pair of fine tweezers under magnification. However, it’s the technology behind accelerating the growth rate that’s got people really excited. You only need a very small amount of donor tissue because it can now be grown so quickly.

For girth enhancement the fat or alloderm is anchored to the penis by stitches. If these stitches become compromised it frees whatever was used to thicken the penis so it can slide around. In theory it’s fairly straight forward to repair however, it’s costly, there are no guarantees that it will work the second time, there is always a risk of infection and it will form more scar tissue. Added to this you’re on the sidelines for up to 3 months. There are some pics of this complaint on one of the phalloplasty surgeon’s websites - it makes the penis look deformed. But it’s not nearly as bad as a buttock implant I have seen which became unseated and migrated to the recipients upper hamstring region - now that was very scary! :eek:

lil1 :littleguy

>For girth enhancement the fat or alloderm is anchored to the penis by stitches

Is it sewn to the underside of the skin, or to deeper tissue?

It’s good to be back!
The report I saw was Australian and I believe the research was carried out in Queensland. It could well have been stem cell based (stem cell research is very popular here) however, the big news was not so much the type of cells but how quickly cells can be grown using growth acceleration technology. (Don’t ask me how they do it - if I knew I would have built a machine and stuck my dick in it long ago!! ;) )

Girth enhancement with Alloderm is achieved by the surgeon wrapping several sheets of this material three quarters of the way around the penis then anchoring it with stitiches in the shaft. (Some of the phalloplasty surgeons have fairly graphic descriptions and pics of their procedures on their websites if you wish to learn more) I imagine the same technique could be applied using your own cell tissue, although nobody really knows whether it would be successful because (to my knowledge) it hasn’t been tried …… yet! But, theoretically it should work.

lil1 :lep:

>however, the big news was not so much the type of cells but how quickly cells can be grown using growth acceleration technology.<

Yeah, a tiny bit of skin (or whatever cells) can be grown into enough skin to cover a football field in an extremely short time. Amazing!

Check out the thread about implanting erectile tissue.

Well im sorry this has nothing to do with the subject but im just asking that lil12big1 are you going to make more of those tutorials they are really good because sometimes i have hard time understanding some english words they don’t teach em in english class.

So pictures and that kinda presentation is really good way to understand.

Welcome Back lil12big1!

You’ve been missed.

Unfortunatly he was back in february, this is an old thread brought to life.

kaunajouna,

if there´s anything specific you need help with you can send me a PM and I´ll give it my best shot. The chance of lil1 to answer is pretty slim I´m afraid, he´s MIA.

This Aussie Doctor does penis enlargements:

From his website:

Penile Shaft Widening
This is done by one of two techniques. The simplest of these is the Fat injection technique first used in 1988, and involves collection of fat from the abdomen, flanks or buttocks. After carefully cleaning, the fat is then injected under the skin of the penile shaft. The initial results are good but, unfortunately, not permanent. Fat reabsorption always takes place, but can be replaced at further injection operations. Reabsorption is not usually uniform and may cause an unaesthetic deformed penis. For this reason we do not recommend this method of penile widening.

A permanent technique is Dermal Fat Grafting which is an operation, adapted from Burns Surgery and used in penile shaft widening since 1988. In this technique the Dermal Fat grafts are taken from the waist at the belt area, or from the buttock fold at the top of the legs and then inserted under the skin of the penis. This technique takes longer to perform than the fat injection technique and is more painful post-operatively, but has the advantage that 98% of the fat is retained and is permanent. The actual increase in width is determined by the elastic limit of the penile skin, and is usually 1-2 cms increase in shaft diameter.

I was reading, from a search, on bruising from hanging and I came across a thread where lil12big1 was giving very clear instructions on what to do. It reminded me of having read some his other posts in archives before because I remembered being impressed with his clarity then also.

Having never noticed him post since I’ve been here, I did a “find all posts” search and this is the last thread he posted to where he spoke to anyone directly. However, this is not his last time here. He popped in on 6-14-2004 (1 year 4 months after this post) to play Cheddar Gorge game for a few hours—-just one word posts. Can I assume on that day he did speak to some folks here by PM that he knew from the past?

Got my curiosity up when he said he was glad to be back and then didn’t post again for 16 months and then only in one word Cheddar Gorge for a few hours?

Good thread, he’s probably taken that brain off to somewhere that pays good and is very busy with real life. It happens! (me goes to rate the thread)

You could watch hours of gory plastic surgery programs and not be told as much