TOPIC: Considering dermal graft

Hi all. I live in the Middle East and I’m thinking of going to Korea for a dermal graft. My length is a bit above 7, maybe 7.25 or 7.5 and I’m fine with that. My Girth is a bit above 5, it varies, maybe 5.25 at mid and more at the base. I’d be happy with a uniform 5.5 for most of it (tapered at the top since my glans isn’t big), 6 would be nuts and I wouldn’t want anything above that as I really prioritize a natural look and feel. I’d much rather have a natural and healthy and normal looking 5.5 than go above that and have a frankendick. I know people here like the fillers but I want something permanent and firm (so no HA) and I’d have to fly to Mexico for PMMA which — I really don’t want to board a plane after getting shit injected into my Dick. So that leaves me to a dermal graft, which apparently have a decent record in medical literature.

The thing is I have a bit of an odd shape to my Dick and it curves to the left. Can the graft be shaped to accommodate this? Further, do you lose length when getting the graft? I’ve heard of this but can’t find any confirmations. I really wouldn’t want to lose any length.

Further, what is the recovery like? I don’t mind skipping sex for 45 days but I’m an active weightlifter so I’d hate to be out for longer than like two weeks. But I’d still do it.. just wondering.

Curious; how did your doctor respond to these questions?

Alittlebigger wrote: Curious; how did your doctor respond to these questions?

I have not spoken to a doctor about this.

The research looks.. promising. This meta study was conducted within the last couple of years academic.oup.com/smr/article/9/3/488/6880330

it mostly focuses ADMs for reconstructive surgery and gender transition surgeries (building penises for trans men), but mentions that they show promise for girth enhancement as well. It’s reassuring that this is a recent meta analysis and the authors are respected or rising stars as urologists.

However, this study found that a ton of guys had really bad complications pubmed.ncbi.nlm.nih.gov/31668731/

That said it’s one study and there could be a bunch of factors at play.

Hi all. I live in the Middle East and I’m thinking of going to Korea for a dermal graft. My length is a bit above 7, maybe 7.25 or 7.5 and I’m fine with that. My Girth is a bit above 5, it varies, maybe 5.25 at mid and more at the base. I’d be happy with a uniform 5.5 for most of it (tapered at the top since my glans isn’t big), 6 would be nuts and I wouldn’t want anything above that as I really prioritize a natural look and feel. I’d much rather have a natural and healthy and normal looking 5.5 than go above that and have a frankendick. I know people here like the fillers but I want something permanent and firm (so no HA) and I’d have to fly to Mexico for PMMA which — I really don’t want to board a plane after getting shit injected into my Dick. So that leaves me to a dermal graft, which apparently have a decent record in medical literature.

The thing is I have a bit of an odd shape to my Dick and it curves to the left. Can the graft be shaped to accommodate this? Further, do you lose length when getting the graft? I’ve heard of this but can’t find any confirmations. I really wouldn’t want to lose any length.

Further, what is the recovery like? I don’t mind skipping sex for 45 days but I’m an active weightlifter so I’d hate to be out for longer than like two weeks. But I’d still do it.. just wondering.

We have tried Dermal Grafts in the past and found that the results were unreliable and not that great. If you're wanting to avoid dermal fillers and would prefer a surgical solution, I would recommend FTT (fat tissue transfer) rather than a dermal graft to increase Girth surgically.

Have you always had a curve? What do you mean by "odd shape?" You would first want to rule out Peyronie's before having any kind of enhancement done. Yes, lost length is a possibility after surgical enhancement due to the scarring that occurs during the healing process, but a lot of that depends on your surgeon's experience and expertise and what sort of aftercare regimen they put you on post-op.

You would certainly not be able to do any exercise or heavy lifting for several weeks after any sort of surgical procedure, unfortunately, and would be at an even higher risk of experiencing complications if you do not wait to heal before resuming regular physical activity. What most men don't realize is that penis enlargement surgery is REAL surgery that requires just as much downtime and aftercare as any other type of serious operation anywhere else in the body.

Rejuvall wrote:

Hi all. I live in the Middle East and I’m thinking of going to Korea for a dermal graft. My length is a bit above 7, maybe 7.25 or 7.5 and I’m fine with that. My Girth is a bit above 5, it varies, maybe 5.25 at mid and more at the base. I’d be happy with a uniform 5.5 for most of it (tapered at the top since my glans isn’t big), 6 would be nuts and I wouldn’t want anything above that as I really prioritize a natural look and feel. I’d much rather have a natural and healthy and normal looking 5.5 than go above that and have a frankendick. I know people here like the fillers but I want something permanent and firm (so no HA) and I’d have to fly to Mexico for PMMA which — I really don’t want to board a plane after getting shit injected into my Dick. So that leaves me to a dermal graft, which apparently have a decent record in medical literature.

The thing is I have a bit of an odd shape to my Dick and it curves to the left. Can the graft be shaped to accommodate this? Further, do you lose length when getting the graft? I’ve heard of this but can’t find any confirmations. I really wouldn’t want to lose any length.

Further, what is the recovery like? I don’t mind skipping sex for 45 days but I’m an active weightlifter so I’d hate to be out for longer than like two weeks. But I’d still do it.. just wondering.

We have tried Dermal Grafts in the past and found that the results were unreliable and not that great. If you're wanting to avoid dermal fillers and would prefer a surgical solution, I would recommend FTT (fat tissue transfer) rather than a dermal graft to increase Girth surgically.

Have you always had a curve? What do you mean by "odd shape?" You would first want to rule out Peyronie's before having any kind of enhancement done. Yes, lost length is a possibility after surgical enhancement due to the scarring that occurs during the healing process, but a lot of that depends on your surgeon's experience and expertise and what sort of aftercare regimen they put you on post-op.

You would certainly not be able to do any exercise or heavy lifting for several weeks after any sort of surgical procedure, unfortunately, and would be at an even higher risk of experiencing complications if you do not wait to heal before resuming regular physical activity. What most men don't realize is that penis enlargement surgery is REAL surgery that requires just as much downtime and aftercare as any other type of serious operation anywhere else in the body.

No Peyrione’s. Re: lifting, I’d fully listen to the doctor’s orders. Was just wondering what the time frame would be like.

That said, I’m seeing conflicting information from the studies. I wish it was easier to reach out to the authors of the meta analysis linked as they might have a better idea of what the field looks like with this.

I know that Proud Urology is a partner of this website and I’m considering their services

I did the graft. Post op- 5 weeks no sex, light duty for the first few days. As for heavy lifting I’m not sure. I have heard moderate exercise for the first few weeks. Im happy with the result for the most part. Gained an Inch in circumference but lost an Inch in length. It’s slowly coming back. I can feel he edge of the implant near the glans, but I’m the only one who notices. No regrets from me.

I'm curious to why FFT is superior to something like Alloderm? Is Alloderm considered more permanent than FFT? Thanks for the info btw @Rejuvall

I'm curious to why FFT is superior to something like Alloderm? Is Alloderm considered more permanent than FFT? Thanks for the info btw @Rejuvall

Sure thing; always happy to help! We have just found in our practice that FTT (Fat Tissue Transfer, different from FFT or Free Fat Transfer) yields better results and less complications than a graft.

No Peyrione’s. Re: lifting, I’d fully listen to the doctor’s orders. Was just wondering what the time frame would be like.

Very glad to hear there's no PD diagnosis. Best of luck to you on your enlargement journey, and I hope you're able to find the best fit for you!

Awrest wrote: Hi all. I live in the Middle East and I’m thinking of going to Korea for a dermal graft. My length is a bit above 7, maybe 7.25 or 7.5 and I’m fine with that. My girth is a bit above 5, it varies, maybe 5.25 at mid and more at the base. I’d be happy with a uniform 5.5 for most of it (tapered at the top since my glans isn’t big), 6 would be nuts and I wouldn’t want anything above that as I really prioritize a natural look and feel. I’d much rather have a natural and healthy and normal looking 5.5 than go above that and have a frankendick. I know people here like the fillers but I want something permanent and firm (so no HA) and I’d have to fly to Mexico for PMMA which — I really don’t want to board a plane after getting shit injected into my dick. So that leaves me to a dermal graft, which apparently have a decent record in medical literature.

The thing is I have a bit of an odd shape to my dick and it curves to the left. Can the graft be shaped to accommodate this? Further, do you lose length when getting the graft? I’ve heard of this but can’t find any confirmations. I really wouldn’t want to lose any length.

Further, what is the recovery like? I don’t mind skipping sex for 45 days but I’m an active weightlifter so I’d hate to be out for longer than like two weeks. But I’d still do it.. just wondering.

Be sure to express your goals to the folks at Proud Urology -- they have a Team of 3 Urologists, each with their own areas of urological expertise, who will collectively tailor your procedure for optimal results.

With your goals (and your already well-above average length), acquiring a 0.25" - 0.5" will require the minimal layers/sheets (or however they may choose to call it) of dermal grafts, which is actually optimal -- you see, in the past many dermal graft procedures were performed on men seeking significant gains, but the graft implant must survive for it to retain its aesthetics & permanence -- by having fewer grafts implanted, the easier it will be for your shaft to vascularize & integrate the new tissue with your penis. This is why I believe dermal grafts are a viable option when performed by Surgeons who take a conservative approach, and ideal for guys who have very reasonable, yet disciplined goals (a max of 0.75" gains with a "One & Done" procedure).

Naturally there are Pros & Cons for every procedure type, or else I'd imagine a Holy Grail of Phalloplasty would be standard industry-wide. Rejuvall has modernized the fat distribution route by evolving "FFT into FTT (as mentioned prior), while other Clinics & Doctors like Proud Urology in Korea or Dr. Liu in the Bay Area specialize in the implantation of dermal grafts (that only Surgeons are qualified to perform), and you have some places like Avanti Derma renowned for their long history of PMMA application, while others like PhalloFILL boast the strong safety profile of Hyaluronic Acid (HA). Know that your decision is a sound one when in the hands of any one of the leading innovators in this field, with a few new vetted options coming to the PhalloBoards in 2025 (mainly in the U.S.).

I should note*** however, to avoid silicone options, be-it filler, or rigid implant, for the purposes of penis enlargement. Just bad news.

What's crucial is that once you decide on the procedure-type that fits your goals, finding a quality Provider is paramount. Fortunately, @Proud_Urology , especially for those abroad and those who travel to Asia often, is a quality International Brand with English-speaking patient liaisons, and I've found them to be both professional and generally well-received.

Thank you for your detailed message and for considering Proud Urology Clinic. We are glad to hear you're prioritizing a natural and long-lasting result .

A dermal graft (Megaderm) can absolutely be shaped to accommodate mild penile curvature. In fact, if you're considering combining it with 5S penis enlargement surgery, we can further customize the graft for both function and aesthetics.

1. Can the graft be shaped to accommodate curvature?
Yes, it can. In cases of mild penile curvature (such as a natural leftward bend), our surgeons can customize the dermal graft to match and enhance your penis shape. The goal is always to maintain the natural contour while improving Girth. If the curvature is functional and doesn't interfere with sexual activity, there's typically no need to correct it.

2. Is there any loss in length after graft surgery?
This is a common concern. The surgery itself does not cause any loss in penile length. Erect length remains unchanged unless a penile curvature correction procedure is performed.

3. Recovery after graft surgery:
- No sex or masturbation for 6 weeks
- Light activity after 2 weeks from a procedure
- Avoid heavy workouts for 4 weeks

Megaderm provides long-lasting results, and most patients prefer it over temporary fillers. Based on your goals (natural look, stable Girth), you’re definitely thinking in the right direction.

And if your curvature is mild (less than 30 degrees) and doesn’t cause pain or interfere with sexual intercourse, it’s usually not classified as true penile curvature and surgery isn’t necessary. However, if it’s more than 30 degrees or causes discomfort, a surgical option is available.

Here’s how the curvature correction generally works:
- Excision of the tunica albuginea on the side opposite the bend
- Suturing to realign the shaft
- Optionally, graft placement (like Megaderm) for reinforcement if combined with enlargement

That said, curvature correction may result in a 2–3 cm reduction in Erect length, so it’s important to consider carefully. The surgery is only possible if your penile length is sufficient.

Please feel free to let us know if you have any further questions.