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TOPIC: Going under the knife

Going under the knife 12 years 9 months ago #1280018361

Quick update. My surgery is booked for December 2nd.

I looked at PMMA but the look is not to my personal taste, I prefer a more natural looking taper. I\'m going with Sr Solomon.

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Going under the knife 12 years 9 months ago #1280019332

Have you spoken to any long term Solomon patients?

I think everyone would prefer to have a natural looking taper. But believe me, price isn\'t the reason Allografts aren\'t that popular. If it was as simple as having a one off surgery and gaining 1\" of aesthetic looking Girth then no other procedure would be considered. But it isn\'t like that, hence only a handful of surgeons perform this simple operation, that is very lucrative.


I like Solomons technique via the scrotum, but I think being Circumcised at the same time is a really bad idea. I think your chances of infection grow dramatically and blood supply could be compromised causing tissue death. If it was as safe to do this surgery via a circ incision, then why isn\'t it always done that way? Why would surgeons create a new incision area that will leave a scar, when they can just use the the circ scar?

I don\'t think you\'ve done enough research. You are a married guy, so surely there is no need to rush into this.

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Going under the knife 12 years 9 months ago #1280034390

I feel I\'ve done enough research, to be happy with my choice. There are always risks and I know that the surgimend graft offers the best chance of a good gain from one op with no layering required

The risk of infection for circ + Girth is different depending on the surgeon, dr s doesn\'t layer the graft so that reduces the risk. I\'m told infection occurs in 10% of patients and half those need only antibiotics. If I\'m in the unlucky 5% I have money put aside to return to Philadelphia.

A 1\" increase in Girth is enough for me, that would be 5.8\". The dr says the gain will be 30% after all healing, that would end up as 6.2\", even better.

I will report back with results, only time will tell if the choice I made is the right one for me.

I\'m hoping to get an email from a previous patient who had the op so I can hear their experience. I will update you if I do.

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Going under the knife 12 years 9 months ago #1280036399

When we really want something, it\'s so easy to convince ourselves that we\'ve done enough research, as we really only want to learn enough that tells us it\'s a good idea. Lets\' be 100% honest here, you haven\'t found a single patient who has had a surgiment graft for a year yet have you? Have you even spoken to a single independent source (ie someone not given to you via Solomons office) that has had a surgimend graft for more than 6 months?

It\'s very, very typical for guys to think in a way that allows them to reach the conclusion they want to, but to do this one needs to think in a way that doesn\'t challenge what we are told, even if there are some quite glaring red flags. I know its not what you want to do, but as a Moderator who has years of experience with PE patients, I feel I should try and get you to think a bit more objectively.

First you have to ask yourself why so few surgeons perform this procedure, given how simple it is to do (compared to many other plastic surgery procedures,) how lucrative it is and how high the demand is. You really have to bury your head deep into the sand not to wonder why that might be. It really can\'t be because Dr\'s don\'t like earning money. Surely the only logical conclusion is that the satisfaction rates aren\'t high enough for most Dr\'s to want to deal with.

Then if we look at the procedure itself, have you really thought about that enough? I mean even without any medical knowledge, surely one can tell there has to be something a miss when you are being told a 4mm thick graft will yield a 30% gain. Mathematically that just doesn\'t make sense. As you say, a 30% gain would mean you\'d be 6.2\". But wrapping a 4mm thick graft around 2/3 of a 4.8\" penis, can\'t really yield more than about 5.5\". Obviously for the first 6 months there will be swelling, but once that is gone, all you\'ll have is the graft. But even that is before absorption and if you research the allograft reports here, about 75% of patients seem to observe quite dramatic absorption. So forgetting everything you\'ve been told regarding gains by the guy who makes his living out of these procedures, logically does it even make sense you can get the 1\" you want?


If infection rates were the same for using the circ incision, then every surgeon would use this method and Solomon himself would use it for every surgery. It\'s basically scar less penis enlargement, yet he and other surgeons don\'t routinely do it. Think about it, why would he make an incision in either the pubic area or the scrotum, if the operation could be done just as well through a circ incision? It simply makes no sense. Again forget what the guy making money from the surgery says and ask yourself if there is a reason why he wouldn\'t always use this method if it\'s just as safe. What possible reason would there be for making an incision and leaving a scar somewhere else, when he can just go through a circ scar incision. Doesn\'t that sound a bit odd?

Have you researched the consequences of an infection that is hard to treat? You may have put money aside to go back to Philly, but that doesn\'t mean the problem can be solved when you are there. There have been cases where guys have had to have their pubic bone removed due to an infection after PE surgery. We have a member here who became impotent due to infection. We\'ve have 3 members (Candybars, Curious1 and ChicagoLaw) who have had surgery with Solomon and 2 of them got infections. Also one of them had to have the graft removed a year later as it ripped.

The difference between all these allografts, be it Alloderm, Belloderm, Reprizza or Surgimend are negligible. In the same way you are now being told Surgimend is better, previous patients were told the same about Belloderm. They are essentially the same thing and the biggest difference is simply the size of the graft material. So with that in mind I\'d research Belloderm and Alloderm patients if I were you. The rate of absorption will be the same, as will the rate of graft contraction.

I\'m not saying you shouldn\'t have the surgery, but simply maybe you shouldn\'t have it right now. I say this from a place of experience as someone who has rushed into a a procedure before only to be left disappointed. If Solomon was still offering Belloderm or Alloderm I doubt very much you\'d be so keen, as you\'d have plenty of case reports here that show most of the time patients are left disappointed. The fact he\'s using a different type of graft now doesn\'t mean things will necessarily be any different. I\'m not saying they wont be, but simply experience has shown it\'s best to wait and see with these things. We\'ve all got one member who has had this graft. Why not follow his progress for a year and then make a decision. It\'s not like you are a young guy who is avoiding sexual relationships due to the size of his penis. You are a married guy with kids, so it\'s not as if your life is on hold until you sort this issue out.




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Going under the knife 12 years 9 months ago #1280037126

Hoddle thanks, wise words.

I am an impulsive person and you are right in that I\'m thinking optimistically.

So where do I go from here?



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Going under the knife 12 years 9 months ago #1280037792

Alchemist wrote: Hoddle thanks, wise words. I am an impulsive person and you are right in that I\'m thinking optimistically. So where do I go from here?


I\'d honestly just wait. I\'d love to tell you that there is a better option for you, but sadly there just isn\'t. I think the current options are a worth a look in certain circumstances, when, for example, a guys life is in total turmoil due to penis size issues. But given the poor track record of these procedures and the fact you are married with children, it just really isn\'t worth the risk. I promise you I\'m not even being over pessimistic here. I can honestly say that in the many years I\'ve been following PE surgery, less than 25% of guys who have it done are pleased with the results a year or two later.

I\'m not only impulsive, but I\'m absolutely desperate to have a bigger penis. My life really is on hold. However, though it took many failed surgeries, I\'ve eventually learned my lesson. Hence though it\'s very tempting to get PMMA, I\'m waiting until I have all the information I need.

As i said before, I\'m not saying you shouldn\'t have the surgery period. But you really should wait until you\'ve followed a few guys over a period of time. My very strong suspicion is that Surgimend wont be any better than Belloderm. I think Dr Solomon is a good surgeon and I like his approach of using a scrotal incision and wrapping one sheet. But ultimately I\'d be shocked if 18 months later you have much more than 1/2\" gain. And even then it seems these grafts deteriorate further over time.

At the very least you should wait for Chicagolaw to report his 6 month results. Personally I\'d want far more reports than that, but even just one is better than nothing.

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Going under the knife 12 years 9 months ago #1280083080

This product info file is about surgimend, from the manufacturer. It talks about how it does not degenerate compared to other acellular dermal matrices. As it\'s a product used widely in plastic surgery generally not just phalloplasty, issues of degeneration are well understood and documented. This is reassuring, as scientifically it has been established to be better than the likes of alloderm and belladerm whilst being twice as thick to start with.

www.teibio.com/file-assets/Product-Summa..._PN-606-999-0421.pdf

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Going under the knife 12 years 9 months ago #1280083567

Alchemist wrote: This product info file is about surgimend, from the manufacturer. It talks about how it does not degenerate compared to other acellular dermal matrices. As it\'s a product used widely in plastic surgery generally not just phalloplasty, issues of degeneration are well understood and documented. This is reassuring, as scientifically it has been established to be better than the likes of alloderm and belladerm whilst being twice as thick to start with. www.teibio.com/file-assets/Product-Summa..._PN-606-999-0421.pdf


It all sounds very impressive. But you need to ask the right questions. Basically how does any of this really make it a better product for Penis Enlargement?

For example, I\'m not sure graft strength is at all beneficial, as previous materials have been known the shorten the penis due to not stretching. A tougher graft material isn\'t going to help with that.

These things are all used widely is plastic and other reconstructive surgery. It\'s very rare they are used in Phalloplasty. Only a handful of Dr\'s throughout the world use them for this purpose. In fact you could email Teibio and ask them if they recommend their product for PE purposes. I bet they say they don\'t.

The sources they mentioned for issues of degeneration date to before Belloderm was even on the market! Also we have seen the in the long term even dermal grafts taken from our own tissue often degenerate, so can a donor really be expected to fair better.

Trust me, every single time a new graft material comes along, it sounds in theory to be brilliant and not suffer from the same issues as previous materials. Then, every time, without fail, results end up being disappointing.

Ultimately it\'s your decision, but the best advice is definitely to wait and see. We are bound to see more guys come along who have had this, like ChicagoLaw.

If you do decide to go ahead, please keep us updated.

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Going under the knife 12 years 9 months ago #1280090643

Thanks. I am going to go ahead in the first week of December.

I\'ve sent a PM to chicagolaw and curious1 but I don\'t think they are visiting the site anymore.

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Going under the knife 12 years 9 months ago #1280090768

Alchemist wrote: Thanks. I am going to go ahead in the first week of December.

I\'ve sent a PM to chicagolaw and curious1 but I don\'t think they are visiting the site anymore.


Will you start a progress thread? It would be great if you could as we only have Chicagolaw who has had this done.

I\'m personally very interested in your progress, as I like the idea of being able to insert the graft via the scrotum. I know you aren\'t having yours via that technique, but if your graft holds up well, then we know it can also be put in via the scrotum.

Good luck and keep on posting!

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Going under the knife 12 years 9 months ago #1280094157

I definitely will create a thread nearer the time, I will try to include photos before, immediately after and the following months

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Going under the knife 12 years 9 months ago #1280095066

Alchemist wrote: Quick update. My surgery is booked for December 2nd. I looked at PMMA but the look is not to my personal taste, I prefer a more natural looking taper. I\'m going with Sr Solomon.


Im looking forward to your thread... I wonder how much of a gain you can get from this procedure.

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