TOPIC: Korean phalloplasty

Mmmm very interesting thread are there any doctor\'s outside of korea using this method?

Hey guys,

Just wanted to introduce myself and say a big hello to everyone. I\'ve been sort of lurking around here for a couple of months and wanted to participate/contribute if possible whenever I can. So, I was reading Dr. Kim in Korea\'s website(googled megaderm/megafill), which I think was previously linked to in this post. www.urodoc.co/penis-enlargement-by-injection.htm
So, megafill, as per this website, is basically allografted cadaver tissue, albeit it is injected rather than grafted through open surgery. This is an interesting option, and I wonder if it would circumvent some of the issues with alloderm grafting via open surgery. What do you guys think?
Also, a thought I\'ve had about phallplasty is if it would be theoretically possible to obtain tissue from our own bodies to utilize for girth enhancement other than fat tissue. If they can use donor cadaver tissue to inject in the form of megafill(as per Dr. Kim\'s website), would it be possible to harvest tissue for injection from our own bodies(other than our own fat)? Just some thoughts I\'ve had. Cheers!

Megafill wont be any different to injectable alloderm and that doesn\'t work.

Any Dr that offers such a wide variety of procedures to achieve the same thing should be avoided in my opinion. Logic and common sense tells us something doesn\'t quite add up here. If you have a good quality method of enlarging the penis without the need to invasive surgery, then why on earth would you still offer surgery? If you have a good quality method of enlarging the penis via surgery, then why on earth would you offer a variety of methods? You can\'t seriously believe this guys is getting consistent results with methods other Dr\'s from all over the world have failed. So given that, why does he still offer allografts and plga. The reason his teacher, Dr Perovic, used PLGA is because of the problems with allografts. The reason PLGA has never really taken off is because the gains are so disappointing. Yet he\'s still offering these procedures when he\'s supposedly got a good injectable method! It simply doesn\'t make sense.

Also the guy who runs that site, runs the Perovic team site, which he calls the worlds best PE method. He also runs a site where they offer a silicone oil injection in Thailand, which he describes as the worlds second best method. I assume the list of procedures offers by Dr Kim make up the 3rd, 4th, 5th and 6th best methods!

On the positive side, if someone were to try Megafill, then at least in theory you don\'t need to worry about immune reactions as we do with non biological fillers like PMMA.

But it does seem odd, that in a country obsessed with plastic surgery and penis size, as Korea is, that this procedure isn\'t wide spread. Surely if it worked there would be clinics on every street corner. Yet those who have researched the Korean market don\'t seem to be reporting anything of the sort.

This isn\'t really very useful, but here is clip of Megafill being used in dentistry:

I don\'t know if it\'s been posted before elsewhere, but here is a link to the website of the manufacturers website:


www.lncbio.co.kr/sub_eng_02_02.html

Hoddle,

I appreciate your above comments regarding megafill with Dr. Kim. I also find it odd that he would offer so many various options for phalloplasty if he believes he has a superior method. However, he explicitly states on his site that of all the PE procedures that he performs, he believes megafill is superior to any of the others. Perhaps, he has all of the options he does for those who are headstrong about getting one procedure over another regardless of his opinion, to increase his market for consumers(patients). He does clearly state he thinks injectables are superior to grafting with open surgery and amongst injectables, he believes megafill(alloderm injection) is superior.

Not sure why other clinics around Korea have not adopted this method if he truly is onto something. However, he speaks about having been diametrically opposed to the use of megafill until 2014 when he supposedly found a way to yield better results with megafill, but he felt it \" inadvisable\" until he found this way to utilize it before this year(as per his website). He explains this somewhat on his website under the heading \"megafill.\"

If alloderm injections were able to yield results, the main worry this would assuage would be the concern about immunological reactions from non biological filler substances.

I did find one article online about \"bellagen\" which is basically belladerm being injected that led to one man who was a diabetic having necrosis. However, this case study was from 2010 or 2011. www.ncbi.nlm.nih.gov/pmc/articles/PMC3276783/ .

He doesn\'t actually explain why he\'s changed his mind about Megafill. To be honest I think all he is doing is mixing Megafill with HA. Because HA can last a year or even longer, I have to wonder if he really knows how permanent this procedure is. I think the idea is that the HA acts as a scaffold and thus works similarly to allografts. But how could he know it really works until he\'s seen some results that are 2 years post op. Only a few months ago he was against the use of Megaderm, so it seems hard to believe that he\'s had enough time to assess the results of the new technique.

I don\'t think Necrosis would be an issue. I didn\'t read the article, but from the photo it looks like he\'s had the bellagen injected directly into the glans with a sharp needle. I think to increase the shaft, a canula and \"tent\" technique would be used.

Hoddle,

I agree with everything you just said about the megafill. Perhaps he is using HA as a scaffold. I think Dr. Kim needs to follow his patients longer to learn about the permanency of his longer term results, as he just recently has been buttressing this procedure. I also think he needs to show some before and after pics on his site!!( unless I didn\'t navigate the site properly). I think megafill is worth at least doing further research and perhaps a consultation with Dr. Kim. Maybe I could have a consultation with him over the phone.

I\'m researching all of the options out there right now and I can see that PMMA has superior results of the procedures out there, however, I\'m trying to look into other potentially viable alternatives as well though. I am looking into FFT with PRP, wondering if the results with PRP vastly differ than FFT results prior to the addition of this.

Interestingly, on Dr. Kim\'s website, he claims that with HA fillers, about 30 percent of the gains remain permanently(not that we can trust him).

Dr. Kim also said that megafill used to get very bad results, however, he figured out why the micronized tissues were not getting good results. He then goes on to say \" surgeons call these confidential and proprietary medical secrets tips and tricks.\" He delves into this in the section on his site \" injection vs surgery enlargement.\"

\"Tips and tricks\" aren\'t Dr Kims words. The guy who runs that site used the same quote for Dr Perovic! He\'s an American guy called Richard. I\'ve spoken to him in the past and he came across like a second hand car salesman.

At the end of the day it\'s just a filler injection, so there isn\'t much to it. I think the only thing he does differently now is add the HA, which probably makes the product easier to mold and provides the structure or scaffold for tissue growth. Basically it\'s now a 50% mix, when it used to be 100% Megafill, that is the key difference.

If this were to work it would be fantastic, as it would be similar to PMMA, but with less risk. But it all sounds too good to be true in my opinion. Having said that, if we can confirm he is just mixing it with HA, then for the price, it wouldn\'t be too bad if it only lasted a year anyway, so it could be worth a gamble. The trouble is they are so vague about exactly what they are injecting and we\'d need total transparency. If they could absolutely confirm it\'s a basic mix of Megafill and a proven brand of HA, then I don\'t think the risk is that great and hopefully the worst that can happen is a year later is absorbs and the patient is left disappointed.

Another thought is that it could be mixed with Dextran. This would make sense given they seem familiar Lipen.