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TOPIC: - The Beginners Guide to Phalloplasty & the PB Forum - [UNDER CONSTRUCTION]

Guide to PhalloBoards & Phalloplasty 11 months 5 days ago #1308695751

[THIS IS CURRENTLY UNDER CONSTRUCTION - IT IS TO GO LIVE January 1st, 2020 AND SERVE AS AN EASY-TO-READ GUIDE FOR FIRST-TIMERS. THIS WILL CONTINUE TO UNDERGO EDITS FOR SIMPLICITY AND RESOURCEFULNESS] - ONLY comment if it's a suggestion to add, change, or remove something (and give a reason why). Also the final product will have had input from forum veterans and Sponsors as well, so what you see here is a 20% complete rough draft.]



If this is your first time diving into the subject matter, you'll find it necessary to get caught up on all the lingo, terminology, names, techniques, and procedures commonly discussed on the forum. For starters, phalloplasty (or penoplasty) is a branch of aesthetic medicine that concerns itself with the enlargement or enhancement of the penis. Today the leading methods in phalloplasty are non-surgical, but some viable surgical options are still in practice.


Phalloplasty Non-Surgical vs Surgical

Non-Surgical

Non-surgical methods are generally outpatient procedures that involve an injectable fillers to augment the penile shaft. This includes collagen-inducing dermal fillers (examples: PMMA, Ellanse, and Radiesse), Hyaluronic Acid (commonly abbreviated as HA on the forum), and free fat transfer (often abbreviated as FFT). Silicone filler is the one you want to avoid. Regardless of whether it is a silicone oil, gel, or some "specialty mix," avoid it like the plague! Complications that can arise from an unfortunate reaction to the foreign body are severe (e.g. losing shaft skin, among other health concerns).

Not all fillers are suitable for augmenting the penis. Not all practitioners are versed or trained in the proper injection techniques of even the best fillers available. For best results, an experienced physician using a well-documented medical-grade product is the way to go. Dermal fillers are the most popular method for girth enhancement. Although fillers cannot be used to achieve length gains, some patients report a better hanging flaccid due to the weight of the newly added collagen as well as less retraction.

Surgical

Surgical methods range from the insertion of a rigid silicone implant to the implantation of a dermal graft, either harvested from the patient or acquired from a cadaver. These are often more invasive but in theory present some benefits if & when the practitioner is highly skilled the the implant is compatible with the penis. As mentioned before, stay away from silicone, even if it is intended as an implant. This is because your penis is an ever-changing organ and the stress and inflammation it experiences by having an immobile rigid implant can do more harm than good. Note* implants used for men with erectile dysfunction or impotence are an entirely different matter and have nothing to do with cosmetic surgery.

As for grafts, the best option are going to be the ones prepared & sterilized by a medical device manufacturer. Having grafts harvested from the patient is no longer necessary (virtually obsolete) with the advent of quality acellular dermal matrices (a.k.a. grafts). Typically what happens is the Surgeon degloves the penis, wraps the shaft with the graft & sutures, then re-gloves the unit yielding a much thicker penis. The key to success with this kind of procedure is vascularization. Poor quality grafts, too thick of grafts, or the layering of grafts may inhibit a blood supply necessary for the implant to survive. This is why older techniques resulted in penises experiencing contraction or shrinkage due to the graft's inability to sustain a healthy blood supply. There are indeed successful practitioners who are using modern techniques with the appropriate types of grafts but they are far & few as it typically takes a highly experienced Plastic Surgeon to produce the desired surgical results.


Lengthening.

This one is pretty short and sweet. Theory has it that if you sever the suspensory ligament from the pubic bone, it will allow the penis to hang lower thus achieving length. It is usually advised to couple this procedure with a long-term hanging/stretching regimen to prevent the ligament from reattaching and keeping as much of the "inner" penis pulled outward. Despite the overwhelming photo & first-hand evidence of girth gains, length still seems to be elusive. Flaccid gains are generally regarded as a benefit from the procedure, but erect gains without having done any hanging/stretching seem to be uncommon. Due to the tedious or impractical commitment of a stretching regimen for some men, data concerning the efficacy of lengthening is hard to come by.

Doctors will generally tout their version of the method (scalpel vs laser, spacer vs no spacer, etc) but the core principle remains the same.


Glans Enhancement

The biggest downside to girth enhancement is that the larger you get, the more you dwarf the proportion of your glans. Unless you have had the good fortune of starting out with a glorious mushroom head, some who get work done sometimes experience the "pig-in-the-blanket" effect (looks exactly as it sounds). This is one big reason why glans enhancement has seen increased interest over the years. Due to the sensitive anatomy of the glans, the only product used in the area is HA, typically in volumes so low. Generally regarded as a riskier endeavor with insignificant gains. That isn't to say a skilled injector couldn't yield a good result, but the jury remains out on the matter.


Scrotal Enlargement & Penoscrotal Webbing

Scrotal enlargement typically involves the implantation of silicone balls (that sometimes are designed to cup your testicles) or augmentation via filler. This forum simply lacks both the empirical and anecdotal evidence that would categorically dismiss silicone's use in the scrotum. Remember that silicone has and is used in different parts of the body with relative success, it just so happens that the penis is a poor destination for the material. As for the efficacy of silicone materials in the scrotum (and by extension, in proximity to the testicles), the jury's still out (as of 2019).

Penoscrotal webbing (or turkey neck as some call it here) is when excess skin connects the underside of the penile shaft to the scrotal skin. This poses two problems: (1) it isn't visually appealing and (2) more importantly, the connective skin can prevent the penis from full insertion during intercourse, which can prove frustrating at the very least. There are procedures now that trim the excess skin with surgical equipment, the wound left behind is stitched up, and you generally get very natural results once everything is healed.

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Skeptical One
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Last edit: by Skeptical_One.

- The Beginners Guide to Phalloplasty & the PB Forum - [UNDER CONSTRUCTION] 10 months 2 weeks ago #1308695844

PHALLOBOARDS GLOSSARY

Names & terms used frequently in the discussion forum. (Note: some terms may seem like common knowledge but due to non-native English speakers that visit the forum, it's important these terms are clarified)

[A]

Acellular dermal matrix: A graft derived from a previously living thing that is sterilized and cut into standardized dimensions for implantation. Examples: Alloderm, Belladerm, Surgimend.

Atrophy: when tissue wastes away; degeneration of cells.

Augment/augmentation: to make something bigger by adding to it.

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[B.]

Belladerm: A brand of acellular dermal matrix (a.k.a. dermal graft).

Bellafill: the patented American iteration of PMMA dermal filler.

Balls: Common American slang for testicles.

BEG: Base erect girth. The measured circumference of the penile shaft at the very base where it meets the body.

BFG: Base flaccid girth. The measured circumference of the penile shaft at the very base where it meets the body.

BPEL: Bone-pressed erect length. This is a method of measuring erect length by pressing a ruler against your pubic bone just above the base of your shaft.

BPFL: Bone-pressed flaccid length. This is a method of measuring flaccid length by pressing a ruler against your pubic bone just above the base of your shaft.

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[C]

Casavantes: Dr. Luis Casavantes, regarded as the most experienced and successful injector of medical-grade PMMA for girth enhancement.

Catheter: A flexible tube inserted into the body for removing fluids. Can be required after more invasive phalloplasty procedures.

Chode: A penis known to be wider than it is long.

Cialis: A prescription medicine for erectile dysfunction.

Circumcised: Having foreskin previously removed surgically. (see Circumcision)

Circumcision: The act of removing penile foreskin for religious, social, sexual, or medical purposes. Circumcision is often recommended for men undergoing dermal filler girth enhancement. [SEE LINK]

Cock: American Slang for a Penis.

Coke can: A penis know for being extraordinarily thick, where it's circumference is longer than its length. A very large chode. (see Chode)

Corpus Cavernosa [DIAGRAM]

Corpus Spongiosum [DIAGRAM]

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[D]

Dartos [DIAGRAM]

Dermal Grafts: Any variety of graft that is derived from the patient or an external source like animal cadaver.

Dermal Filler: Any medical-grade product used in aesthetic medicine to fill spaces in the skin for contour and/or augmentation.

Dermatologist: A Medical Doctor who specializes in Dermatology. (see Dermatology) Generally trained and experienced in the injection techniques of dermal fillers.

Dermatology: Branch of Medicine that treats skin disorders. A field well acquainted with dermal fillers used in girth enhancement.

Dick: American Slang for a Penis.

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[E]

Erect Length (EL): Erect length. Often coupled with BPEL (bone-pressed) or NBPEL (non-bone pressed) for assessing penile length.

Erection Quality (EQ): refers to the quality of blood flow & rigidity relative to the maximum-potential engorgement of one's penis. Often described in percentages (e.g. 100% would imply maximum engorgement).

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[F]

Flaccid: The penis in a non-aroused, non-erect state.

Foreskin: skin that covers the penile glans in uncircumcised men.

Frenulum: Or "frenulum of the prepuce of penis" [DIAGRAM]

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[G]

Girth: generally assumed to refer to the circumference of an erect penile shaft but can apply to the flaccid penis, flaccid glans, and erect glans. If the penis tapers in girth, most reported erect girth measurements are found at the thickest part of the shaft.

Grower: Men who exhibit a very retracted flaccid penis which contrast significantly from their erect size.

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[H]

Hanger: a medical or recreational device designed to attach a weight to the penis to induce a perpetual stretch.

Hanging: a manual penis enlargement exercise that utilizes Hangers or similar homemade devices in order to achieve a stretch through weight/gravity.

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[I.]

Induced Erection: a technique that medically induces an erection prior to injecting filler product.

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[J]

Jelqing: a manual penis enlargement exercise that typically involves two fingers creating a ring around the base of the shaft, gripping, and pulling forward and out. This is also called a dry jelq. A wet jelq involves the use of water or lubricant on the shaft when performing the exercise.

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[K]

Kenalog: a corticosteroid used to treat nodules and other complications associated with filler injections.

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[L]

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[M]

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[N]

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[O]

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[P]

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[Q]

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[R]

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[S.]

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[T]

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[U.]

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[V]

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[W]

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[X]

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[Y]

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[Z]

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Skeptical One
PhalloBoards Owner & Administrator
www.phalloboards.info (PhalloBoards 3.0)
phalloboards.websitetoolbox.com (PhalloBoards 2.0)
phalloplasty.proboards.com (PhalloBoards 1.0)
Social Media Accounts Coming Soon!
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Last edit: by Skeptical_One.

- The Beginners Guide to Phalloplasty & the PB Forum - [UNDER CONSTRUCTION] 10 months 2 weeks ago #1308695846

THE MOST INFORMATIVE AND RELEVANT TOPICS OF PHALLBOARDS 1.0 & PHALLOBOARDS 2.0 - GREAT FOR RESEARCH, REQUIRED READING FOR SERIOUS CANDIDATES OF PHALLOPLASTY!

PhalloBoards 2.0

Heard of PMMA (Medical Grade) OR Dr Casavantes? [PART 2] - 2011
(The 2nd part of a lengthy forum debate & dialog at a time when PMMA was being discovered by the PE community. The 1st part can be found over at PhalloBoards 1.0 as well as down below)

Link 2 (description)
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and more...

PhalloBoards 1.0

Link 1 (description)
Link 2 (description)
Link 3 (description)
Link 4 (description)
Link 5 (description)
Link 6 (description)
Link 7 (description)
Link 8 (description)
Link 9 (description)
Link 10 (description)
and more...

Skeptical One
PhalloBoards Owner & Administrator
www.phalloboards.info (PhalloBoards 3.0)
phalloboards.websitetoolbox.com (PhalloBoards 2.0)
phalloplasty.proboards.com (PhalloBoards 1.0)
Social Media Accounts Coming Soon!
phalloboards@gmail.com (General Inquiries)
phalloboardsofficial@gmail.com (Premium Membership Inquires)

The following user(s) said Thank You: Javalon19

Please Log in or Create an account to join the conversation.

Last edit: by Skeptical_One.
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