TOPIC: 3 inches from Length procedure at Rejuvall

antoineclamaran wrote: I still haven't seen anyone gain actual length from a ligament cut procedure.

But maybe with such new procedures...it was time somebody changed it up.

And looking forward to actual results

I think we can even expect full penis transplants within oir lifetimes.

I share your skepticism. Flaccid gains are common, but I still haven’t seen anyone achieve significant Erect length gains from surgery. Before and after pics are Flaccid. Plus it’s a pretty serious abdominal surgery with a significant recovery period.

Until they start showing major Erect gains, I’ll stay away from surgery.

It's a little confusing . BPFSL is a perfect proxy for BPEL.
If they have done hundreds of these , they never thought to have a few successful clients send in a pic after ?

Here is the abstract from a literature review paper covering up to 2018. Dr. Solomon commented positively on the results in a follow on note:

ackground: Aesthetic augmentation Phalloplasty is a set of procedures aimed at increasing penile length and/or Girth; many of these procedures are investigational. This systematic review set out to summarize available literature on these procedures in patients with normal penile anatomy. Methods: A systematic review was performed using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The MEDLINE/PubMed, Scopus, and Cochrane Databases were used to identify articles on aesthetic augmentation Phalloplasty in cis-gender men without penile deformity from 1990 to 2018. Data on outcomes, complications, and patient-reported satisfaction were collected. Results: Sixteen articles, involving 1192 patients, met our inclusion criteria. Mean age ranged from 23 to 44 years, and follow-up time ranged from 6 to 48 months. The quality of the studies was poor regarding methodology for patient selection and outcomes reporting. Surgical interventions included suspensory ligament incision, grafting, flaps, and penile disassembly. Augmentation was performed for length only in 16 percent of patients, Girth only in 70.6 percent, and combined in 13.4 percent. Length gain ranged from 8 to 83 percent in the Flaccid state and 12 to 53 percent in the Erect state. Girth gain ranged from 16 to 56 percent in the Flaccid state and 19 to 30 percent in the Erect state. The pooled complication rate was 14.6 percent, with those undergoing combined augmentation having the highest complication rate. Patients were generally satisfied; reported satisfaction rates ranged from 50 to 100 percent. Conclusions: Enhancement procedures are controversial and investigational. Data point to inconsistent methodology when reporting penile dimensions, outcomes, and patient satisfaction. Despite the reportedly high satisfaction rates, patients should be counseled regarding high complication rates. Best-practice guidelines will be critical to achieve safe and reliable outcomes.

Most websites discussing this procedure, though, say its only a Flaccid gain. I've seen FSL gains that look real, and there has been testimony, but the evidence is weak as all here have been discussing. Does anyone have a graphical depiction of the mechanism (other than Hanging) by which Erect lengthening is achieved? I've heard its related to 'repositioning'.

Wow that sounds really awesome, Can you provide links?

I had the megaMAXL procedure don’t Feb 2023. My Flaccid length increased and that a nice outcome however a literal zero increase in Erect length. Not one freaking Centimeter! I used the given post surgery stretch device for a few weeks followed by utilizing the phollasan forte. I also used the 9.5 oz weight to hang as well. I would sleep with the phollasan on after the first six weeks and each month I kept eagerly waiting for results. As the six month mark approached I grew extremely frustrated due to money pain embarrassment disfigurement that all resulted in nothing gained in my goal to achieve a larger/ longer Erection. I’m not 100% disappointed due to the Flaccid length but I am disappointed in the results. I’ve also done the prp shot that’s just a complete waste of time. However what is the most frustrating thing is once the Mega maxl surgery was completed and I was released there were no follow ups no calls nothing. I had to reach out to the PA for any communication. That ultimately ended with him saying I can’t achieve Flaccid length without Erect length… I’m over here living with the equipment I know wtf it’s doing. Lastly I’ll say I’m not sure what they did in the surgery cause when I push down on my Erection there is a tautness just like if the suspension ligaments are still there. I mentioned all of this to the PA. Said I was welcome to schedule an appointment. Anyway fellas I wish I could say glowing reviews about the surgery or even the customer satisfaction but I can’t. It all just felt a bit sleazy to take desperate men’s money and never call or check on after. Technically you get a Flaccid increase but nothing more. Perhaps others were more fortunate. Hopefully this helps someone out there. I have however seen a very mild improvement in pumping 4-5 times a week. Something I’ve started doing 2 months ago. I plan on scheduling an appointment for these people to rectify the short comings of my experience. I’m eager and hopeful they do. Thanks for reading and God Bless.

I knew going in I would only get Flaccid gains . I did . I was hoping for later gauns w/the stretching . Nada . The Erect part could be a lie , but who knows ? It’s a he said she said thing at the moment .

great.. i have my procedure the 1st week of feb.

Flaccid gains are usually common, erect gains can be a bit more elusive. It is NOT a lie to say that you can achieve erect gains post-op, heck guys achieve gains using devices without ever having severed the ligament. The idea is that by severing the suspensory ligament, you knock out a significant impediment in acquiring it through the post-op stretching protocol.

Length in general (with or without surgery) can be elusive for a lot of people because it is also anatomy-independent. In other words, just like our original endowment, there is a limit/cap on how much inner-penis available to you, and very difficult (if not impossible) to ascertain until incisions are made.

And following the scene for nearly two decades, there are such people who can be described as hard-gainers -- one's who simply don't respond to different methods & modes of elongation (often with no rhyme or reason). If you go to sites like ThundersPlace that has cataloged hundreds, if not thousands of penis exercise routines, you can look up posts using popular regimens or devices. You'll find that some guys gain a lot, some guys gain a bit, and some guys gain hardly at all, despite subscribing to the same methodology. Not suggesting you are a hard-gainer necessarily (no way for me to know), but just something for everyone to consider.

And as for follow-ups, that's usually on the patient. I've never had a Doctor put me on a prescription, or any Practitioner perform a procedure on me where they followed up weeks or months after. The assumption is that as long as you follow the protocol(s) as prescribed, you'll be fine. If you feel the treatment isn't working, then you generally are the one to follow-up. Would Physician or Physician Assistant follow-ups be nice? Sure but it would be nothing more than a courtesy, not a necessity. It's like if I bought a new TV or Sofa, I'd be surprised if the Store called me to see how it was going because it's a fair assumption I must like it if I haven't called them, and all they'd be doing is taking time out of their day confirming the obvious. Either way, perhaps they will take your feedback into consideration regarding follow-ups, but I'm personally saying that it isn't grounds to justify terms like "sleazy," especially since I know how professional they've been all these years.

The only exceptions where someone may follow-up with a Patient is a Psychologist or Psychiatrist, or after procedures that have critical windows (i.e. organ transplants); otherwise I don't think Physician or Physician Assistant's do much follow-up work unless requested. Even most Progress Reports indicate that if any follow-up was done, it's usually within the first few days. I've had 5+ (memory vague since it's been so long ago) appointments, either for girth and/or touch-ups, and not once was I contacted afterwards. I'd only do so to if I had a concern or complaint. That's ultimately why you ( @DunD ) called them, so that the problem can be identified, or whether or not to determine if a follow-up is necessary. Only when the patient sets up a follow-up appointment can the Physician be made privy to any requests of revisions, evaluations, and/or additions.

I'll forward your complaint @DunD to Rejuvall, I know Dr. Carney is peak Professional as they come, and he wouldn't want his work, nor his Brand's Customer relations to cast a dissatisfactory reflection. I would consider the follow-up appointment with them, see if they can identify the issue(s). Sorry to hear you aren't achieving erect gains, despite flaccid increases. I genuinely believe they want a happy Patient, so I think it would be fair to allow them to assess your situation before giving up. There are a myriad number of factors that could be at play (examples: limited inner-penis, limited or non-compliant skin, re-attached or partial severing of ligament, modifications to your stretching regimen, potentially a hard-gainer as described above, and other factors that a Reconstructive Urological Surgeon would know, like Dr. Carney).

Length is incredibly more complicated than girth, so please have patience and go through with a follow-up, see what can be identified. I'm wishing you the best of luck and I sincerely believe Dr. Carney has his patients' best interest in mind, as he has demonstrated that year after year through not only Progress Reports, but communications I've had with patients via back channels like PM's (the Forum's Private Message system) and Emails.