TOPIC: Cutting the ligament answers

Ive looked around the forum and i can't seem to get a definite answere to the ligament question....is it worth cutting it?
Some seem to think it is and some don't so if the ppl who have had the ligament cut could please write why it is worth it or if you regreted it maybe say what the draw backs are etc and ultimately is it worth doing over just using extenders , anyone can chip in ovcourse but ppl who actually had the surgery would be great , thanks.

I'm not sure how many will chime in but lengthening in general is done considerably less than girth enhancement. Girth enhancement is largely non-surgical nowadays which probably explains why you see 100x as many reports, but also probably because predicting and/or guaranteeing length is very difficult.

The idea of spending thousands of dollars on "hopes" isn't a prospect most men like to hear. An in-clinic evaluation isn't likely going to yield any information with respect to how much to expect in the way of inches. And on top of all that you're still expected to fulfill a multi-month stretching regimen.

I've considered it myself and will document it should I go through with it. I usually recommend this procedure to those with the most to gain. In other words, if you are 7inches long, the risks & costs associated with ligamentolysis are hard to justify than it would be for someone who is 4.5inches long. A whole one inch gain for the 4.5incher is way more significant than the one whole inch for a 7incher.

I know Dr. Carney has become increasingly confident in his procedure which he's been refining over the years, taking what he learned from reconstructive urology dealing with buried penises. Dr. Liu and Dr. Solomon also perform ligamentolysis.

It honestly comes down to how important that "extra inch" is to you. I hope others chime in, but like I said in my opening, lig procedures are rare, and the majority of this site's traffic are lurkers, so you may be better off just searching "ligament" on both this site and PhalloBoards 2.0 .

You certianly know your stuff and i agree with it all but thats why i was hoping to get more answeres off the folks that have had the procedere , its only really them blokes that can give us the full feed back, its such a big decision that im looking to get every answere possible befpre i go for the Girth enhancement late nxt year , i was 100% percent going to get Girth and length together at one point but since doing research on penis extenders its through a spanner in the works tbh im left thinking is it ?? Im 6" Erect but not as girthy as i would like hence the fat transfere im getting , i cant help but feel i would be happier getting an extra Inch in length at least but its just the question of am i wasting my money if the extender/weights will give me that anyway? Will a stretching extender routine compliment the Girth procedure enough on its own?......you obviuosly have done alot of research and know what your talking so thanks for that, hope some ppl who have had it will give the full breakdown of their experience thanks.

In my opinion, Ligamentolysis is quite perplexing and mysterious. With penis thickening procedures there are many different ways, with many kinds of fillers and graft materials, but when it comes to lengthening there is only one procedure: Ligamentolysis. With fillers the penis will always become thicker, and while I read that some surgeons claim to be able to tell how much someone can gain in length from Ligamentolysis, it seems very much a gamble.

Of course guys want length increase, but many are unaware that Ligamentolysis is mostly only for Flaccid gains. All reputable surgeons will say this, although Erect gains is possible, but they will say that anyone promising it is a conman. I believe this is one reason why many people who had the surgery might have ended up disappointed, but even if they were aware of the nature of the surgery, many might have hoped for much bigger gains in length and especially Erect gains.

Another problem is that the Flaccid gains do not even seem to be guaranteed. Supposedly, the stretching after the procedure is very important, and here both surgeons and forum members will say very different things: some surgeons will claim 30-60 minutes a day for 1-3 months is enough, but some surgeons and forum members say that wearing the stretching device for 6-12 months for most of the day is required to have any significant gains.

It seems that most people have Flaccid gains right after the surgery, but then some of the gains can be lost unless you do stretching, and supposedly this will "cement" the gains. In the past, there was risk of the penis shrinking due to the ligament healing and the penis retracting, but I suppose this is so well-known by now that since long surgeons use techniques to prevent this from happening. I read that it is pretty much impossible to happen if the right techniques are used.

Another thing that is often mentioned is changed Erection angle and even loss of penile stability. It seems this is something that has stuck around, but both surgeons and forum members say it is either unheard of or greatly exaggerated. Ligamentolysis is actually the one surgery offered everywhere in the world, so it seems they are quite comfortable to perform it, while many doctors have strong hesitations when it comes to certain fillers and dermal graft.

It is interesting because fillers have guaranteed results, albeit with possible complications, while Ligamentolysis hardly have any guarantees to it; meaning that Ligamentolysis is probably a rather safe surgery, even in comparison to fillers, which might have all kinds of unwanted complications such as lumpiness. Even if for example PMMA might have great results for most people, many surgeons might be uncomfortable to deal with the complications whereas Ligamentolysis seems more acceptable.

As for those who had Ligamentolysis done: I am one of those people, but I am not a good example, because I had my procedure done 3 months ago and because of swelling of the Foreskin I have been unable to stretch. For that reason, I am not sure if I have had any gains at all in length, but I am quite certain that my penis has not become shorter either. I would not be surprised at all if I had gains if I could do stretching, but without stretching I can say that I had no gains.

Thanks very much screen2584 , well i will be using a penimaster pro for around 12 months bfore i go for the surgery maybe that will make the decision for me regarding ligamentosis? If the gains are good enough by then i might jist get the Girth enhansement (fat transfere procedure) and carry on with stretching??.
On a side note , is it common for the skin to swell so you cant stretch afterwards? And what part of the procedure caused this? Oh also who did you do it with? Thanks.

jay1 wrote: Thanks very much screen2584 , well i will be using a penimaster pro for around 12 months bfore i go for the surgery maybe that will make the decision for me regarding ligamentosis? If the gains are good enough by then i might jist get the girth enhansement (fat transfere procedure) and carry on with stretching??.
On a side note , is it common for the skin to swell so you cant stretch afterwards? And what part of the procedure caused this? Oh also who did you do it with? Thanks.

If you are not circumcised, then foreskin swelling of the phimotic ring (phimosis) is not uncommon, also called prepuce edema, and here is one recent example on the forum of a guy who had HA filler and developed phimosis: www.phalloboards.info/forum/progress-rep...sion-ha-ellanse.html

In one study of people who had dermal fat graft in China, it said that 7/30 people developed phimosis that was resolved in 4 months. It does not mention though if steroid cream was used, or if some of the participants of the study had already been circumcised, however after any kind of thickening procedure the penis will be very swollen.

This is especially true for fat transfer, where much of the fat will be absorbed, so the initial amount injected is very high to try to compensate for some of the absorption. Circumcision is not mandatory, but some doctors recommend it, and some even insist on it.

One other thing I know is that ligamentolysis should not be combined with a thickening procedure at the same time, because it will not be possible to stretch the penis for some time, but still many clinics offer it as a combination procedure.

I had my procedure: dermal fat graft and ligamentolysis done in Thailand.

Thanks again very informative , at mooregate andrology uk they do recomend getting length and Girth together although you dont have to , i will have to think about that one because yhe plan was to get them both together. Well i hope it starts getting better for you and i will keep an eye out for any updates on your progress , cheers.

jay1 wrote: Thanks again very informative , at mooregate andrology uk they do recomend getting length and Girth together although you dont have to , i will have to think about that one because yhe plan was to get them both together. Well i hope it starts getting better for you and i will keep an eye out for any updates on your progress , cheers.

London Andrology also offer it as a combination procedure, both lengthening and thickening, but while all clinics mention that you should start stretching after 2 weeks they also will inform you that you should avoid sex for 6 weeks. They also mention that the penis will be very swollen after getting fat injection.

So first you put yourself in a position where you have a very swollen penis, and you should let the penis heal, but at the same time you are supposed to do stretching. Third, complications from the fat transfer are possible, and then it will be even harder to do stretching.

I understand it is much preferable to do all procedures at once, and I did it myself for that reason, but if you think about it then it is really sensible to separate the lengthening and thickening into two separate procedures. If you do it separately, you can fully focus on stretching after the Ligamentolysis.

I would recommend doing the procedures separately for the best results. It makes the most sense for the clinics to offer these together, and second most sense for the patient who might want to save some money. When doing length, FOCUS ON LENGTH.

Screen2584 wrote: In my opinion, Ligamentolysis is quite perplexing and mysterious. With penis thickening procedures there are many different ways, with many kinds of fillers and graft materials, but when it comes to lengthening there is only one procedure: Ligamentolysis. With fillers the penis will always become thicker, and while I read that some surgeons claim to be able to tell how much someone can gain in length from Ligamentolysis, it seems very much a gamble.

Of course guys want length increase, but many are unaware that Ligamentolysis is mostly only for Flaccid gains. All reputable surgeons will say this, although Erect gains is possible, but they will say that anyone promising it is a conman. I believe this is one reason why many people who had the surgery might have ended up disappointed, but even if they were aware of the nature of the surgery, many might have hoped for much bigger gains in length and especially Erect gains.
- Yes ,any surgeon promising an Erect gain is seemingly misleading the patient. BUT - Erect gains are very possible. VERY possible, but it will require work. And frankly most people witll go and get this done and not put in the work ( before or after the procedure )

Another problem is that the Flaccid gains do not even seem to be guaranteed. Supposedly, the stretching after the procedure is very important, and here both surgeons and forum members will say very different things: some surgeons will claim 30-60 minutes a day for 1-3 months is enough, but some surgeons and forum members say that wearing the stretching device for 6-12 months for most of the day is required to have any significant gains.
. 1. Flaccid are almost always an guarantee, Especially from reputable surgeon. In fact, there is at least one surgeon/clinic on here that puts the guarantee in writing.
2. Who gives a F** if the surgeon recommends 3mo or 12mo ???? Anyone looking to stop early of for the quick way out should avoid the suregery! You have one Dick and you're about to drop some good money on getting length; so spend some serious time ensuring that you lock in the gains you oaid for and work for more. ITs like chicks that get lio and then go back to eating like shit, or never even work out after. A fucking waste.


It seems that most people have Flaccid gains right after the surgery, but then some of the gains can be lost unless you do stretching, and supposedly this will "cement" the gains. In the past, there was risk of the penis shrinking due to the ligament healing and the penis retracting, but I suppose this is so well-known by now that since long surgeons use techniques to prevent this from happening. I read that it is pretty much impossible to happen if the right techniques are used.
Well said Screen

Another thing that is often mentioned is changed Erection angle and even loss of penile stability. It seems this is something that has stuck around, but both surgeons and forum members say it is either unheard of or greatly exaggerated. Ligamentolysis is actually the one surgery offered everywhere in the world, so it seems they are quite comfortable to perform it, while many doctors have strong hesitations when it comes to certain fillers and dermal graft.

It is interesting because fillers have guaranteed results, albeit with possible complications, while Ligamentolysis hardly have any guarantees to it; meaning that Ligamentolysis is probably a rather safe surgery, even in comparison to fillers, which might have all kinds of unwanted complications such as lumpiness. Even if for example PMMA might have great results for most people, many surgeons might be uncomfortable to deal with the complications whereas Ligamentolysis seems more acceptable.

As for those who had Ligamentolysis done: I am one of those people, but I am not a good example, because I had my procedure done 3 months ago and because of swelling of the Foreskin I have been unable to stretch. For that reason, I am not sure if I have had any gains at all in length, but I am quite certain that my penis has not become shorter either. I would not be surprised at all if I had gains if I could do stretching, but without stretching I can say that I had no gains.

Although it is recommended to start stretching as soon as possible for many reasons, I think that as soon as you are ready you will be able to hang and stretch and work to get your gains still, Especially if you havent and are not retracting. Due the ligaments having been cut and the penis pulled out - you have new penis and tissue waiting to be pulled on. So dont beat your self up yet, Even though i know it sucks to think about, I think you will ok once you get to doing it all.

This is dumb of me but i never even give having the two procedure seperately a thought tbh , although it makes perfect sense to avoid any hassle assuming all goes well with just Girth ovcourse..... this is probably because i had a consultation with mooregate a while ago and at the time that wasnt in the conversation (having them seperate) one things for sure i am having the Girth procedure no matter what , now its just how am i going to navigate the lengthening side of it? , ive got the penimaster pro it came the other day had a go with it and its easy to use so i am happy with that , hopefully a get some good gains of it in the nxt 12 month then i can have the work done at mooregate with experience of stretching , thanks again good stuff.

I had my lig cut in 2018. Looking back I have no regrets, but I also do not think it's a very necessary surgery to undergo.

The Flaccid gain can be obtained via manuals and stretching and I'm not sure if it caused any Flaccid or Erect gains in length to be faster as a result of the surgery.

Erection angle was not really affected, just a very small change of angle when Erect.

Other then that, my opinion is if you can save some money, there is no need for this surgery. Girth fillers like Ellanse with Dr Oates on the other hand are a game changer.

Thanks man good insight , do you mind saying how much you gained overall so far with the surgery/ procedures and extenders , Girth and length , plus how long have you been using extenders? Thanks.

@Dekachin

Dekachin wrote: I had my lig cut in 2018. Looking back I have no regrets, but I also do not think it's a very necessary surgery to undergo.

The flaccid gain can be obtained via manuals and stretching and I'm not sure if it caused any flaccid or erect gains in length to be faster as a result of the surgery.

Erection angle was not really affected, just a very small change of angle when erect.

Other then that, my opinion is if you can save some money, there is no need for this surgery. Girth fillers like Ellanse with Dr Oates on the other hand are a game changer.

What were your stats before any procedures and after ?

I think your reply is great contrast to the conversation: Thank You. In my opinion, I feel that the decision ultimately lies with the person and where they feel most inadequate OR, given finances - what they may want the fastest.
I agree with you that flaccid gains can be made prior to surgery, just as flaccid gains can be made with the surgery. My constant point is that, NO gains will be made to the erect length with out constant work; before or after surgery. So if one is willing to put in the work before a surgery to get gains, then they should be able and willing to continue the work after as well to obtain the best possible outcome. If money is the only issue & main issue = then obviously then only to length is PE work.

To clarify: I am not disagreeing with you, I am just adding more context to the conversation.

Texas wrote: Although it is recommended to start stretching as soon as possible for many reasons, I think that as soon as you are ready you will be able to hang and stretch and work to get your gains still, Especially if you havent and are not retracting. Due the ligaments having been cut and the penis pulled out - you have new penis and tissue waiting to be pulled on. So dont beat your self up yet, Even though i know it sucks to think about, I think you will ok once you get to doing it all.

Thank you for the encouragement, and I also like to think that once I can start stretching, I will still be able to have good results. The surgeon who did my surgery used techniques to prevent retraction. Second, the phimosis has improved a lot, so I might not need a circumcision to resolve the phimosis.

Dekachin wrote: I had my lig cut in 2018. Looking back I have no regrets, but I also do not think it's a very necessary surgery to undergo.

The flaccid gain can be obtained via manuals and stretching and I'm not sure if it caused any flaccid or erect gains in length to be faster as a result of the surgery.

Erection angle was not really affected, just a very small change of angle when erect.

Other then that, my opinion is if you can save some money, there is no need for this surgery. Girth fillers like Ellanse with Dr Oates on the other hand are a game changer.

I do not want to discourage anyone either, but I think your advice is very good. Girth enhancement will make a huge difference in perception, but it is likely that the persons interested in ligamentolysis have too high expectations. Even surgeons admit that this is a big problem. Not so much the result of the surgery, which seems to be as expected for most everyone; instead, it is the problem that people have too high expectations, whereas their expectations when it comes to girth enhancement can be fulfilled. This is something that I often read that dissatisfaction from ligamentolysis is not because the surgery was bad, but because those people who underwent it had too high expectations.

I want to add one thing that I read: after having combined ligamentolysis and filler, it will NOT be possible to use the penile traction device for 15 days post-surgery for those who are circumcised, and for those who are uncircumcised until foreskin swelling has gone down. The foreskin swelling might be so severe that it is phimosis, and in this case the delay will be even longer, until the phimosis is resolved either by healing or circumcision.

I found three huge studies where people had undergone both ligamentolysis and fat transfer:

Composite augmentation phalloplasty: personal experience after 275 patients: parjournal.net/article/view/58#B15

Cosmetic penile enhancement surgery: a 3-year single-centre retrospective clinical evaluation of 355 cases: www.nature.com/articles/s41598-019-41652-w

These studies do not make it out to be a problem to combine both procedures, and the results seem very good, with few complications. Even so, based on what I read, I have a better impression of hyaluronic acid.

As for myself: the dermal fat graft that I had seems to have had a rather acceptable aesthetic and functional outcome, but in retrospect after having done more research, I think the procedure is too invasive. If some friend spontaneously asked me now what I would recommend? I would tell them to try hyaluronic acid without any other surgery.