This is my first post on these boards but been lurking for a while. I’m a triple board certified physician who is looking to have enlargement procedures. I found Dr. Carney’s email through the boards here and sent him an email, telling him my intention and that I was a physician. Dr. Carney, sent me his cell number and said “let’s find a time to chat”. We spoke for closer to 1 hour last night about Phalloplasty procedures. He even spent time giving me alternative advice before even considering the lengthening procedure, including saying I could have it don’t by a local doctor and not him. We spent time discussing fat transfer and filler treatments, pro’s and con’s. My takeaway is that he really like the results the filler gives but dosent like how temporary it is and the cost to the patient. All in all super impressed by him. In my practice I come across surgeons everyday who cut because they can and not because it’s always in the best interest of the patient. I appreciate when surgeons say no to surgery or lay out very clear alternatives to surgery and that’s what I go from Dr. Carney.
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Hello doctor, your conversion with Dr. Carney was interesting to read about, but it leaves a lot of unanswered questions. You mention what Dr. Carney thinks, but what do YOU think?
And you mention what Dr. Carney thinks are pros and cons, but what does he ultimately suggest?
Hi, first I want to state that all things Phalloplasty are outside my area of expertise. That being said I want to consider both length and Girth procedures, I’ll go through what we talked about for both. Also, I’m 41, happily married and my wife is kind of against all of this.
Length: my current length is about 5.75”. I do have a decent sized fat pad and even when I was very lean I still had a decent sized pad. Dr Carney suggested I take the next few months to work on losing weight then getting liposuction of the fat pad (which he said he would recommend someone close to where I live). He also talked about doing manual stretching and extender work, where he thinks you can get an Inch in “natural length”. He said with the procedure you can get on average about 1.5 inches in Flaccid length with MAYBE 50% of that being Erect length but that would only be with a dedicated 6 months of stretching. Our plan was to lose weight, extend/stretch for 6 months or so, get lipo and I still want the procedure we can do it. I thought his plan was exceptional and it’s a surgeon talking me out of surgery that he would make money on.
Girth: discusses FFT and injectables. Explained the FFT procedure in great detail. Personally I’m much more on the side of doing injectables probably starting with HA filler. We discussed how he does it staggered in 2 seperate procedures of about 10ml each time. He thinks fillers get very good and predictable results but said for a lot of patients cost is an issue. Said would recommend a top off every 18-24 months or so and that filler in the penis seems to last much longer than in the face. Safety profile is also very good. My Girth now is 4.7 mid shaft with a bigger head than shaft. Hoping to get mid-shaft to maybe 5-5.25 inches with manual exercises before doing filler with a goal of 5.75-6 inches Girth wise.
So for now the plan is diet, stretching/manual PE, pubic lipo in the next 6 months or so. Then re-eval the desire for length. This will depend on my wife as she is petite and has an inverted cervix so getting some manual gains and pubic lipo maybe all she can tolerate and she does get pain sometimes in soggy style right now. Then go to Carney for HA filler.
This is actually some really good advice! And based on my own knowledge, it is exactly what I would have recommended.
1. FFT or HA: I say go with HA. FFT is a safe choice, but it seems the fat can often be unevenly distributed. Doctors seem very comfortable to perform this procedure, because it is safe, and if the results end up dissatisfactory it is not hard to fix.
There are certainly many examples on the board where the results of HA were not satisfactory, but the big advantage is that it is possible to dissolve it, so in that sense it is the safest of all alternatives.
Like Dr. Carney said, you need to come up for a "top up" after 1-2 years. Supposedly FFT can retain some fat, but the result is most definitely not permanent.
I had a tear-through procedure, where my own fat was injected under the eyes, and it got absorbed in 4 weeks! So obviously fat is very unpredictable. The result was however supposed to last for 1-2 years.
2. Ligamentolysis: I had this procedure, combined with dermal fat graft, and I could not do stretching using a penile traction device because of Phimosis that I developed post-surgery.
I also feel some lingering pain in the incision area. It is not something that I feel ordinarily, but I noticed that when I use the penile traction device it starts to look swollen at the incision site, and then it feels a bit painful.
The hardest part however, which supposedly make most people give up, is that you need to use the penile traction device daily for 8-12 hours for 6-12 months.
I believe that I had some Flaccid gains, and probably they could have been greater if I started using a penile traction device, but I think this procedure is too demanding for most people.
Besides, there are some supposedly very rare possible complications that I think are too worrying to risk for what is likely to be minor Flaccid length gains. I do not think that I had any of those very rare complications myself, and everyone on the board wrote the same, but I would still worry about it.
3. Liposuction: definitely this is something you should do. It is very noticeable to have a fat pad when looking at the penis. It will of course not make your penis longer, but it will probably make you feel that your penis looks longer, and maybe your wife would even perceive it as such.
Last edit: by Screen2584.
That’s my plan the lipo will free up usable penis so I will be able to put more into my wife. Again, like I said doggystyle now can cause some discomfort now so while I would love to get to 7+inches it’s not something she wants.
He did say that most of the poor results from HA are from uncircumcised patients and putting too much filler at one time. He doesn’t use a Canula as well