Jeff - first of all - welcome to the club. All of us here have one way or the other been unhappy with ourselves or we wouldn’t be here.. :-/
I’m ~20 years older than you and about 25 years ago had ligament release and FFT surgery. It was still a fairly new procedure back then .
In hindsight I wish I’d have had the ligament release only and then have waited for better “materials” to become available for the girth improvement.
If symmetry and esthetics are number 1 concern for you I’d definitely go for alloderm (or surgimend but it’s not available now).
THEN I’d use fillers of some kind, your own fat or other fillers..
My problem is that they used too much fat and after so long you develop nodules and also the fat gets VERY spongy and VERY soft.
Read up Dr. Solomon’s Q&A here on why he doesn’t use fat in the penile shaft. He’s spot on!!
Simple answer - it doesn’t belong there..
If it’s a tiny amount to cover up unevenness or to make it softer (surgimend tends to stay somewhat hard for the first year or so) then it’s ok..
NOT to make the penis much bigger.. because at some point you’ll end up with a Jell-O shot rings over your shaft. That’s the exact consistency of the fat after 15+ years.. Ask me how I know..
So if I were you I’d start with alloderm surgery AND then look for ways to maybe top it off slightly - IF still needed (doubtful you’ll feel like you need it)..
However, I’m biased as I’m quite unhappy with the FFT.. others might totally disagree and I respect their opinions..
By the way - I’m in the same situation you’re in.
I was about to schedule my surgimend procedure when I found out the product has been recalled and the material won’t be available until further notice (when the doctor inquired the manufacturer stated “unavailable indefinitely for now”.)