TOPIC: How Rejuvall’s Lengthening Surgery Differs From a Basic Lig Cut

We get a lot of “Isn’t this just a lig cut?” comments about our surgical lengthening, so I figured I would address that here.

Short answer: No. What most people call a “lig cut” is only one small part of what we do, and by itself it usually doesn’t give stable, measurable length.

Here’s the simplified breakdown.

What a Typical Lig Cut Does

Most standard Ligamentolysis:

• Cuts the superficial suspensory ligaments at the base of the penis.
• Often doesn’t touch the deep suspensory ligaments (especially with “scarless” scrotal approaches).
• Relies on scar formation and stretching to “hold” any change.

That’s why a lot of guys report:

• Little or no permanent gain, or
• Even loss of length from scar tissue and retraction.

What We Do Differently at Rejuvall (MegaMAXL™, SuperMAXL™, PERMMAXL™)

Our lengthening is a multi-step protocol, not just a ligament release:

1. Superficial + deep ligament release
   Dr. Carney releases both the fundiform/superficial and the deep suspensory ligaments using a temperature-controlled technique with FDA-approved instruments. Goal: remove the tethers so the penis can actually be lengthened safely afterward.


2. Penile RepoZitioning™ – bringing internal penis outward
   Part of your shaft lives inside the body. After ligament release, Dr. Carney pulls a portion of that internal segment forward, so more of the organ becomes external, usable length. Most men (aside from true micropenis cases) have at least an Inch he can bring forward.


3. Length Lock™ – making it stay there
   Instead of silicone spacers or fat (which can reabsorb or cause complications), Dr. Carney creates a biologic “spacer” using your own tissue to hold the penis in its new forward position. This is designed to be stable and life-lasting, adapted from Dr. Carney’s reconstructive work in hypospadias surgery.


4. Mons pubis support + angle control
   Dr. Carney will then reinforce and reshape the mons pubis so the area doesn’t feel loose and the Erection angle change is usually modest (around 10–15°), not the “pointing straight down” horror story you see online.


5. Structured 3-step stretching program
   Surgery is only half the equation. Every patient gets a guided, multi-month stretching protocol (devices included) to:
   • Prevent ligament reattachment
   • Limit scar-related retraction
   • Gradually lengthen the inner shaft now that it’s no longer tethered the same way

Why We’re Comfortable Guaranteeing Length

Because we’re not relying on a simple lig cut to “magically” make it longer. We:

• Release both superficial and deep ligaments
• Reposition part of the internal penis outward
• Lock that new position in place with your own tissue
• Support the base and control angle
• Back it up with a structured stretching program

That full process is what allows us to offer 1-Inch and 2-Inch length guarantees for qualified patients, whereas a basic lig cut alone usually can’t promise much beyond cosmetic change in the Flaccid hang.

I’m happy to answer what I can publicly here (there's a lot of proprietary information involved), and if anyone wants case-specific details, that’s better handled in a private consult (we do offer free phone consultations). Not here to bash anyone else’s technique, just clarifying why what we do is more than “just a lig cut.”

Is there any issue or complication from doing this after filler Girth enhancements? What are some of the things to consider this case?

Is there any issue or complication from doing this after filler Girth enhancements? What are some of the things to consider this case?

Really great question, thanks!

It depends. Our first question would be, "where did you get the filler done?" and then we would need to know whether or not it's silicone. Those who have had silicone injections will not have a good outcome from lengthening surgery, so we would first have to address that. We would also have to look at what kind of filler and how much you've had, as that can also affect your surgical lengthening results. Once you've stretched something so wide, it's difficult to get it long again and make it look good.

I hope that helps! I'm sorry I'm not able to give a definitive "yes" or "no" on this.

Would this work with someone who has already achieved some length gains with traditional PE? I've added about .75" or so through Hanging already.

Also, my Erection angle is already pretty low, points slightly down and left. Would there be more loss of angle?

Would this work with someone who has already achieved some length gains with traditional PE? I've added about .75" or so through Hanging already.

That depends. Dr. Carney would need to examine you to make sure of the health of the organ first. If anything is amiss, that would have to first be addressed before we could do any kind of enhancement. You would also have to be cleared as a candidate for surgery.

Also, my Erection angle is already pretty low, points slightly down and left. Would there be more loss of angle?

Again, we unfortunately have no way of knowing for sure without first examining you, but that is a possibility, yes. But it's also possible there would be no change at all. Unfortunately these kinds of questions (though they are great ones--thank you for asking!) are difficult to answer over the Internet without a urologic exam because every man's anatomy is completely different.

For anyone interested, here is a link to the full article which goes into much more detail:
www.rejuvall.com/ligament-release-vs-megamaxl/

Rejuvall wrote:

Is there any issue or complication from doing this after filler Girth enhancements? What are some of the things to consider this case?

Really great question, thanks!

It depends. Our first question would be, "where did you get the filler done?" and then we would need to know whether or not it's silicone. Those who have had silicone injections will not have a good outcome from lengthening surgery, so we would first have to address that. We would also have to look at what kind of filler and how much you've had, as that can also affect your surgical lengthening results. Once you've stretched something so wide, it's difficult to get it long again and make it look good.

I hope that helps! I'm sorry I'm not able to give a definitive "yes" or "no" on this.

I read about the 3-step post-op stretching regimen included in the MegaMAXL and I had a question. Is this 3-step process have a pre-defined timeframe or is it something one has to do for life to ensure length gains aren't lost?

I read about the 3-step post-op stretching regimen included in the MegaMAXL and I had a question. Is this 3-step process have a pre-defined timeframe or is it something one has to do for life to ensure length gains aren't lost?

No, it's not for life, though if you wanted to continue traction therapy you could do so safely as long as you continue using the devices provided exactly as-is and as instructed. Most patients finish the stretching regimen at about 6 months, but that can vary from patient to patient.

"Why so long? So you're actually just getting the length from stretching, aren't you?"

No; while the traction therapy does help lengthen the corpora to a degree, the penis is actually an organ and that's just how long it takes the body to heal after operating on an organ. As Dr. Carney always reminds patients, "Penis enlargement surgery is real surgery."

Can you address the post operation routine?

Thank you.

Can you address the post operation routine?

Thank you.

I apologize; I'm not sure specifically what kind of information you're looking for. Do you mean the stretching routine, or post-op instructions in general?

All the information you can provide would be interesting.

I would assume there is a set of guideline you provide to your patients. Understanding those instructions would be useful.

Thank you.

All the information you can provide would be interesting.

I would assume there is a set of guideline you provide to your patients. Understanding those instructions would be useful.

Thank you.

Unfortunately, there's not really much more information I can provide than what's already on our website. Otherwise I would be sharing proprietary information at that point. Do you have any specific questions about aftercare that the following pages don't answer that I might be able to help with?

Here is our page about our penile lengthening surgeries. About halfway down the page, just before the embedded YouTube video, it talks about the post-operative stretching regimen: www.rejuvall.com/best-enlargement-technique/

This article covers the recovery and aftercare involved in most of our procedures, surgical and non-surgical, and talks a bit about surgical lengthening aftercare: www.rejuvall.com/penis-enlargement-recovery-timeline/

And this is a link to the full article version of this post which goes into the stretching protocol a little down the page, just before the first infographic (The infographic has a gray background and is titled "3 Phases of MegaMAXL Post-Operative Stretching"): www.rejuvall.com/ligament-release-vs-megamaxl/

Yes, our surgical length patients all receive personalized aftercare and stretching regimen instructions, both written and verbal, when they are here with us for surgery. If you qualify and decide to undergo a surgical procedure with us, Dr. Carney and his assistant would explain everything in detail with you and whomever is accompanying you to care for you after surgery while you're here and answer any questions you may have to make sure you understand everything completely.

We also have a dedicated post-surgical support line you can call at any time with any questions, and we have a dedicated post-surgical follow-up person who would be checking in with you regularly after surgery in case you have any questions you're too afraid to reach out to us with or need anything else related to aftercare.

I'm sorry I'm not able to provide any further detail to the public at this time regarding the stretching regimen itself.

I was under the impression that you enter through the scrotum and not above in the pubic area.

Is entering through the scrotum or another less conspicuous area possible?

I was under the impression that you enter through the scrotum and not above in the pubic area.

Is entering through the scrotum or another less conspicuous area possible?

No, we do not enter through the scrotum. As the full article explains, only the superficial suspensory ligaments are accessible through the scrotum. So while yes, it's possible, you won't get any added length that way.

Sorry if this a dumb question, but it says the repositioning of the internal bits, brings around an Inch of usable length. Is that Erect length? I always thought you couldn't really add cosmetic length. Only via PE etc. Thank you!