TOPIC: Korean phalloplasty

jimmyjames wrote: Here is the only doctor I can find in Seoul with large website in English. He his adamant about PLGA scaffolds and HA as ways to enlargement. Here is his website. Ilinked to the page about his thoughts on pmma

www.urodoc.co/pmma.htm

I\'d ignore that site. I think it\'s run by the same broker who manages the Serbian Dr. He totally contradicts himself depending on which Dr he is representing. He know virtually nothing about PE, but makes a living from selling these procedures.

The urodoc-website refers to a Dr.Kim, his clinic is in Gangnam, a plastic surgery heaven in Seoul.
I don\'t know about the case manager, but I went for plga injection there in November.
It\'s a simple procedure and from what I gathered, injections in general are very popular in South Korea.
As far as I understood, Drs. Kim and Perovic worked together closely in former years, but I didn\'t explore further, but he struck me as a very experienced and skilled doctor.

Hi Yao,

Thanks a lot for contacting Dr. Cho, It will be great if you can please, ask Dr.Cho about two things :-

1- I didn\'t understand this point ; why do you get more complications (e.g. swelling) with Lipen-D (100% Dextran) than with Lipen-P (85% Dextran+15% PMMA) ?? Does that mean the 15% PMMA in Lipen-P is the reason why you have less complications ???

2- It will be interesting to know the long-term aesthetic result ( e.g. smoothness and no roughness or irregularities or nodules) of Lipen-P ( and not Lipen-D) after 2-3 yrs when all the 85% Dextran is totally absorbed.

I didn\'t say it\'s no different to macrolane, but that it offers no advantage over it. I think you need the microspheres to get the firmness you do with PMMA and Radiesse.

Hi Guys, Had a long phone chat with Dr. Cho over the phone couple of evenings ago - thought I might share my findings with you. Anyways, I had a long chat with the dr in the link below where we discussed about lipen treatment. www.wbclinic.co.kr/index.php?mid=introduce

He recommends me Lipen with no pmma as I have already had Radiesse in November.He said that Lippen without pmma have more complications than lippen with pmma such as edema, swelling. He said these will dissolve by themselves quickly. He said also me being in london was not ideal if something happens but that he knows some good doctors here which he can give instructions.He said 99% of his patients go for lippen with pmma - he has done 5000 injections so far as the treatment is popular in Korea. Reason why lippen without pmma is not used is that the penis does not have good tissue like in the face according to the doc.he said he was the first in the world to perform dermal grafting for girth enlargement.
The result of lipen without pmma can last >2 years.For the lipen with pmma - the results are permanent. Also, he mentioned that lipen with pmma can be completely reverse if one wish for it by a straightforward surgical procedure.Dr C was at his office earlier this year for training.

He said I can get more than 3cm or more than an inch gain in EG depending on how much volume I get.

Normally 5 syringes are required for the treatment and each syringe costs 600$.He mentions the importance is to get a symmetrical result and not to inject too much.Sex can be resumed after 2-3 weeks. What do you think guys?Wouldnt this be ideal as this gives you 2+ years of temporary gain so you can evaluate how pmma turns out.Hoddle said this material is no different to macrolane. Macrolane last around a year, while this last over two years. The doc said it could last 3,4 or 5 years depending on different factors. According to the doc, the feel and texture of the post lipen penis is natural. Let me know what you think guys

Thanks for replying

It\'s basically similar to Radiesse then. If there is no \"tissue engineering\" as with scaffolds, and it\'s just collagen encapsulating microspheres then it wont be permanent and will go when then HA absorbs.

How much does it cost and does it feel natural? I think the main problem with HA is that is moves and doesn\'t feel right. But if they are adding HA to make the PLGA more viscous, this suggests it\'s more robust and might be better suited to the penis.

-How did you find out about the procedure
Through the website.It was the only website in English I could make out online.

-What is the mechanism?
The liquid form also uses microspheres, I can\'t tell you more about it than the website does.
I understood that all of the material is absorbed by the body and replaced by collagen.

-Doctor\'s account on permanency:
He said they have to dilute the solution with Hyaluronic Acid (5%) for increased viscosity.
Otherwise, he didn\'t promise stellar gains which I found reassuring, but said the procedure can
basically be repeated endlessly, however more than 3x would rather point to dysmorphic disorders than
necessity.If I remember correctly,he said the result should be pretty much what you saw after swelling
goes down.Mind you, they do advise you that when they speak of permanent results, they don\'t mean
it\'ll stay that way until forever, it just degrades much slower than other materials.

-Availability of other procedures:
They offer a wide range of procedures, but I think the Dr.\'s specialty are \"clinical\" urological
procedures like sex changes or conditions such as Peyronie\'s/hypospadias.Again, that\'s just my
impression.For any why-questions, you\'d have to ask them.
He did show me some pictures of botched PMMA injections which they treated (i.e. removed the
PMMA) which discouraged me even further from considering PMMA.

Bottom line:
Time will tell about what to expect.If it\'s a small progress and can be repeated risk-free after one or
two years, I\'d recommend it.
So far, it feels natural to the touch, there are no bumps or dents, no pain after the procedure,
swelling and bruising subsided quickly (few days). I didn\'t have to massage, just even it out every
once in a while (\"after you take a leak\").

Btw they attributed the popularity of penile injections in Korea to the Japanese-Korean habit of public bathing (nude) which apparently leaves many men shy or unsure about their size.

rts.ger wrote: Well, I didn\'t measure before and after, and I\'m not posting pictures. It was a personal decision and I don\'t care about inches our measurements as long as I like the results, which I do so far. The crucial question is how long it\'s going to last, so I might post something 12+ months later. I didn\'t want to have PMMA or surgery, and my job brought me to Seoul for a few days anyway so I opted for plga injection as an outpatient procedure.I heard good things about Korea\'s medical industry so had no issues with that.

Can\'t you give us a bit more detail? How did you find out about the procedure. What is the mechanism? What did the Dr say to expect in terms of it being permanent etc? It seems odd he\'s still offer PLGA scaffolds or Allografts if injectable PLGA works. He also seems to offer FFT and HA, which again seems very strange if he can just inject the scaffold material. Logically it just seem bizarre that he\'d offer any other procedure.

Well, I didn\'t measure before and after, and I\'m not posting pictures. It was a personal decision and I don\'t care about inches our measurements as long as I like the results, which I do so far. The crucial question is how long it\'s going to last, so I might post something 12+ months later.

I didn\'t want to have PMMA or surgery, and my job brought me to Seoul for a few days anyway so I opted for plga injection as an outpatient procedure.I heard good things about Korea\'s medical industry so had no issues with that.

rts.ger wrote: The urodoc-website refers to a Dr.Kim, his clinic is in Gangnam, a plastic surgery heaven in Seoul. I don\'t know about the case manager, but I went for plga injection there in November. It\'s a simple procedure and from what I gathered, injections in general are very popular in South Korea. As far as I understood, Drs. Kim and Perovic worked together closely in former years, but I didn\'t explore further, but he struck me as a very experienced and skilled doctor.

That\'s very interesting. We\'ve discussed the use of injectable PLGA before. I asked Miro Djordevic about it and he didn\'t think it would work, hence he did full PLGA surgery (which rarely seems to work).

I\'ve love to know more about injectable PLGA though.

Could you start a progress report. I think we\'d all be very grateful.

What have you gained?

How does if feel?

How much did it cost?

Where did you learn about the procedure and how did you conclude that was the right option for you given all the possibilities in Korea?

Do you have any photos?

Are you pleased with the results?

Hey gents
So Ive been interested in PMMA and other enlargement procedures for a while - mostly just lurking around these forums trying to educate myself and seeing what is out there (never really had serious intentions of getting anything done on my unit)
Anyway, Im a korean-american born in the states and I am also fluent in korean
I never realized how big the Phalloplasty business was in korea until i visited 2 years ago
There are \'male\' clinics EVERYWHERE
I think its pretty safe to say that korea is the leader when it comes to all things Phalloplasty
It seems the top choice for PMMA around these boards is Dr C in tijuana
But in my personal opinion I think its by far a better choice to get it done in korea
I was able to exchange a few messages with a couple docs regarding PMMA (or lipen-d which is used there: which i believe is a 15% PMMA 85% dextran mix)
Couple interesting things i was able to discover
-aesthetics are NOT a big issue there: the large majority of patients have excellent aesthetics even without touch ups - however they recommend that you stay bandaged and do not have sex for 1 entire month
-can increase Girth up to 50% ie 5\" --> 7.5\" if desired (for you size freaks) although they recommend 30% for maximizing size while maintaining aesthetics (still impressive 5\" --> 6.5\")
-PMMA glans enhancement yes glans enhancement is currently available
-post sex swelling should NOT be a common side effect: if it occurs regularly it may be a sign of infection

If you guys have any questions youd like me to ask - let me know id be more than happy to serve as a liasion to better inform ourselves of whats available