TOPIC: Dermal Fat Graft removal?

I feel the same as Hoddle10. I had Dermal Grafts (and previous FFT) removed completely by Dr Elist in 2008. The grafts were placed in 1997. They were shrunken reabsorbing and starting to feel like wads under the skin. Four months later I got the Elist implant.
I had consulted with Dr Alter at the time I was contemplating Removal. I decided my best option was to go with Elist (wrong choice). I have had PMMA about a year now and I am still trying to get the surface texture and wrinkles lessened, maybe with another surgery or a PMMA touch up.
I would not have had them removed if I knew the resulting skin would look so bad.

You might want to consult with Dr C too and ask him what he could do with PMMA. And what the thinks of doing it over the grafts.

Thank you! I will look into Gary Alter and DMSO which I don\'t know anything about.
From the research I have done Fat Necrosis is pretty common, usually in women who have had fat graft transfers after breast reconstruction. It comes from a bad bloodd supply to the graft which kills the fat cells causing the body to surround the cells which leads the the hardening. The graft was 2\" thick so it it really hard and thick. From what I read there is not a medical consequence to keeping it in, other than being demoralizing.

I can\'t imagine how something hard would interact with PMMA even if it covered the area as it seems the graft would breakup the collagen after a while as it shifted - but I don\'t know what I am speaking about at this point when it comes to PMMA and a hardened graft.

Dan.

I wish I hadn\'t had my FFT removed and just had PMMA over it. However, there was very little fat left and a dermal graft is obviously different. Personally I\'d have a consult with Gary Alter. Even if you\'d rather have the surgery in Florida, I\'d still get Dr Alter\'s opinion.

I think it\'s highly unlikely you\'ll find someone who has had a dermal graft removed that has been there for a while. But Chad Hedman (the guy who ran MNS) did have his alloderm graft removed after a few years. In theory this must be pretty similar. Also we have a member, Candybars, who had his Belloderm graft removed after a year.

I wonder if DMSO could soften the graft up?

hunkydory wrote: No I haven\'t tried pumping but think I will. If I recall DMSO is topical correct? Is the idea to rub it on the skin? - I am not sure I understand what it is supposed to do for my situation, I thought it was for scarring (I will look it up too).
Thanks, D.

I found with using DMSO and iodine it didn\'t actually remove scar tissue but softened and shrank it greatly. I\'ve heard of people using it in another applications to soften and reduce tissue, so figured it\'s worth a shot on a fibrotic grafts. I don\'t think it would dissolve the graft, but I wouldn\'t be surprised if it helped soften it and make it more pliable. Doing that in conjuncture with meds that increase blood flow to the region along with pumping stretching might help. I\'d try all these options before considering PMMA or surgery.

Is there any advice on the DSMO% ? - there are many levels from 99.9% down to 50%. Some are pure, some are mixed with things like aloe. I read an article suggesting that if applied topically it should remain below 70% due to skin irritation. I was going to go for the one mixed with aloe (70% DSMO) as it seems to make sense for what I am using it for but I\'ll take any advice on this. Thanks in advance.

hunkydory wrote: Is there any advice on the DSMO% ? - there are many levels from 99.9% down to 50%. Some are pure, some are mixed with things like aloe. I read an article suggesting that if applied topically it should remain below 70% due to skin irritation. I was going to go for the one mixed with aloe (70% DSMO) as it seems to make sense for what I am using it for but I\'ll take any advice on this. Thanks in advance.

I\'m no expert but I used 99.9% pure and found it too harsh so diluted it down to 70%. With that in mind I\'d use 70% if I were you. It might be a good idea to mix it with some paba. Basically I\'d try anything that has been used to treat scar tissue.

Update: It has been over 2 months since I had the dermal fat Removal - and hopefully this will help somebody out there who needs to have a graft removed in the future. The good is that I look surprisingly well 2 months out and I am sure I will look even better 2 months from now; I also gained 1\" in Girth - I am not sure if that is scar tissue or where it came from, but my penis is pliable and soft and bigger than before I had the graft insertion 20 years ago.

Currently I am at about 7.25\" (1.25 of that is from a year and a half of Hanging and stretching almost 20 years ago. I lost some length over the years, but it all came back after the graft was removed); and 6\" at the base (5.5 at the glans) - like I said I have no idea where the Girth came from and the swelling has been gone for a month now. I used to have a Girth of 4\"+ before the DFG surgery insertion, I don\'t remember exactly. I should add that I had the lig. cut as well when I had the grafts inserted. It instantly added Flaccid length and no Erect length. The fact that it took me a year and a half to get my extra Erect length makes me think that the surgery had nothing to do with it. It does make you stop Turtling however, not really worth a surgery however, IMO.The bad is that I my skin is wrinkled and I doubt it is ever going away, there is just to much skin to ever look smooth the way it did. Also I never told anyone about my DFG surgery and I don\'t know how to explain what happened to my penis; both to people I have slept with (lots) and even guys at the gym where I have been undressing everyday in a locker room for 20 years.Half of me is completely comfortable with what I have and just want to move on and never think about PE again, and the other half feels like I need to do something about this and get a round of PMMA to fill the skin so it is not so wrinkled, I look like I have the penis of a 100 year old man sometimes; and then also I will not have to explain to anyone why my penis went from super thick to what I have now. It seems like a small thing but it is awfully personal and I don't want to discuss it with sex partners or act like nothing happened and ignore it either. I have an appointment a month from now for PMMA which gives me a month to figure it out.

I am posting some pictures. All the irregularities are going away - most noticeably the darkened skin color, scarring is healing, shape is more normal than it has been in years, erections no problem etc. For 8 weeks out I am pretty satisfied. Mostly I hope this helps other people from freaking out who go through this as it gets really ugly before it gets better.This was me at my best 5 years after the DFG surgery and showing it off all the time.



If I can find a pic of it contracted and hardened 15 years later I will post - it was a mess.

These were taken 2 weeks after the surgery, so already much improvement since the surgery day:






These are taken 2 weeks later and 1 month after the surgery:



I also had a wound separation, which healed on its own. I was told to blast the nonviable white tissue that grows in it with the showerhead and let the white skin break up and wash away. I did this twice a day and it has healed well.



This was taken 2 months after the surgery and looks and feels much better. (The skin around the glans where it was sewn shut is a little tough). My Dick is usually 5 shades lighter and this happened after the DFG surgery too. It took about 8 months to go back to it\'s normal shade. I am not sure why that happens.) The scar around the glans is also exaggerated but was after my first surgery and healed perfectly.




That is a lot of Dick to look at, lol, sorry - but I really hope this helps somebody someday. I was so depressed when my grafts hardened, and I didn\'t have the money to take them out for 4 years. It was really traumatic, my Dick looked really odd and I was sexless and dateless for all that time. Then the healing is also traumatic and I often thought that I had ruined myself for life. It is sort of working out, Which is the moral of this story and don\'t do any of this lightly as there are frequently consequences. Best D.

wow good luck!

Thanks for the update. I\'ll be following your progress with great interest, so please keep us updated.

Good luck with your recovery.

I finally had my fibrotic grafts removed as it currently hurts like hell. I caught a short glimpse of my old/new Dick and it surprisingly got longer almost instantaneously once it was out - but also much thinner - there is some massively wrinkled skin that hopefully will retract some. I will either need a skin reduction or a Girth enhancement. I was told that dermal fat grafts are not done anymore as they usually die after 4-6 years. I am uploading a pic for anyones reference - it is pretty gross.
FYI I went to Dr Reed who was great. I\'ll take a Dick pic in a week or 2. It hurts too much to look at right now.

I am going down to Miami to see Dr. Reed next Thursday to have the dermal fat grafts removed - I have had them for almost 2 decades.
Either I\'ll have PMMA after I heal, or Belladerm at the same time he removes the graft possibly, or later. I am leaning towards PMMA but can\'t decide. The Belladerm seems like it has a similar arc to the dfg\'s in terms of going fibrotic.
I am getting really nervous about all the stories of shrinkage and nerve damage I have heard from people who have had the silicones implants removed - and the size of the pocket that will be left after the Removal. Dr. C said if it is too big PMMA does not work. This has happened rarely but has happened. I\'ll take before and after graft pics / and before and after reconstruction pics. Ugh.

So I have been putting 70% DMSO/ 30% aloe on it twice a day. I definitely have much harder erections which is not what I was expecting at all. It does seem to be having an effect on the graft and my penis hangs more (also not something I was expecting). I do feel like there is more blood flow to my penis, almost certainly.

I am going to Mexico on the 25th of February and will get the PMMA added to the graft to smooth out the contours. Mostly I am logging this so if there is someone else who comes to this with hardened dermal fat grafts like mine, they will have some info on the subject.

I don\'t have pics from before I had surgery done - 1993 or so.
I do have pics since the dfg / lengthening surgery when it was healthy and I\'ll post one of those (attached); plus a current shot - need to take - and hopefully I\'ll have a decent after PMMA shot as well.

OK, thank you!

hunkydory wrote: I got 70%/30% DMSO and aloe. I rubbed it on to my penis - I can\'t say I felt anything -( I was expecting a Bengay effect). Is there any sort of program with this or should I just apply daily?
Thanks, Dan.

You need to be careful with DMSO. Make sure your hands and penis and both clean before applying it.

I\'d start applying it once daily, then after a week or so twice daily. Ideally I think you should mix it with something like paba or iodine. I think the DMSO itself might have an effect but you might as well try adding some stuff to the mix as anythings worth a shot given your circumstances.

I think you need a 3 pronged attack though. DMSO, pumping/stretching and some meds such as Cialis and/or pentox. I just think you need to get as much blood flowing as possible to try and make things more pliable.

I got 70%/30% DMSO and aloe. I rubbed it on to my penis - I can\'t say I felt anything -( I was expecting a Bengay effect). Is there any sort of program with this or should I just apply daily?
Thanks, Dan.