TOPIC: BBC IPLAYER: The penis extension clinic

Does Dr. Gitt in Arizona use a micro cannula when he injects voluma?

What is the difference between fat transfer/fat grafting and fat transfer done with stem cells/prp?

I thought with stem cells has its positive merits

No expert but

Fat transfer, they just suck some fat out your gut and whack it in your Cock.

Fat grafts, very different, it\'s essentially sliced off your arse and grafted onto the Cock, it leaves HORRIBLE scares on your backside .

No idea what stem cell fat transfer is.

It\'s just a safer and superior way to inject and in my opinion ....


@ Hoddle10

A few points.

- Using a cannula is no more difficult than using a needle for cosmetic surgeons with over 20 years experience.

- A micro cannula can be used at Androfill, if the patient does not like the idea of a needle, however the cannula is larger (longer) than a needle. Incisions are needed for cannula entry, bruising and swelling are greater.

You might be missing one piece of information.

The Australian doctor, who we are in communication with, injects much deeper we believe; above the Buck\'s, below the Dartos.

There is a good reason that he does this, the filler is deeper, so any lumps are better hidden, and there is probably less migration of filler to the Foreskin region (and associated need to dissolve any stray filler, which can be an inconvienience).

Both surgeons we use have extensive experience in open surgery on the penis, and are intimately aware of the anatomy, not from text books, but from performing surgery on the open penis.

Both surgeons were asked whether they were comfortable injecting HA at a deeper level in the penis, and both refused to do this.

The reason given when asked, separately, was that is it too risky to do so, they would be working blind with the micro cannula, unless they made significant incisions in order to see clearly what they were doing (which would defeat the idea of being non-surgical).

Neither Androfill surgeon will risk it. It may be that Dr O. has a safe method, if his method is better we will adopt it.

- We are the only clinic to have put a close up video of our procedure in high definition on the internet, to be critiqued.

The worst complication we have seen in over 300 procedures is filler migration to the Foreskin, which is easily dissolved using Hyalase.

It is probably fair to say that, aside from Dr Kim in Korea, we are the most experienced in performing PE procedures using HA.

- We invite other HA PE surgeons to post close up videos of their procedures, so we can advance the procedure, get it absolutely perfect, and prevent unnecessary surgery.

- Dr O. is a general cosmetic surgeon, and deserves respect for delving into an area of surgery unrelated to his usual practice. We are in communication with him about his technique, and when we are convinced that it can be carried out safely, we will adopt it.

We all have the same goal, providing the best result, with the minimum of risk.

When Dr O. publishes his video and explains what he is doing injecting at this level we will be able to objectively determine whether this is a better procedure, or not.

Avoid fillers in the penis unless the Dr performing the procedures has the s to use a micro cannula.

That doctor did 3 HA procedures on me and i am still really happy with the result. He has his own surgical practice as well as through a couple of clinics. Thats fairly standard \'consultant\' business model. He knows what he\'s doing in my ecperience and having talkied with him at length.
Having said that, sticking a bit of HA in a penis is a lot easier, more accurate and more controllable than fat transfer. I tend to prefer a proper surgeon who knows the anatomy well, what\'s going on under the skin etc, over a non surgically trained injector. Although an injector with years of experience, that i would be happy with too if i am honest. I think experience of the specific procedure and material being used is the key criterion for me.
For sure injecting HA on an Erect penis is also a significant improvement aesthetic wise.
I\'ve had one procedure done with the cannula and neither me nor the Dr were that happy with it. Its just less accurate, more invasive and i didnt much like the \'rooting around\' under the skin with it. It was a bit like trying to ice a cake using a hose pipe...
I asked him to switch back to the needle half way through. But if someone without proper surgical training was wanting to stick needles in repeatedly, without knowledge of what and where to avoid, then i wouldn\'t be keen on that at all.

Reklaw wrote: Okay fair enough, i didn\'t mean to witter on at you I just feel passionately about how shit this technique is.

We\'re on COMPLETELY the same page Reklaw, I think it\'s a shitty , pointless procedure.

I just focussed on the one big issue for me , that is, even if everything else goes fine (big IF), you\'re still faced with nothing but a very expensive , very temporary solution.

I really feel hugely sorry for these folks and after this dam program, I bet he has a waiting list full.

smalljay wrote: Dexter, if you haven\'t heard of this long term inflammatory response effect, you need to search the boards for \'FBG\' or Foreign Body Granuloma - it is a known (albeit somewhat rare) occurence with PMMA.

That is the one counter argument to the last two sentences of hoddle\'s post - we haven\'t seen the long term effects of PMMA in the penis yet. A lot of guys might get bad reactions, but also they might not. From the research so far, it appears that a small percentage (low single digits) might - but if Dr. C\'s theory that injecting it below the outer fascia results in less/no FBG\'s is true, then that\'s a good thing.

We do at least know that fat in the penis long term is a bad idea, ineffective at best, dangerous at worst. imo, PMMA is also not that great, and something better will come along (maybe it\'s already here, in HA). But that\'s just my spoiled 2011+ view of things - for people like the old vets here, PMMA was kind of a godsend - never has there been something like it which could give you permanent gains with so few short term drawbacks (assuming things go well during aftercare).

I took a read of the FBG issue, I focussed more on the literature from sites like pub med and so forth.

Interesting for sure but risk wise, we\'re talking less than 1 in 1000 and of those 1, these seem to be linked to people with existing conditions such as HIV, chronic renal fatigue or similar.

What\'s also interesting is, in a number of the cases, there\'s no guarantee that it was even PMMA injected.

I think , it\'s an issue to certainly aware of but I suspect on the list of things to worry about, of which there are many , it\'s way lower than other concerns.

The clinic promoting surgery on BBC in the UK is Moorgate, not Androfill.

Doctors performing the Androfill HA procedure (including the Penoplasty surgeon who appears frequently on the BBC), are free to provide surgery to other clinics if they wish to.

No patient has been sold surgery by Androfill to date. The Androfill site aims to dissuade people from taking unnecessary surgery, steering them towards safer and more effective non-surgical options.

the Androfill website sells lig cuts right off the bat.

anyway, nice to see you back Androfill. can i ask you how long you have been performing HA? i have heard that you have said it\'s a long time but on the other hand and very suddenly you have about-turned your entire procedure in line with current PhalloBoards thinking. why have you suddenly changed to Erect/cannulla for HA in the penis when you have been doing it succesfully via flacid/needle for ages? can i suggest that you are in fact new to this and haven\'t been doing it for ages but were kind of winging it to start with and have now decided best practice is in fact Erect/cannullae And that you read this on PhalloBoards via hoddle10 and dr. Oates? and that since you are new to this you havent done many needle/Flaccid procedures anyway so it\'s not really a big about-turn.

i think it\'s great that you have changed your procedure completely to suit best practice but on the other hand why say that you have been doing HA for ages when it\'s in fact only recently that you have been doing it? if you have been doing it for ages why is it only recently that someone allowed you to film their procedure for the website?

i\'ll get down off my high horse now. woah there, neddy!

[can i ask you how long you have been performing HA?]

Surgeons have 2 years experience.

Caverject (Erect) is a good idea, borrowed from Dr O.

It is interesting to see that men can self-inject Caverject into their penis at home without supervision - with a needle the same size as Juvederm supplied 27G.

Needle is preferred over the cannula, when there is a good reason to change we will.

In communication with Dr O. outside the forum. The goal is the same, to advance the procedure and promote it as a replacement for more invasive surgery.

the Androfill website sells lig cuts right off the bat. - We offer it, then dissuade anyone from taking it. No one has taken any surgical option. This is the most effective way of reaching prospective surgery patients.

@Androfill
Thanks so much for this clarification, otherwise it was quite upsetting.

@number22
The whole world of technology and medicine is experimenting with new materials, procedures, etc. Experience no longer matters. It\'s quite commendable when practitioners (technicians etc.) update themselves in the modern best practices and make the necessary effort to perfect the techniques available to them.

@jogift: nicely put. revising best practice is agreed valid. my perhaps not so well put point was the implication that this meant Androfill\'s claims of doing HA for years was an exageration.

i will reign it in a bit because i\'m not so sure now, maybe i got that wrong. im just used to cosmetic doctors lying their ass off about patient numbers.

what do you mean about exoerience no longer matters though?

\"The clinic promoting surgery on BBC television in the UK is Moorgate, not Androfill. There is no common ownership or control between these two firms. (Moorgate Clinic has nothing to do with Androfill. Doctors performing the Androfill HA procedure (including the Penoplasty surgeon who appeared on the BBC), are free to provide surgery to any other clinic that they wish to. No patient has been sold surgery by Androfill to date. Androfill site aims to dissuade people from taking unnecessary surgery, steering them towards safer and more effective non-surgical options.\"

Sorry for incorrectly suggesting your clinic Androfill is affiliated with Moorgate.
Don\'t get me wrong I think it\'s brilliant that you offer HA, I just think that it\'s a little off putting that the doctor you use performs unethical procedures in other clinics. Which leads you to beleive he doesn\'t care about the welfare of his patients or that he genulinly believes fat injection is a good technique which suggests he isn\'t a very intelligent doctor.

@number22
Let\'s take an analogy. Having worked on 1,000 carburator cars before has no bearing on the methods of working on a microprocessor controlled injector cars.

The practitioner has to update his knowledge on the \"new\" material he is using, practice to steady his hands and the minute movements needed in depositing the filler under the skin. Experience with FFT, etc. are no longer necessary ...