Has anyone on this board had a lengthening procedure from Dr Maercks or Dr Heller or Dr Mata? If so, what were the results. Dr Maercks says extra fat is placed at base of shaft next to ligament to prevent retraction. (he says Hanging, weights etc. not needed). Dr Heller uses a spacer. Any information would be very helpful. Thanks
Oslo wrote: Dr guinta method looks interesting, using lasers instead of xy cutting
It\'s just marketing. All it means is that instead of a scalpel, he uses a laser to cut through the tissue. But there is something \"progressive\" or \"cutting edge\" about lasers that impresses potential patients. In reality it makes no difference and if anything you probably are better off with a scalpel as it\'s possibly harder to make an error with it.
At the end of the day all the surgery involves is a small transverse incision, about an Inch long, through which the surgeon is able to gain access to the ligs which he simply slices. There is literally zero reason to use a laser device other than to make potential patients think your procedure is more modern or advanced than other surgeons.
It\'s the same BS as with fat transfer. So many Dr\'s claim to do treat the fat in a new way that makes it survive better, yet the Dermal Filler market is booming. Think about it, why would dermal fillers be popular if so many Dr\'s had perfected fat transfers. The answer is they haven\'t, but they have got good at marketing.
The body does not need bone to adhere and generate scar tissue/create shortening. It seems shortening \"without\" stretching after surgery would be extremely likely in both techniques. Something else to consider is Dr. Alter is one the most highly regarded surgeons in the nation for Phalloplasty and he also does not use spacers but rather a previously discussed stitched fat pad (with prescribed stretching)! Makes you wonder? As many of us who have had this procedure like Chester have noted. Much of what you are trying to accomplish is not just ligament elongation/scar tissue reduction but skin stretch as well. So yes stretching is very important not just for the ligaments but for over all length potential.
The body has an amazing capacity to heal itself. With fat pad I suspect the body will eventually absorb it and try to re attach the ligs but with committed stretching I guess one may get good results.
The silicon spacer will go nowhere. The body will grow scar tissue and encapsulate it and there should be no re attachment, may make stretching easier. Also, With the silicon spacer I wonder, since its rigid, if it adds a bit more stability to the penile shaft. Just guesses of mine.
Is there a particular reason you are only considering those Dr\'s? I believe Alter and Rosenthal are 2 of the better surgeons for this procedure. Rosenthal performed my lig cut. From what you have stated, I would avoid Maercks if he truely said that. Hanging is imperative for this procedure, the cut itself does hardly nothing for length. What you are doing is removing a major obstacle (suspensory ligament) so you can hang or stretch with greater success. Some men, if they do not stretch after surgery result in loss of length!! Before my surgery I read many techniques which used fat pad or silicon spacers. Rosenthal does not use silicon spacers as he found fat to simply work better. At 5 months my fat spacer has absorbed completely and is no longer palpable between my old lig and pubis. The thought of having a silicon spacer in my crotch for ever does not sound appealing but that\'s just me. Good luck.
My Circumcision was done with a laser and it\'s worse than 99% of circumcisions I\'ve seen that have been done with a scalpel. Infact every single Circumcision I\'ve seen that has been done with a laser has been terrible.