If you are from Australia then you should get FFT in Australia. Much of the fat will absorb and probably not evenly, so it will probably need to be maintained with semi regular top ups. You really don\'t want to have to fly to the other side of the world 2 or 3 times per year. We have an Aussie member called \"finished\" who had FFT. His original Dr didn\'t store fat, so I believe he found an different one who stored his fat and gave him regular top ups. You should PM him to find out more.
If you are from Australia (as I am) you may want to pay a visit to Dr. David Caminer in Bondi Junction in Sydney. He is a plastic surgeon, practices Phalloplasty and is highly recommended. Dr. Caminer prefers fat injections which he claims to have had good results with. He says that he believes inserted dermis fat grafting or alloderm into the penis is fraught with danger as one can lose parts of the penile skin when degloving the penis to insert the dermis fat graft or the alloderm.In the U.S. I would recommend Dr. Gary Alter who is a certified plastic surgeon and urologist. But at the moment he will not perform any Girth enhancement procedures.
Dr. Alter says: \"Injected fat tends to disappear over time. Large amounts of injected fat can cause penile distortion, fat nodules and lumps, and irregularity. The dermal fat graft procedure works very well most of the time and tends to stay permanently. However, some significant problems can occur, such as curvature and shortening. Alloderm has the advantage of avoiding the donor scar from the dermal fat graft. It is promising, but it is too soon to know if it will permanently last. Alloderm can also become infected or can cause shortening and possible curvature.\"
FAT INJECTION/TRANSFERFat transfer or penile fat injection is becoming a dated procedure due to the recent advances in treatment options, but many surgeons still commonly use this technique because of its verified history of success an inexpensiveness. FFT includes the acquisition of fat through liposuction or Removal from areas such as your abdominal or thighs. Once acquired, your fat is then sanitized/purified and then injected into your penis.Up to 50% or more in width expansion can be achieved with FFT, but the disadvantage of this procedure is the unpredictability over time. There is the issue of keeping the fat \"alive\" and fat is often reabsorbed back into your body leading to a loss of Girth. What\'s worse it that your body may reabsorb the fat at an unbalanced rate ' resulting in lumps, unevenness, and a visually unappealing look.
IMO I would stay away from Dermal Fat Grafts because they include unsightly scarring occurring from the incisions required to obtain the necessary grafts ' largely around six inches by two inches. These large incisions need a considerable amount of time to heal.
IMO I would stay away from Alloderm also. As Dr. Alter says, Alloderm has the advantage of avoiding the donor scar from the dermal fat graft but it can also become infected and can cause shortening and possible curvature. There are other issue also.
Alloderm is a type of graft obtained from a cadaver. The tissue itself is processed from a deceased human being, disease free according to reports issued from tissue banks that supply it, abiding by FDA regulations and AATB general rules. As a patient, you should consider asking your doctor where he intends on acquiring the sheets (grafts) of Alloderm to ensure safety measures are enforced. Bear in mind that some surgeons have reported inconsistencies in grafting materials sent from providers, leading practitioners to avoid Alloderm grafting treatments all together.
Before surgery the doctor prepares a predetermined amount of Alloderm for the procedure. Using a deceased person's tissue excludes removing fat from your own body and in most cased does not cause scar damage due to the fact it is injected, reducing the total length of your operation and also eliminating the potential occurrence of pain or illness ' according to doctors who have performed successful procedures.Alloderm grafts are layered upon one another to reach a set width. Once inserted into the penis, your body will start to introduce new cells into the Alloderm tissue, causing blood vessels to grow into the grafts, then becoming part of your penises structure. Note that excessive layers of Alloderm can restrict blood circulation within your penis, causing portions of grafting material to die and lead to fibrosis. If fibrosis occurs, Alloderm tissue may gradually die, slowly hardening and consequently shortening your erect length.
Belladerm is made from grafts from live donors that is customized by your surgeon for your procedure exclusively. Observed expansion measurements have reached up to 1.5 inches with minimal to no scarring involved. Belladerm is not cadaver tissue, rather healthy animated donor tissue, similar to the involvement of your donated tissue via another dermal grafting procedure. Because of how Belladerm is acquired, this type of tissue does not contain nerves/vessels, which could result in a prolonged recovery period.
I hope this information helps. IMO PMMA is still currently the best method for Girth enhancement, or if not PMMA, the use of a temporary filler which has the advantage of Removal without surgery should any major complication occur such as a negative immune response.
There are plenty of examples of unevenness of fat absorption when used in the face, you can Google it. Bear in mind also the penis is soft tissue, not the same as injecting into an arm I would think.
Fat grafting is not an exact science and the final results depend on many variables, including the quality of the fat harvested, the technique used to process and transfer it, as well as the area it is being placed.
To reduce the chance of post-operative fat re-absorption, its possible to irrigate the fat with a solution of 100 U of regular insulin to stabilize lipocyte membrane, but I don\'t know how effective this is.
In the face they use tiny amounts and you do hear of lumps. Also if you search for Coleman patients on forums, they are usually unhappy. Basically other areas of the body are prone to uneven absorption. The penis though is particularly tricky as it\'s a dynamic organ, with different skin thickness and tightness in different parts. It\'s just not very stable. If you apply different levels of compression to a fat transfer anywhere on the body, it would absorb at different rates. The penis naturally creates differing environments for the fat in different areas. The skin at the base tends to be thicker than at the tip for example.
If fat could be reliably transferred, then why is there a multi billion dollar temporary filler industry? Why would anyone ever have Restylane etc injected into the face, when they could have their own fat which would last a life time. Or even if it was marketed as temporary it would still be as economically viable as temporary filler, as it can be stored for 2 years. The reasons surely has to be because temporary fillers are more predictable in terms of absorption.
FFT can be a good option for some guys, but you\'ve got to prepare yourself for the possibility of regular top ups. You might not need them, but you should prepare yourself for the very strong possibility. Hence staying in Aus is probably the best option. Caminer and Barnouti seem to be the most popular choices, but I\'m unsure if they store fat. I think Finished my have had surgery with one of those 2, but then found a different Dr to store some fat and do regular top ups.
euphoric1968 - \"I am about to go to a Dr. to get it [FFT] all removed because it caused mild ED for me...gradually my erections were not as strong as they use to be.\"
hoddle10 - \"I had my FFT removed 3 months ago, as I had lumps etc. I didn\'t realise it was effecting my erection quality, as I\'d had it for so long and just became used to my erections being what they were. However, I\'ve noticed since it\'s been removed that my erection quality has really improved...I simply hadn\'t realised the full extent of the negative effect the fat was having.\"
The penis and breasts aren\'t comparable. One is a dynamic organ and the other isn\'t.
My question was a rhetorical one.
You are trying to convince yourself the solution you want to be the best is. Critical thinking doesn\'t hurt, but you aren\'t applying it. We aren\'t even comparing FFT with PMMA, as you\'ve already stated PMMA isn\'t for you. We are talking about FFT in your home country Vs going abroad. On what FFT results are you basing your opinions? Seriously how many erect photos have you seen of FFT results? How many FFT reports have you read and what percentage of those guys didn\'t go back for top ups?
You need to be realistic and accept the chances are that with FFT you will need to have several procedures in order to maintain the result you want. So with that in mind, the cost of doing it in Australia isn\'t going to be anymore than going overseas. Anyway, I think FFT in Australia is about the same as in the UK.
aleksk I also don\'t necessarily think FFT is inferior to PMMA or the other way around; they are simply very different procedures, and both have their negatives and positives.
But I tend to agree with hoddle\'s comments. IMO comparing breasts and the penis is not useful. I have done a lot of research into PE methods including the various options for fat transfer and IMO they are either too invasive and/or have high inconsistency in results. You can argue that new techniques make for more even distribution and absorption, but I am yet to see even a half decent amount of evidence of sustainable Girth increases in the erect state over time. In fact its very hard to find many real-world cases that follow the progress of results for patients with fat transfer in the penis.
I have however found some evidence of the exact same fat transfer procedures with completely different outcomes. Whereas with PMMA there is much more evidence of consistent results and without the need for chronic top-ups over time. Of course there are a minority of cases where the outcome is not a success but this is rare and is usually related to either poor after-care, a negative immune system response (ex. granulomas) or people who engage in sex or rough masturbation too early and against the doctors advice.
In the end all we can do is to research, weigh up all the evidence and make the best informed decision we can. For some people fat transfer will be more appealing and less risky; for others it might be PMMA or even a temporary filler. Either way I wish you luck in your research and hope you get the best outcome possible.
If I were you I\'d seriously consider Dr Solomons widening procedure, but not the full wrap.
I\'ve seen so many problems with Allografts over the years, but I really think many of the drawbacks are lessened by using two strips and a tunneling technique.
It\'s expensive, would require quite a bit of down time and is more risky. However, for those looking for a moderate gain, I really think it could be a good option. It\'s the procedure I\'m most considering at the moment.
aleksk wrote: hoddle10 - would you mind giving me an indication of how much DR Solomon\'s procedure might cost? We don\'t have any reports on this surgery here on the board, do we?
We have one report, but with no decent follow up period, so I don\'t know if the graft material (Reprizza) is anymore reliable than Belloderm/Alloderm. I think the cost if over $10,000.
I don\'t want to recommend it per se, it\'s just that I think it has potential, as he isn\'t layering graft material or wrapping it all the way around the penis. Most of the problems I\'ve seen with these grafts were due to blood supply, so by just adding strips to the sides, the risk of blood supply issues is lowered. Also the surgery itself is less intensive, as only small incisions are used and so there is no major incision healing etc. The trade off is smaller gains.
aleksk wrote: thank you for that, I like your line of reasoning. Would you know what steps I can take to do further research on this? His website is not a good source of information, and he certainly doesn\'t describe the procedure in detail (or maybe I don\'t know where to look).
If only we had at least a couple of positive reports on this, I would think it\'s a more viable option for me. I guess there is less likelihood for my body to reject the strips as foreign, as they do not settle in, so to speak. Plus, I would think they could be removed if things go wrong.
Unfortunately not. The only worthwhile research in my experience is following real patients progress reports. Dr\'s websites and even medical research articles have very limited value in my opinion. Nothing beats real world experience and we only have one member who has had this done. I sent him a PM about 3 months ago, but he hasn\'t logged on the receive it.