Male Enhancement Procedures
Nonsurgical Phalloplasty
Avanti Derma Nonsurgical Phalloplasty is an outpatient, minimally invasive procedure developed by Doctors Luis Casavantes and Palmira Morales back in 2007.
It is designed to give patients a heavier, thicker penis using injectable soft tissue fillers.
Temporary, long-lasting, or permanent results? It’s the patient’s choice!
Avanti Derma offers Ellanse® (M&S), Linnea Safe®, and Voluma® to ensure that every individual patient meets their goals and expectations.
What is Nonsurgical Phalloplasty?
Nonsurgical Phalloplasty is an outpatient medical procedure performed in the medical office under local anesthesia.
It takes less than two hours from the arrival of the patient to his release.
It is minimally invasive, involves minimum or no pain, and avoids all the inconveniences of surgical procedures such as hospitalization, general anesthesia, surgical cuts, implants, stitches, drains, long downtime, and unsightly scars.
The two main Phalloplasty Procedures
The main differences between the two main approaches to enhancing the penis are Nonsurgical vs. Surgical.
Surgical Phalloplasty
It is a group of procedures performed with silicone prosthesis implants, degradable biological membranes, free fat transfer, or dermal fat grafts that require general anesthesia, degloving of the penis, hospital time, stitches, and drains which associate with long and painful downtime. Most of these techniques are obsolete due to their prolonged downtime and high possibility of side effects such as permanent, often unsightly scars or deformities.
Non-Surgical Phalloplasty
An in-office procedure consisting of soft tissue filler injections under local anesthesia; downtime is minimal, results can be temporary or permanent, and there are no residual scars. Avanti Derma’s physicians Dr. Luis Casavantes and Dr. Palmira Morales, are amongst the world’s pioneers in nonsurgical phalloplasty that is rapidly gentrifying and displacing most of the old surgical methods.
Am I the right candidate for the Procedure?
The ideal candidate for nonsurgical phalloplasty should meet the conditions listed below. However, some prospective patients could still qualify if one or more of them are not met. See the section “Special Populations” for more information.
- Circumcised
- Small to large penis size (longer than 7 cm or 2.75 inches while in a full erection)
- Non-retractive or moderately retractive penis during relaxation
- Lean individuals with a regular pubic fat pad
- Psychologically stable
- No previous implants or surgeries other than the circumcision
If any of the options do not apply to you, please contact Avanti Derma for a personal evaluation.
Special populations
Even though the ideal candidate for non-surgical phalloplasty is a circumcised individual, some uncircumcised prospects may qualify depending on their anatomy, expectations, and soft tissue filler of choice. Uncircumcised patients are encouraged to undergo a personal evaluation. The injection of soft tissue fillers is stable in circumcised patients because the skin is tight, and its movement is restricted.
Implanting any filler under an uncircumcised patient’s loose skin is challenging, and the possibilities of migration and product clumping are high.
The implanted fillers should never involve the foreskin to preserve its aesthetics and dynamics.
Non-circumcised patients are generally accepted but treated conservatively, with limited volume and low product concentration if available.
Using large amounts of tissue fillers in the uncircumcised patient elevates the risk of developing the “accordion effect” or product and tissue clumping at the base of the penis when retracting the skin.
Uncircumcised patients seeking more significant volume are encouraged to have a “low, tight” circumcision three months before their penile enhancement procedure; “low” means that the circumcision scar should be closer to the neck of the penis.
Some individuals believe that they have a small penis when, in reality, their size is average, above average, or even large; it is a psychological condition known as the “small penis syndrome.” Although psychological support rarely works, these patients benefit from an objective size increase after our phalloplasty procedures.
The mean length of the erect penis is around 13 cm (5.25 in). A small penis measures less than the average size but is larger than 7 cm (2.75 in) during erection; individuals with an objectively small penis are considered good candidates for phalloplasty.
Unlike a small penis, the micro-penis is an abnormally tiny penis that measures less than 7 cm (2.75 in) during erection; these patients are not good candidates for nonsurgical phalloplasty. The buried penis (or hidden penis) commonly associates with obesity or other conditions that increase the volume of the pubic fat pad. The buried penis can be of average size, making these patients good candidates for phalloplasty after their pubic fat pad’s liposuction.
An uncircumcised patient with a micro-penis and buried penis is the least desirable candidate for phalloplasty.
As a body alteration, phalloplasty can have both good and bad psychological consequences.
Although it is almost impossible to predict a particular psychological outcome after the procedure, years of experience and thousands of patients treated help us identify some risk factors and make recommendations or deny services.
It is expected that after a phalloplasty procedure, patients associate independent symptoms with the product implanted and occasionally want it reversed. Even though we do not have any cases of patients with a medical indication for surgical removal of soft tissue fillers after phalloplasty, a tiny number of them have requested it for personal reasons.
Prospective patients must understand that removing the implant should not be considered part of the decision to have a nonsurgical phalloplasty.
Prospective patients with previous procedures are taken based on the results and nature of their past treatments: Autologous fat transfer typically results in irregularities but develops a light degree of fibrosis that facilitates soft tissue fillers’ implants. These patients are good candidates for phalloplasty. Biological membranes (Alloderm™, Veloderm™) are implanted through invasive surgical procedures, including degloving of the penis. While being reabsorbed by the body, they leave the skin firmer due to residual scar tissue. These patients are good candidates for phalloplasty, although some areas may be problematic due to surgical scars and skin adherences. Patients with soft silicone scaffoldings on site are not taken because of the excessive risk of complications. Once their silicone implant is removed through a second surgery, they must be assessed because they are less-than-ideal patients for nonsurgical phalloplasty.
- Rigid and inflatable implants placed inside the corpora cavernosa do not alter the superficial tissues, and they can qualify for phalloplasty with soft tissue fillers.
- Patients with a history of previous surgeries or implants need to provide all medical records, along with a summary of the current condition of the area.
- Failure to disclose previous procedures may disqualify candidates, and all incurred expenses will be the patient’s responsibility.
- History of unknown products or materials implanted in the penis disqualify most patients for phalloplasty at Avanti Derma.
Avanti Derma offers a full line of
Soft Tissue Fillers
Avanti Derma is the pioneer in non-surgical phalloplasty and the only medical practice that offers the three most prevalent soft tissue fillers.
Permanent Results
Linnea Avanti®
Polymethyl-methacrylate (PMMA)
Made of microscopic spheres of PMMA, a plastic that won’t be absorbed by the body.
The micro-spheres get surrounded by the patient’s collagen, creating volume.
Permanent results. The implant is firm and stable; it doesn’t migrate.
Popular brand names: Linnea Avanti®, Linnea Safe®.
Long-term Results
Ellansé®
Polycaprolactone (PCL)
Made of microscopic spheres of PCL, a polymer that is slowly absorbed by the body. The micro-spheres get surrounded by the patient’s collagen, creating volume. Long-term results. The implant is firm and stable; it doesn’t migrate. It is available in two varieties that offer longevity of one and two years.
Brand name: Ellansé®.
Temporary Results
Voluma®
Hyaluronic Acid (HA)
Made of a hydrophilic gel, that holds water and remains a soft substance in the tissues. The gel deposits get encapsulated by a thin and weak collagen membrane. Temporary results. The implant may be “soft” or “spongy” to the touch if used for phalloplasty. This line of products is widely accepted for facial procedures. It can be reversed with injections of an enzyme called hyaluronidase.
Popular brand names: Voluma®, Volux®, Belotero®, and many more.
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