Lipofilling / Plastic surgeon Zelenkova Natalya Vyacheslavovna

What it is

In general, the lipofilling technique can be used on various parts of the body and face to create missing or additional volume, as well as correct various defects. For example, lipofilling is a common method of breast enlargement, along with the implantation of silicone implants. Its main difference from the implantation technique is its fragility, caused by the ability of fat to dissolve over time and disappear with further weight loss of the patient.

As for intimate plastic surgery, lipofilling allows you to adjust the volume and shape of the genital organ. This procedure is carried out using an injection made through a syringe; The patient's own adipose tissue is used as filler. This procedure has no age restrictions and can be performed provided that the patient does not have any diseases in chronic or acute forms.

An important nuance when carrying out lipofilling is that the patient must have sufficient reserves of adipose tissue. Typically, areas of the body for fat harvesting include the abdomen, sides, and buttocks. But, of course, you should not think that such a procedure is suitable only for obese patients and people with a larger body. As a rule, there is enough adipose tissue even in fairly slender representatives of the stronger sex.

Indications for the penile lipofilling procedure include:

Insufficient penis diameter – up to 2 cm;
Decreased libido due to complexes caused by such parameters, as well as related problems in the sexual sphere;
The patient is dissatisfied with the appearance of his genital organ.

The essence of the operation

Lipofilling of the penis is a relatively young technique that is successfully used today in almost all clinics.
It was first developed in the early 2000s and was used to eliminate age-related changes in facial skin and visible defects in appearance. The technique is based on liposuction. Fat is pumped out from one area, processed and cleared of unnecessary substances, and then reintroduced through microinjections into the problem area.

The unconditional advantage of technology lies in its safety. Since the donor and recipient are the same person, the risk of tissue rejection and unwanted reactions, including allergies, is eliminated.

Technique

This technique is considered one of the simplest. The procedure takes no more than 2 hours, is performed under local anesthesia and does not require hospitalization of the patient.

Like all surgical operations, lipofilling for penis enlargement is performed in several stages:

Preparation. Medical examination, tests (general blood test, urine test, electrocardiogram), consultation, examination by specialists in related fields.
Collection of raw materials. Determining the area from which fat can be taken for subsequent processing and injection. Most often these are the thighs, buttocks or abdomen.
Material preparation – centrifugation, tissue cleaning.
Introduction. In this case, autologous fat is injected into the muscles, after which it forms and gradually becomes overgrown with blood vessels. As a result, it becomes part of the organ, does not dissolve and is not excreted from the body.

Experts have different opinions regarding the survival rate of the material. Proponents of radical correction methods claim that only 30-50 percent of auto fat is adapted. Other experts insist that this figure is 70-90% and depends on the quality of fabric processing.

To ensure the maximum effect of the procedure, seek the help of doctors who have the necessary permissions. They will carry out the correction in compliance with all technology requirements.

Possible complications

Despite its safety and simplicity, lipofilling is a surgical procedure. Therefore, when agreeing to correction of the penis, a man must be prepared for possible complications.

Among the observed side effects, experts call:

clumping of fat under the skin;
fibrosis;
the appearance of edema not only of the organ itself, but also of the lower extremities;
pain when urinating;
suppuration in the genitals.

The listed reactions appear extremely rarely and most often as a result of an operation performed by incompetent specialists. To prevent complications, be responsible when choosing a clinic and a doctor to whom you entrust such an important organ.

Rehabilitation

Unlike more radical methods of correcting the size and volume of the penis, lipofilling has a short rehabilitation period. It will take about a month for complete recovery from the surgery.

During this time, the following rules must be strictly observed:

Avoid sexual intercourse for 3 weeks to allow microtraumas to heal.
Taking antibiotics and painkillers prescribed by your doctor.
Regular care, antiseptic measures.
Refusal of physical activity.

For 4-6 weeks, a man should wear comfortable underwear made from natural materials that do not rub or injure the fabric. You also need to carefully monitor the condition of the genital organ and, at the slightest deviation from the norm, seek help from specialists.

Preparation for the procedure

Lipofilling is a technique of intimate plastic surgery. First, you need to get an appointment with an appropriate medical specialist who will decide whether you should undergo this operation, and will also tell you about the possible results after lipofilling and correlate them with your desires. During the examination, the surgeon will also be able to determine the areas where your fat tissue will be harvested and will tell you whether there will be enough of it for the procedure to be successful.

If the decision to undergo surgery is positive, you will need to follow a number of medical recommendations:

• Two weeks before the procedure, if possible, you should stop drinking alcohol and smoking. It is recommended to spend this period in a state of rest and absence of stress; • During the same two weeks, you should not take blood thinning medications, for example, aspirin, citramon, paracetamol and other substances containing acetylsalicylic acid; • For the same reason, you should not use dietary supplements containing ginkgo biloba plant extract and vitamin E for two weeks; • As prescribed by a medical specialist, the day before surgery it is possible to take a sedative; • Before the operation itself, you must also undergo a series of tests that the doctor will prescribe. These include general blood and urine tests, as well as tests for HIV, hepatitis, and syphilis.

Preparation stage

It all starts with a frank conversation with your doctor. The doctor will explain the possibilities of the procedure and assess your expectations.
During the examination, he will highlight the areas where fat cells are collected and examine the site of their injection. Next you need to follow a number of recommendations:

2 weeks before the intervention you need rest, maximum abstinence from alcohol and smoking. The absence of stressful situations and good physical condition have a positive effect on rehabilitation;
For 2 weeks, you should not take aspirin, paracetamol, citramon, anything that contains acetylsalicylic acid - the drugs provoke problems with blood clotting;
Do not take ginkgo biloba or vitamin E for 2 weeks, otherwise there is a high risk of bleeding;
if the doctor allows it, on the eve of day X you can eat a sedative;
Before the intervention, blood and urine tests are taken for dangerous infections and viruses.

What to do the day before:

shower hygiene, hair washing;
eating 6 hours before the procedure;
if you have hypertension, take antihypertensive drugs with you, which are usually taken during the day.

How is lipofilling performed?

This surgical intervention is considered not difficult and not very traumatic. The procedure can be performed under general anesthesia or local anesthesia.

The lipofilling procedure itself consists of three stages:

Liposuction, or removal of the patient's fat tissue;
Processing and cleaning of collected material;
Implantation of fat cells into the penile area.

Liposuction

The cells are collected using a small instrument with a rounded tip, which does not leave marks or scars, and does not damage the blood vessels and nerves of the body. A small puncture is made in the fold of skin in the area where the cells are collected, into which a special solution is pumped, making it easier to carry out the liposuction process. The patient's fat is pumped out from this area using a vacuum.

Treatment

Since the material collected by the surgeon contains not only fat cells, but also blood, solution, and other impurities, it must be cleaned before insertion into the penis area. Cleaning is carried out in special devices and is carried out quickly.

Injection of adipose tissue

The material is implanted under the skin using injections. This happens through a microneedle, in small portions. When inserting, the doctor must distribute the material so that it is evenly distributed along the shaft of the penis. At the end of the procedure, a sterile bandage is applied to the area.

Postoperative period

Phallus fat grafting involves a small injection of fat, so patients are often sent home the same day .
If general anesthesia was used, you may be left in the clinic for a day. What happens next:

mild pain, discomfort - does not last long and goes away quickly;
There will be bruising and swelling where the surgeon drained the fat. This trouble will go away in a couple of weeks. Possible increased sensitivity.

Light physical activity and sex begin after 3 weeks , a full-fledged trip to the rocking chair is possible after 1.5 months.

Rehabilitation period

Since the lipofilling procedure is low-traumatic and unrelated, in the case of work with the volume of the penis, with the introduction of large volumes of adipose tissue, patients are often discharged home on the day of the procedure. If general anesthesia is used, the patient remains in the clinic - usually for a day.

During the postoperative period, the following sensations are possible:

Mild painful and uncomfortable sensations that last a short time and go away on their own;
Bruising and swelling may also appear in the places where the surgeon removed the fatty tissue. As a rule, such marks disappear within two weeks;
In some cases, there may be increased sensitivity in the genital area.

On average, you can start light physical activity and sexual activity three weeks after lipofilling. More active sports activities are possible after one and a half to two months, if the healing stage goes well.

Indications and contraindications

Obviously, the main indication for lipofilling of the penis is dissatisfaction with its size or volume. Surgery may also be required to correct the results of a previously performed procedure. But, like all surgical methods, it has a number of contraindications.

How long does the result last?

Don’t think that the effect of lipofilling will stay with you for life. How long the result achieved during the procedure will last depends on the characteristics of the individual patient’s body.

The volume of the penis increases due to the introduction of its own adipose tissue, and fat cells, as is known, tend to be absorbed, especially if the patient has a thin, asthenic physique.

For some men, the resorption of the injected fat tissue will occur quite quickly, while for others the process will be barely noticeable. Resorption can be accelerated by active sex life, as well as sudden weight loss. In this case, the parameters of the genital organ will return to the original ones, and the patient will need correction, which will lead to additional costs.

The lipofilling procedure for any area of the body is recommended to be performed when the patient is at a stable weight, which, however, does not guarantee the preservation of fat cells in the desired area.

More about the technique

Despite the fact that almost all men strive to add a couple of extra centimeters in length to their penis, many are still concerned about the issue of increasing its diameter. Now there are a lot of ways to “stretch” the genital organ, and practically none that allows you to make it wider.

Plastic surgery has come to the aid of those who are dissatisfied with the girth of the phallus. She offers a simple and effective method based on taking biomaterial (adipose tissue) and injecting it under the skin layer of the penis.

Lipofilling is relevant in several cases:

when a man already has a long penis, but is dissatisfied with its thickness;
when the partner has a wide vagina due to physiological characteristics;
when a person independently enlarged the penis using a hardware method (for example, an extender) and ended up with a long but thin penis.

Before the advent of this procedure, the only effective option for expanding the girth of the phallus was the implantation of a silicone implant, but it has a lot of disadvantages.

The main ones were the following:

high probability of displacement or damage to the implant during sexual intercourse;
silicone needs to be changed every five years;
the operation is irreversible;
during sex, the prosthesis often causes pain and discomfort;
In 23% of patients, penile prosthesis ends in failure, since the human body does not always accept artificial material (silicone is rejected).

In turn, lipofilling has the following advantages:

the process of penis enlargement occurs quickly and does not require long-term rehabilitation;
the patient's biomaterial is used, which eliminates rejection or allergic reactions;
no tests are required before surgery;
the procedure takes place without general anesthesia;
the result obtained is no different from natural penis enlargement;
If necessary, doctors can correct the shape of the genital organ at any time.

However, like other types of plastic surgery, penis liposculpture is not without its disadvantages:

after surgery on the penis, bruising and swelling are observed for 2-3 days;
the final results can be assessed only after a week;
sometimes the fatty “filler” spreads incorrectly, which causes an asymmetrical increase in the diameter of the penis;
there is a possibility of skin pigmentation at the site of injection of biological material.

It is also worth remembering that during the postoperative rehabilitation period you need to adhere to certain restrictions. For example, the patient is contraindicated for intimacy and going to the sauna, swimming pools or the beach.

Important! Often age spots do not disappear on their own. Therefore, a man may need laser skin cleansing. This is an expensive procedure that is performed only in large cosmetology centers.

How long will the results from the procedure last?

Fat injection has no expiration date, since the biomaterial injected under the skin of the penis quickly takes root and becomes one with the person. The operation is designed for lifelong results, and the penis can be returned to its original state only if the man wishes. It will not “deflate” or dissolve on its own.

But be that as it may, doctors do not make promises that the effect of lipofilling will last until the end of days. It all depends on the characteristics of the patient’s body and his lifestyle. However, in the entire history of plastic surgery there have never been precedents when men who enlarged their penis by injection were dissatisfied.

Indications for surgery

Despite the fact that lipofilling is popular among those who want to make the penis wider, the procedure has many indications. It is prescribed to men suffering from:

erectile dysfunction caused by psychological complexes regarding the shape of the penis;
congenital thinness of the penis shaft;
correction of the genital organ with micropenia;
congenital or acquired asymmetry of the phallus;
recovery after removal of a silicone implant.

Patient reviews of penis lipofilling

Most of the patients who decided to undergo the lipofilling procedure say in their reviews that the results achieved with the help of the procedure, although desirable, are temporary - the injected material was absorbed on average after six months; the parameters of the penis returned to their original values. At the same time, some people who have undergone the procedure remain at the site of injection of adipose tissue with tubercles and irregularities.

Most patients describe the rehabilitation process as easy; the injected adipose tissue takes root easily. On average, about one to one and a half centimeters are added to the girth.

How is lipofilling performed on the penis?

During the procedure, which can last up to three hours, the patient is under general anesthesia. To increase the thickness of the phallus, the specialist uses the fatty material that is located in places where a man has excess deposits. We are talking about the abdomen, hips, buttocks, as well as the suprapubic area.

For better separation of adipose tissue, a special medicinal cocktail is administered at the sites where the material is collected. The fat is then purified from blood fractions and drugs. The resulting homogeneous fat mass is injected under the skin of the penis through micropunctures. It is evenly laid and distributed along the entire length of the phallus.

At the final stage, the doctor sews up the puncture sites from the microcannulas and covers them with a surgical plaster. A bandage is applied to the penis. Depending on the complexity of the procedure, the patient remains in the clinic’s hospital for up to two days.

Before surgery, a person consults with a plastic surgeon and undergoes a visual examination of the penis. This is necessary to identify contraindications to lipofilling. Next, the patient must spend the night in the clinic so that the medical staff is sure that he did not consume a lot of fluids, high-calorie foods, alcohol, drugs or any medications the day before.

After the preparatory measures, the man is taken to the surgical room. The procedure for expanding the phallus by injection consists of four stages:

Collection of biomaterial. The required amount of fat tissue is pumped out from the abdomen, buttocks or thighs. To make the collection easy, a thinning cocktail is injected under the patient’s skin;
Purification of biomaterial. At this stage, the fat mass is processed. Harmful components are removed from it, and as a result, a “clean” consumable material remains;
Penis filling. After cleaning the fat, it is drawn into an injection syringe and, using microcannulas, injected under the skin along the entire length of the genital organ;
Completing the operation. After lipofilling, the patient is given a bandage on the penis and told what to do and what rules to follow during the recovery period.

Rehabilitation in total takes from two weeks to 20 days. During this period of time, the fat takes root, damaged blood vessels are restored, and small wounds at the injection site heal.