
Surgical method of thickening the penis by transplantation of skin and fat flaps is a response to the short-lived effect of subcutaneous lipofilling. If we compare this method of penis enlargement with the introduction of fat cells, then it requires great professional skills.
Penis thickening with skin and fat flaps implies a more complex intervention, as well as a high risk of injury. Therefore, before carrying out the operation, the patient should weigh the pros and cons.
Penis enlargement by transplantation of skin and fat flaps
The duration of the surgery under consideration, performed under general anesthesia, is several hours. It all starts with the collection of transplants. Most often they are transplanted from the gluteal region of the patient, since this subcutaneous layer is characterized by a higher density and the number of connective tissue septa. You can also use skin and fat flaps taken from the groin area.
The area of the material taken directly depends on the size of the male genital organ. As a result, the surgeon may not be limited to just one implant. After stitching the defective areas of the donor area, incisions are made on the shaft of the penis. Skin and fat flaps are inserted by a specialist under the upper layers of the phallus skin. When the transplant process is complete, the surgeon sutures the incisions.
As already mentioned, donor skin and fat flaps are most often taken from the gluteal region. This material boasts a lower content of fat, therefore it does not lose its density so much during the transplantation process. The cells of the adipose tissue of the gluteal flaps in the process of sitting experience the pressure of the trunk, therefore, they have a denser structure.
What are the indications and contraindications

An unsatisfactory thickness of the penis can lead to serious psychological problems. This can have a negative impact on both a man's self-esteem and his success in intimate life. As a result, the indications for the operation are of a medical, psychological and aesthetic nature.
As for contraindications, a man will have to undergo an examination before carrying out an operation to thicken the penis. Surgical intervention will be questionable if the patient is faced with mental, genitourinary, cardiovascular or immune problems.
It is important to pay attention to the ability of blood to clot, as well as to make sure that there is no damage to the skin of the penis and the donor area (gluteal, groin). The list of contraindications is supplemented by diabetes mellitus and inflammatory processes.
Rehabilitation period and results
On the one hand, transplantation of skin and fat flaps allows to achieve a longer effect than lipofilling, but on the other hand, implants devoid of epidermis can be rejected, since there is inadequate blood supply to the material used. The risks of changing the contours of the penis trunk due to the uneven density of natural grafts should not be ruled out.
Due to the high risks of rejection of skin and fatty blocks and the appearance of inflammatory processes, specialists are increasingly discouraging patients from such a surgical intervention, recommending a procedure with muscle graft transplant.

Such an operation allows maintaining the correct blood supply to the grafts, and also guarantees thickening of the penis for life.
The advantages and disadvantages of using fatty skin flaps include the following:
- , unlike lipofilling, a more stable result is observed;
- despite the scars, aesthetics is preserved in the donor area;
- the material used has minimal loss of density.
Disadvantages:
- financial side of the issue;
- risks of rejection of skin and fat flaps;
- the probability of deformation of the phallus trunk;
- the risk of postoperative wound suppuration.














































