Today’s surgical Phalloplasty technique involves two aspects; lengthening and thickening. The lengthening technique actually began back in the early eighties, in Boston, as a surgical method to help children who were born with a congenital defect known as Micro penis (measuring less than 6cm erect). In this method, the surgical release of the ligament (suspensory ligament) that held the penis cradled from the pubic bone (S1-S5), allowed the penis to become extended, in many cases, up to six additional centimeters (roughly 2.4 inches). By the end of the eighties, a Chinese doctor improved the penis lengthening technique significantly, and he is generally credited as being the “inventor” of the technique for penis lengthening.
Thickening of the penis first appeared in Miami, again in early eighties, when a surgeon experimented with the technique of lipo sculpture—filling the penis with the patient’s own fatty tissue. It was the very first application of what is now termed FFT, or Free Fat Transfer, a method widely accepted as being the original technique that produced high success rates. Since then, another method of thickening has been employed by some surgeons—that of widening the penis using tissue grafts, or dermal matrix grafts, whereby the body generates new cellular growth on the graft substrate. But, in most cases, fat transfer or dermal grafts yield the same results.
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