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The thickening of the penis with skin and fatty flaps implies a more complex intervention, as well as a high risk of injury. Therefore, before performing the operation, the patient must weigh the pros and cons.
The duration of the surgery considered, performed under general anesthesia, is several hours. It all starts with collecting transplants. Most of the time they are transplanted from the gluteal region of the patient, since this subcutaneous layer is characterized by a higher density and the number of septa of connective tissue. You can also use skin and fat flaps taken from the groin area.
The area of the extracted material depends directly on the size of the male genital organ. As a result, the surgeon may not be limited to just one implant. After suturing the defective areas of the donor area, incisions are made in the shaft of the penis. A specialist inserts the flaps of skin and fat under the upper skin layers of the phallus. When the transplant process is complete, the surgeon sutures the incisions.
As already mentioned, donor skin and fat flaps are most frequently taken from the gluteal region. This material has a lower fat content, so it does not lose as much density during the transplant 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.

An unsatisfactory thickness of the penis can cause 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 medical, psychological and aesthetic.
As for contraindications, a man should undergo an examination before performing an operation to thicken the penis. Surgical intervention will be questionable if the patient is facing mental, genitourinary, cardiovascular or immune problems.
It is important to pay attention to the clotting ability of the blood and also to ensure that there is no damage to the skin of the penis or the donor area (buttocks, groin). The list of contraindications is supplemented by diabetes mellitus and inflammatory processes.
On the one hand, transplantation of skin and fatty flaps allows to achieve a longer effect than lipofilling, but on the other hand, implants devoid of epidermis can be rejected, since the blood supply to the material used is inadequate. The risks of changing the contours of the shaft of the penis due to the uneven density of natural grafts should not be excluded.
Given the high risks of rejection of the skin and fatty blocks and the appearance of inflammatory processes, specialists increasingly discourage patients from such surgical intervention, recommending a procedure with muscle flap transplantation.

This operation allows to maintain the correct blood supply to the grafts and also guarantees a penis thickening for life.
The advantages and disadvantages of using oily skin flaps include the following:
Disadvantages: