Non-surgical Repair of Lumps & Bumps After Girth Enlargement
“Lumps or bumps” are an undesirable side effect that some patients report after penile girth augmentation.
To fix unevenness and bumps after girth enhancement, Rejuvall® offers a range of non-surgical medical solutions.
What are these lumps? Why do they occur? How is the problem fixed?
Both the substance utilized to thicken the penis and the precise method employed to perform the augmentation determine the answers.
The majority can be swiftly resolved without surgery and are quite easy to handle. Some are more complicated and may need to be repaired surgically.
FTT Nodule Repairs
After a fat tissue transplant (FTT) for penile girth, have you experienced the formation of a nodule on your penis shaft?
Let’s start by outlining the components of a FTT operation in order to comprehend what causes it and how to correct it.
What is involved in a fat tissue transplant operation?
A fat transfer procedure involves removing fat from one area of the patient’s body – such as the abdomen or inner thighs – and injecting it into another area to enlarge the appearance of that area.
Performed properly, a fat transfer procedure is divided into 4 stages:
- The fat is removed via thin cannulas
- The fat cells are washed and filtered
- The fat is reintroduced into the body
- The patient is administered aftercare to induce extra blood flow to the treated area to reduce the likelihood of fat necrosis and related nodularity
Since this treatment is a “transplant,” which requires the harvesting, transplanting, and maintenance of living cells after the process is finished, its success is more complicated than it typically seems.
The area and volume of fat that needs to be transported determine how long a FTT takes. It often takes an hour or so to enlarge the penis.
The majority of FTT treatments for penis augmentation are carried out under general anesthesia. Rejuvall® chooses the safer combination of IV sedation and epidural.
After a fat transfer treatment, patients should expect to wait 6 months to see the results.
What is fat necrosis?
Fat necrosis occurs when inflammation impairs the blood and oxygen supply to body fat, resulting in the death of fat cells.
Necrosis occurs when fat cells become inflamed and die from a lack of oxygen. When this occurs, the fatty tissue is replaced by the oily contents of the fat cells that have ceased to function.
Necrosis or oil cysts may feel like a round, firm lump, and nearby skin may show dimpling, bruising, or color changes. Patients often find this very concerning, particularly if an intimate partner questions if it’s related to an STD.
It’s a rather common side effect following an FTT penile girth enhancement, particularly from less skilled surgeons and clinics.
The signs and symptoms of fat necrosis might vary over time.
They occasionally disappear on their own in other body areas, but they seldom do so in the skin around the penile shaft since there is very little blood flow there.
Typically, the symptoms of fat necrosis do not manifest immediately following surgery. They can manifest themselves over a period of weeks or months.
Fat necrosis occurs in stages:
- Fat cells die and their contents are released.
- The released oil condenses into an oil cyst, a sac of greasy liquid.
- Over time, calcium can deposit atop the cyst, forming a harder lump.
- The body attempts to repair the damaged tissue, resulting in the formation of thicker scar tissue.
How is fat necrosis repaired?
Depending on the size of the lumps, we usually recommend a specific non-surgical removal technique.
It entails a small incision or a fine needle aspiration along with medical laughing gas if the patient requests it due to anxiety and a local anesthetic for pain.
Low-intensity shockwave therapies have been used to effectively eliminate FTT nodules, although usually they reappear, requiring additional treatments.
We currently believe that this approach is not feasible, given that 90% of our patients come from other states to see us.
Granuloma Nodules After Injection of Hyaluronic Acid for Penile Enlargement
Granuloma repair is becoming an increasingly active area within our penile enhancement repairs practice, given the massive increase in the number of men getting non-surgical penile enhancements.
What is a granuloma?
In pathology, a granuloma is characterized as a structured aggregation of macrophages.
Patients often describe any granuloma formation visibly protruding from under the skin as a “nodule”. Alas, that term could include everything from a skin lesion to a malignant tumor.
A granuloma is a localized aggregation of immune cells or inflammatory tissue within the body.
They develop around any foreign object introduced into the human body. Most commonly, they disappear on their own.
The most prevalent granuloma that arises after penile girth enhancement is referred to as “foreign body giant cells” or FBGC.
What are foreign body giant cells (FBGC)?
A foreign-body giant cell is a collection of fused macrophages which are generated in response to a large amount of foreign body (injected dermal filler).
Penile augmentation from off-label use of hyaluronic acid injections employs amounts of H/A far greater (5mL to 15mL) than what was FDA-tested for use with facial injections (1mL to 2mL).
Thus, the likelihood of granuloma formation following H/A injections for penis enlargement is at least ten times more likely than H/A injections for facial fillers.
The degree of FBGC response following H/A injections within the penis shaft is directly tied to the number of mL’s used, the exact placement of the filler (which is why we don’t use a cannula to inject), and the patient’s immune response system.
Patients with a weakened immune response system from sickness are more prone to end up with sustained granuloma since the body’s ability to heal is compromised.
How is granuloma repaired with H/A injections?
Granuloma resulting from H/A injections is treated with the administration of hyaluronidase, an enzyme that degrades hyaluronic acid.
Persistent granuloma resulting from hyaluronic acid injections arises from an inflammatory immunological reaction. Eliminating the root cause of this inflammatory process leads to a rapid resolution of the issue.
Granuloma After PMMA Injections for Penile Enlargements
Granuloma formation after PMMA injections for penile augmentation is far more probable than with H/A injections, as the aggregated macrophages or foreign body giant cells (FBGC) cannot engulf or degrade the plastic microspheres that give permanence to PMMA.
Success with injectable PMMA is directly correlated to steps taken to minimize the likelihood of an inflammatory response from injections including moving forward slowly and strategic cannula-free placement.
Due to its irreversible characteristics, issues arising from PMMA are more persistent than those linked to HA soft tissue fillers.
A particular subgroup of problems, recently designated as “delayed inflammatory reactions” (DIRs), manifests weeks to months post-injection. Typical characteristics encompass erythema, discomfort, induration, or firm edema.
DIRs may arise after an infectious trigger; however they have also been documented due to the utilization of defective products or inadequate injection techniques.
The response of the foreign body reaction determines how compatible the implanted material will be in the body, and the members of the foreign body reaction, including the FBGC’s, remain along the surface of the biomaterial for its lifetime in the body, which with PMMA is basically forever.
This response varies from one person to the next which is why we strongly advise patients to start slowly in this regard. While the outcomes are permanent, so are any problems that can occur.
How is granuloma removed that was caused by PMMA injections?
Granuloma from PMMA injections almost always requires small incisions, although small nodules can sometimes be aspirated with micro needling. The repair procedure is almost always performed non-surgically with a local anesthetic.
Numerous patients were informed by the clinician administering the PMMA that a steroid injection could easily resolve any issues; however, this is never accurate.
Steroid injections can reduce inflammation, which from a practical basis will sometimes temporarily soften the granuloma nodule to the touch. However, the cluster of macrophages and delayed inflammatory reactions (DIRs) and firm edema are never removed in such a manner.
Experiencing bumps after girth enhancement?
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