Surgical results and treatment results of penis enlargement techniques depend equally on the skill, knowledge, experience, education and training of the urologist surgeon as well as the material used for the enhancement.
Bad, dangerous, inadvisable materials used in surgery to enlarge the penis will give a bad result eventually, regardless of the doctor's expertise. Good materials also do not guarantee a good result because it still depends on the skill of the doctor in using the penis enhancement material.
Fat is an excellent example. When skillfully used by a very experienced urological surgeon the result can be excellent, so much so that autologous (your own) fat transfer (transplantation) gives a better result than other materials. It is a proven penis enlargement technique that has been around for a century.
Liquid fat cells removed by liposuction, purified and injected to increase penis size has been done for about a decade but is often performed badly.
Survival of fat after re-engineering is also very unpredictable. The surgeon may do a good job and achieve excellent symmetry with nice gains in size. However, the result can erode and deteriorate over time β which is why Dr Kim offers free "touch-ups" during the six months after treatment.
When fat is an important factor but not dealt with when other procedures to increase penis size are performed, it can prevent evidence of size gains, such as gains from penis lengthening surgery by ligamentolysis.
Dr Kim says:
"Many patients don't recognize that lengthening by ligamentolysis and correction of buried penis are quite different procedures.
Ligamentolysis is a simple procedure which can be done under local anesthesia, but buried penis correction needs epidural anesthesia, because its operation field is very wide.
Ligamentolysis to increase penis length is sometimes ineffective during flaccid status, when liposuction or lipectomy is not combined."
" It depends on the patient's body condition.
If the person is obese, I think using his body fat would be better than MegaDerm because of the thickness.
In some patients, the thickness of the fat is more than 5 mm, sometimes as thick as 1 cm (10 mm).
Although it gradually decreases in size (thickness) over time, it will stabilize in one month. After that the final effect will be greater than with MegaDerm.
Autologous dermal fat or a fat tissue graft is not so bad. It depends on the body constitution of the patient.
If the patient is obese, using his own tissue is much better than buying and using some other guy's tissue.
Autograft is always better than allograft.
But for a very thin or slender patient his graft would not survive. In that case, an allograft is better. But in the case of an obese patient, an autograft would be much better β always better.
We can do several things simultaneously: ligamentolysis, lipectomy and girth enhancement. The patient can save money because he doesn't need to buy an allograft."