In 2005, I proposed the technique of
which is capable of avoiding the fore mentioned drawbacks of elongation: The suspensory ligament is released through a peno-pubic incision. The caudal flap of the resected ligaments is reflected caudally and sutured to Buck’s fascia. An "A" is incised. The caudal half of the "A" is de-skinned, leaving a cranial skin covered triangle, and a caudal, rectangular fat flap. The fat flap is pulled into the gap between the base of the penis and the pubis, and secured in position by suturing its deep surface and lower edge to the pubis. The base of the penis is sutured to the base of the skin rectangle, thus pulling it out. This maneuver fills up the gap. The "A" is closed as a "Y". The peno-pubic incision is closed as a T-shape, to avoid pulling the penis back at skin closure.
Refining Penile Lengthening: “V-Y
Half-Skin Half-Fat Advancement Flap” Combined With Severing The Suspensory
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