Use of Macrolane VRF 30 in Emicircumferential Penis Enlargement

作者：Sito Giuseppe; Marlino Sergio^*; Santorelli Adriano

来源：Aesthetic Surgery Journal, 2013, 33(2): 258-264.

DOI：10.1177/1090820X12472337

• hyaluronic acid
• filler
• Macrolane
• penis enlargement

Background: Penis enlargement is increasingly in demand. Methods for penis enlargement can be classified into surgical, nonsurgical (filling), and mechanical. Each method has shown only relatively successful results. A new formulation of injectable, stabilized, hyaluronic acid (HA) based, nonanimal gel is available that may have applications for this use. %26lt;br%26gt;Objectives: The authors propose a new technique for emicircumferential-injection filling of the penis and assess the safety and efficacy of this procedure compared with lipofilling. %26lt;br%26gt;Methods: The authors retrospectively reviewed the charts of 83 patients who underwent penis enlargement with either their HA-injection technique or lipofilling between December 2007 and July 2011. Safety, efficacy, and patient satisfaction were assessed. %26lt;br%26gt;Results: The circumferential enlargement obtained from both techniques ranged from 3.2 to 4.5 cm, with a decrement during erection. In all patients, the increase in penis length ranged from 1.8 to 3.6 cm. No complications were seen in patients treated with HA, whereas 8 patients treated with lipofilling developed granuloma, and another experienced fat necrosis. The vast majority (n = 72) of patients reported being %26quot;very satisfied%26quot; with the results. %26lt;br%26gt;Conclusions: The ideal technique for penis enlargement should be nonsurgical, with a satisfactory and predictable result, a low rate of complications, and long-term stability. Emicircumferential enlargement with HA filler meets these requirements. However, results have been durable but not definitive, and repeated treatment (with associated costs) is necessary.

• 出版日期2013-2