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Q: Do other men usually choose one procedure, or both?
A: Eighty percent of our patients opt for both procedures.

Q: When can I return to work?
A: Surgery is performed on an outpatient basis. The majority of our patients feel ready to return to non-physical work within a few days. Those whose jobs involve physical labor generally require more time, depending on the nature of their work.

Q: Is there any discomfort? When can I return to sexual activity?
A: Recovery varies from person to person. Most require medication to relieve discomfort for the first week to 10 days. It usually takes two to three weeks before aerobic excercise is comfortable. Sexual activity can be resumed in 30 days; however, it takes three to six months to achieve maximum erection length gained from the elongation procedure.

Q: What are the chances of complications? What kind?
A: Ninety-five percent of the procedures we've performed were completed without incident or complications. However, there are risks that accompany any type of surgery--bleeding or infection, for example. The lengthening process can alter the angle of erection to some degree, but such chances are usually minor. There have also been occasions where fat transferred to the penis has been reabsorbed by the body, resulting in a loss in circumference gain. These losses can easily be corrected with a relatively minor follow-up procedure.

Q: Are there other surgical procedures that can be done during my procedure?
A: A circumcision, vasectomy, testicular enhancement or any other basic cosmetic surgery can also be performed during penis enlargement.

Q: Will surgery make me a better lover?
A: Your main sex organ is your brain; no one can predict how an individual will react after surgery. Nevertheless, we've found that most men feel better about themselves after the procedure, and this feeling does affect behavior.

Q: Will there be a scar or other signs that I had the procedure done?
A: While surgery does involve an incision and leaves a visible scar, the entrance is made in the pubic hair region. When the hair grows back in about four weeks, the scar is almost impossible to detect in most cases.

Q: What are the risks of the fat cells being reabsorbed?
A: We've seen an average of 5 to 15 percent reabsorbtion of fat cells. We can adjust for this by enlarging the shaft slightly beyond your desired size, knowing that the shaft may decrease to the size you requested over a period of a few months. Our procedure also includes a cell cleansing and separation process prior to reintroduction which helps minimize reabsorbtion.

Q: Is there a risk of impotence or loss of sensitivity?
A: These proceedures do not interfere with any of the normal physiologic functions of the penis. In some cases there may be a temporary loss of sensitivity in the flap area during the healing process, where the skin is pulled to cover the lenghened penis.

Q: I've heard that some doctor's use Dermal Graft Augmentation. What is it?
A: Dermal Graft Augmentation is an experimental augmentation technique where whole fat strips are placed in the penile shaft. The theory is that these strips will not be reabsorbed as easily as uncleaned fat cells. We feel strongly that this procedure is ineffective and can result in numbness and uncorrectable scarring when the fat strips are reabsorbed. Also, this procedure requires three to six hours of surgery, which means there are the attendant risks that come from being under anesthesia for long periods of time.

Q: What about other techniques?
A: A surgeon's technique and experience are of the utmost importance. CSI doctors spent several years perfecting the techniques he now uses over the course of 1,000 operations. There are few--if any--physicians whose experience in this type of surgery comes close to equaling that of the team at Cosmetic Surgery International. Other techniques have not proven as consistent or, more importantly, successful.

Q: If I've had surgery performed by another doctor and didn't get results, can you do the procedure again? What are my chances for improvement?
A: This is a common problem. Patients often come to us for a "touch-up" necessitated by another physician's mistakes. Of course, the best way to maximize your results is to have the surgery performed only once. If you've had a previous operation, we require an extensive physical to determine whether or not a second surgery would be of benefit. Generally speaking, we have been able to improve on previous results, but this varies depending on individual circumstances.


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