A hidden penis is frequently referred to as a buried or concealed penis. There are multiple causes of buried penis including obesity, aging with an overlying fold of abdominal fat and skin, and a shortage of penile skin from chronic inflammation or an overly aggressive circumcision. (See category of Buried Penis under Penile and Scrotal Surgery)
Some men are born with a congenital fat pad that tends to make the penis inconspicuous. The skin of the lower abdomen and pubis descends or sags with age, causing the penis of some men to hide under the excess skin and fat. Obesity makes the concealment of the penis worse. Various procedures are available to make the penis more visible if the penile shaft is buried below the surface of the skin from obesity or aging, an overly aggressive circumcision, congenital fat deposits, or a small phallus,
If excess skin and fat are present on the lower abdomen and pubis, the skin and fat are excised, elevating the pubic region and giving a more youthful appearance to the penis and genitalia. If fat only is present, liposuction or open surgical removal of the fat is performed. The skin of the pubis is sutured down to the underlying abdominal tissue, which prevents the penis from hiding in the pubic area. The skin at the base of the penis and scrotum is sutured to the erectile bodies, preventing the penis from retracting into fat or into the scrotum. (FIGURE 1 & 2)
The extent of the operation depends on the severity of the deformity. Surgery is usually done as an outpatient. The improvement in penile and pubic appearance can be dramatic.