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Figure 1

Method often used for penile lengthening, which frequently causes deformities.

A) The suspensory ligament is released.
B) A large VY advancement flap is designed.

C) The flap is advanced resulting in hair on the proximal shaft on the penis, bilateral 'dog-ears', and a lower hanging penis.


A 20 year old who underwent release of the suspensory ligament, a large VY advancement flap, and fat injections.

A) Preoperation: Deformity showing a low-lying penis, hair on the proximal shaft, bilateral 'dog-ears' at the penoscrotal junction, a shorter appearing penis, wide pubic scars, and a large quantity of fat in the shaft.


B) Postoperation: Reconstruction after complete reversal of the VY advancement flap, correction of VY 'dog-ears', scar revision, selective removal of fat nodules, and contouring of the left side of the penis.


A


B

A 25 year old who underwent release of the suspensory ligament, a large VY advancement flap, and fat injections.

A) Preoperation: Deformity showing a low-lying penis, hair on the proximal shaft, bilateral 'dog-ears' at the penoscrotal junction, a shorter appearing penis, wide pubic scars, and fat in the shaft.

B) Postoperation: Reconstruction after partial reversal of VY advancement flap, correction of VY 'dog-ears', scar revision, and selective removal of fat. Complete reversal of the VY flap was not possible due to previous partial loss of a portion of the flap.


A

B

 27 year old who underwent release of the suspensory ligament, a large VY advancement flap, and fat injections.

A) Preoperation: Deformity showing a low-lying penis, a shorter appearing penis, wide pubic scars, and fat in the shaft.

B,C,D) Postoperation: Reconstruction after partial reversal of VY advancement flap, scar revision, and selective removal of fat. Complete reversal of the VY flap was not possible due to previous partial loss of a portion of the flap.


A

B

C

D



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