Best Candidates for Male Enhancement
There are certain conditions that may enhance and optimize the results of Male Enhancement treatments. When a patient considers having a Penile Shaft (or Girth) Enlargement treatment several factors can have a significant impact on the results, such as if you they are uncircumcised, if they were circumcised but a lot if foreskin remains, have high retraction during the flaccid state, or even have a small glans in proportion to the penile shaft..
UNCIRCUMCISED (WITH EXTRA FORESKIN) VS. CIRCUMCISED
If a patient is uncircumcised, it is highly recommended to have a circumcision done (with minimal foreskin retained) before having a Penile Enlargement treatment.
For patients who do not want to be circumcised and have the penile shaft enlargement, only about 4 out of 10 patients will heal and shape well. The other 6 will need to have the circumcision done afterward. Having the circumcision afterward is not an issue and all heals very well.
If a patient decided not to have a circumcision and has a filler enlargement procedure, there is an increased risk of skin sores and pain due to the thin and delicate nature of the foreskin. Below are some examples of uncircumcised patients and the difficulties we face with the foreskin remaining during the penile shaft enlargement treatment. Please note that the glans (or head of the penis) and scrotal areas can be treated without issue, but not the penile shaft for the uncircumcised.

The images 1A and 1B above demonstrate a patient who has had a penile shaft enlargement treatment and is in the flaccid (soft) state, two views shown.

The image above shows the same patient with the penile shaft in the flaccid state (different view).
The image above shows the same uncircumcised patient trying to ‘manually’ pull out the glans (or head of penis). Note the thickened foreskin.




Why is this important?
When a penile shaft enlargement treatment is performed, there will be normal swelling. This swelling causes the penile shaft skin to stretch out, which is normal. However, when the foreskin swells it swells much more and balloons out because the foreskin is a very thin sheet of skin. This is significant because the foreskin area has a higher risk of malshaping. The foreskin area will form collagen underneath it, like the rest of the shaft area, but may form with an inappropriate balance. This may cause asymmetry to the penile shaft. This bulging foreskin area can be controlled and formed to balance with the rest of the penile shaft, but not in all cases. If the foreskin bulges or shapes differently than the rest of the penile shaft, will I still be able to function sexually? Absolutely. The bulge may actually cause more sexual stimulation, but most patients want the penile shaft to ‘look’ cosmetically pleasing. In most cases, the ‘bulging area’ may be more stimulated during intercourse and functionally it will be better, but cosmetically it will not. Below are some examples of circumcised patients having had a penile shaft enlargement treatment and the difficulties we face when a lot of the foreskin remains (after the original circumcision).


FLACCID LENGTH MATTERS
Another condition that enhances and improves the results of a penile shaft enlargement treatment is the flaccid length. The flaccid length of the penis is the length when the penis is ‘soft’ or non-erect. If one has a longer flaccid length, the results are generally better. Why is this? During the filler treatment, the permanent filler material is placed into the penile shaft (subcutaneously) we then place a gauze wrap to keep the penile shaft extended out as long as possible. The reason for this ‘soft gauze cast’ holding the penile shaft out, like in its erect state, is that we want the filler material to stimulate collagen in a proportionate and even manner along the entire length of the penile shaft. The penile shaft has the tendency to pull and shrink back, this pulling force must be counterbalanced and prevented. Why is this important? If the penile retraction force is very strong (those whose flaccid length is less than 3 inches, or less than 50% of the erect length), this may cause a shift in the filler location and possibly cause what is called a ‘turtling’ affect. To help prevent this, we stabilize the penile shaft after the treatment by wrapping it with stretch gauze to prevent the penis from contracting into a short flaccid state. The ‘soft gauze cast, or gauze wrap, is there to prevent the penis from contracting into its short flaccid state. This will help the filler material remain evenly distributed throughout the penile shaft. Please refer to the images below and images 1-7 above which demonstrate many patients with longer flaccid states.
