title: [Penile augmentation and elongation using autologous dermal-fat strip grafting].
abstract: OBJECTIVE
  To investigate the effect of autologous dermal-fat strip grafting in penile augmentation and elongation.
  
  
  METHODS
  From May 2004 to December 2010, 24 patients underwent penile enhancement with free dermal-fat strip grafting. Through suprapubic incision, the superior suspensory ligament and part deep suspensory ligament are cutted off to lengthen the penis. The resulted dead space is filled with the autologous dermal-fat strip (6.0-9.5 cm in length, 1.2-1.5 cm in width and 0.6-0.8 cm in depth) to enhance the penis.
  
  
  RESULTS
  Primary healing was achieved in 23 cases. Incisional fat liquefaction happened in one case which healed after dressing change. The penile appearance was satisfactory both at rest or erection. The penile length and circumference increased by 2.5-4.8 cm (average, 3.2 cm) and 1.8-3.0 cm (average, 2.4 cm), respectively. 18 patients were followed up for 3 months to 5 years. All the patients were satisfactory on the cosmetic and functional results. No complication happened.
  
  
  CONCLUSIONS
  It is safe and effective for penile augmention and elongation with autologous dermal-fat strip grafting and disconnection of penile suspensory ligament.
authors.affiliation: The Second Department of Plastic Surgery, Plastic Surgery Hospital, Chinese Academy of Medical Science, Beijing, China.
authors.forename: Zhe
authors.initials: Z
authors.lastname: Yang
authors.forename: Yang-qun
authors.initials: YQ
authors.lastname: Li
authors.forename: Yong
authors.initials: Y
authors.lastname: Tang
authors.forename: Wen
authors.initials: W
authors.lastname: Chen
authors.forename: Qiang
authors.initials: Q
authors.lastname: Li
authors.forename: Chuan-de
authors.initials: CD
authors.lastname: Zhou
authors.forename: Mu-xin
authors.initials: MX
authors.lastname: Zhao
authors.forename: Chun-mei
authors.initials: CM
authors.lastname: Hu
mesh_terms: D000273:Adipose Tissue / Q000637:transplantation*; D006801:Humans; D008022:Ligaments / Q000601:surgery; D008297:Male; D009929:Organ Size; D010410:Penile Erection; D010413:Penis / Q000033:anatomy & histology / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*