[Hypertrophic adipose tissue transplantation secondary to a lipopenisculpture].
Reconstruction of the penile skin requires a functional and esthetically perfect result, combining a high degree of skin elasticity to allow regular erections and a satisfactory cosmetic appearance. Demand for cosmetic surgery penile augmentation continues to increase for several years. The surgical technique most commonly used is now widening and lengthening lipopenisculpture (LPS), combining an adipocyte graft to a section of the suspensory ligament of the penis. A patient who underwent LPS presented several years after a major hypertrophy of the adipocyte graft, making it impossible to have sexual activities, imposing to perform liposuction. This liposuction was being complicated by necrosis of the penile skin. Reconstruction was required and consisted of an unexpanded thin skin graft associated with artificial dermis. Through technical adaptation of the skin graft on the erect penis, the use of artificial dermis and external stabilization by negative pressure therapy, reconstruction of the penile skin provides excellent aesthetic and functional results. Finally, it is rarely reported in the literature complications of lipofilling like alteration of the aesthetic result after weight gain.
Service de chirurgie plastique et réparatrice, hôpital de la Conception, Assistance publique-Hôpitaux de Marseille, 147, boulevard Baille, 13005 Marseille, France. Electronic address: moullot.pierre@gmail.com.
P
P
Moullot
Service de chirurgie plastique et réparatrice, hôpital de la Conception, Assistance publique-Hôpitaux de Marseille, 147, boulevard Baille, 13005 Marseille, France.
P-S
PS
Nguyen
Service de chirurgie plastique et réparatrice, hôpital de la Conception, Assistance publique-Hôpitaux de Marseille, 147, boulevard Baille, 13005 Marseille, France.
C
C
Philandrianos
Service de chirurgie plastique et réparatrice, hôpital de la Conception, Assistance publique-Hôpitaux de Marseille, 147, boulevard Baille, 13005 Marseille, France.
D
D
Casanova
D000273:Adipose Tissue / Q000473:pathology* / Q000637:transplantation*; D000328:Adult; D003357:Cosmetic Techniques / Q000009:adverse effects*; D006801:Humans; D006984:Hypertrophy / Q000209:etiology / Q000601:surgery; D008297:Male; D009336:Necrosis / Q000209:etiology / Q000601:surgery; D010413:Penis / Q000473:pathology* / Q000601:surgery*; D016038:Skin Transplantation
Adipose tissue transplantation; Allongement de verge; Greffe adipocytaire; Hypertrophie secondaire; Lipofilling; Lipomodelage; Lipopénosculpture; Penile elongation lipopenisculpture; Penis reconstruction; Prise de poids; Reconstruction pénis; Secondary hypertrophy; Weight gain