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Plastic Surgery Case Study: Custom Extra-Large Testicular Implants

Background Testicular implants for aesthetic enhancement are often sought due to testicular atrophy. Aging and hormone replacement therapy can lead to reduced testicular size and a looser, emptier scrotum. This relative void can be corrected with implants that are sufficiently large to offset the smaller natural testicles. Known as the implant displacement technique, this approach Read More…

Penile–Scrotal Disproportion in the Older Male: Case Study and Surgical Approac

Background In older males with erectile dysfunction, a penile prosthesis combined with testosterone replacement therapy can produce notable improvements. However, this benefit comes with a trade-off — progressive testicular atrophy. Testosterone accelerates the natural age-related reduction in testicular size, and when penile length is increased, the contrast makes the testicles appear even smaller. The result Read More…

Technical Strategies – Funnel Insertion of Large Custom Testicle Implants

The placement of large custom implants in the testicular enhancement patient will pose challenges through the smaller midline scrotal incisions used. When looking at the implant diameter:incisional length ratio it usually almost two to one. And while scrotal skin is very elastic and ultrasoft silicone testicle implants very compressible it can still be a challenge Read More…

Silicone Scrotal Injections and Custom Testicle Implants

In aesthetic testicular enhancement surgery a wide variety of scrotal interventions and abnormalities can be encountered. The most common are atrophic testicular changes with below normal sizes…which is of course why they are presenting for the surgery. But numerous other entities may be found from penile pump extensions to various injectable. While every non-autologous entity Read More…

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