---
title: "Any experience with Texas Phalloplasty? - PhalloBoards - Phalloboards"
description: "www.texaspenilesurgery.com/whytpi.htm   I am considering them for either FFT or Alloderm. - Page 3"
url: "https://www.j4.phalloboards.info/forum/general-phalloplasty-discussion-archive/5399452-any-experience-with-texas-phalloplasty.html?start=30"
date: "2026-08-06T17:55:07+00:00"
language: "en-GB"
---

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#  TOPIC: Any experience with Texas Phalloplasty?

##  Re: Any experience with Texas Phalloplasty?

   15 years 2 weeks ago [\#1269459391](#1269459391)

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> eqstudent wrote: @hoddle10 we will agree to disagree on Scaffolds vs. Alloderm. One important note, the scaffold material (PLGA, ePTFE, ') is more likely to cause a foreign body reaction than Alloderm, remember Alloderm is an Acellular dermal matrix. Also the task of combining one's cells with the scaffold material and ensuring survival and growth is daunting. I am very confident that if you ask 100 surgeons today on the safety of Alloderm vs. Scaffolds all 100 would pick Alloderm. Now in 7 to 10 years that may change. As the CMO of the firm where I work said about the emerging scaffolding opportunity 'let them continue to experiment on people in Eastern Europe and the Far East where no one seems to care'.I am very aware of most of the discussions that took place on the old board so let's leave it at that.I am extremely concerned about the overall complication rate of all these procedures. If you have any links or data on said rates I would very much appreciate you pointing me towards them.I hear you on the FFT. Your extreme caution is noted, heard, and very much appreciated. If there only 3 doctors in the US who doing it that is 3 more than are doing PMMA in the penis!

 I know you want to agree to disagree, but I do want add some more as what you've posted is key to the point I'm trying to make. We are talking about the safety of the products regarding PE and not in general use. I'm sure if your CMO were aware of what type of surgery the two products were being used in, he'd have a different opinion and the same would be true of the hypothetical 100 surgeons. The penis is a dynamic organ and therefore having a less pliable material grafted onto it can cause real problems, such as shortening and curvature. Obviously this wont happen with the scaffold material. You also have to worry about long term encapsulation, which again wont happen with the scaffold. And of course if Alloderm gets infected and needs removing you are in real trouble. The makers of Alloderm specifically point out that they don't recommend its use for penis enlargement. The scaffold is specifically made for penis enlargement and in theory is far more suitbale. I don't recommend the scaffold, as results are inconsistent to say the least and the main surgeons doing it have caused their fair share of problems, but in terms of your safety criteria, the scaffold itself is definitely superior to Alloderm. Sorry for harping on after you'd requested we take it no further, but I really want to stress the point that it isn't a case of simply comparing the materials themselves, but their application in penis enlargement surgery.

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##  Re: Any experience with Texas Phalloplasty?

   15 years 2 weeks ago [\#1269466050](#1269466050)

- **[eqstudent](https://www.j4.phalloboards.info/forum/user/1725738-eqstudent.html "View eqstudent's Profile")**
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> londonlad wrote: 'Even though the surgery didn't work in terms of gains, I am glad I was left with nothing rather than a dodgy alloderm graft years later'

 I am truly sorry your scaffold procedure did not work out. However having said that, for the slightly lower surgical procedure risk (IMO) with Alloderm you would not end up with a 'dodgy graft years later'. You will know within the first 90 to 180 days if there is a problem. Most (non penis) Alloderm studies show infection/rejection rates to be very low on the order of &lt; 2%

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##  Re: Any experience with Texas Phalloplasty?

   15 years 2 weeks ago [\#1269457092](#1269457092)

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 hi guys just thought i'd chime in to clarify some bits and bobs
> eqstudent wrote: One important note, the scaffold material (PLGA, ePTFE, ') is more likely to cause a foreign body reaction than Alloderm,

in my understanding this foreign body reaction is what causes new tissue and blood pathways to grow within any matrix > eqstudent wrote: remember Alloderm is an Acellular dermal matrix.

 again in my understanding this is a good thing when compared to implanting someone elses unprepared cellular tissue which could be rejected but irrelevant as a negative when compared with other acellular matrixes such as prepared pig dermis or synthetic scaffolds
When compared to synthetic (also obviously acellular) scaffolds such as PLGA I believe it is at a disadvantage for the following reason
According to my understanding and experience, the PLGA scaffold dissolves completely with only the new tissue remaining. (Unfortunately there is little to no gain and no guarantee of consistent tissue creation). With the alloderm or any other material that is not guaranteed to completely absorb there are dangers. Not only can the graft contract in unusual ways, as Hoddle has mentioned, it is grafted to the fascias and can cause limitations in Erection length and twisted appearances not to mention blood flow issues.The major danger however is if new vessels are not grown through the graft quickly, which is more difficult with thicker or multiple sheets, and the graft does not either "take" (ie become cellulariesed) or completely dissolve, the body is left with this acellular material that is now prone to harbouring infections. The body has less chance of fighting the infection because of the very fact that the graft is acellular and porous > eqstudent wrote: Also the task of combining one's cells with the scaffold material and ensuring survival and growth is daunting.

 Daunting, yes, but applies to alloderm too. > eqstudent wrote: I am very confident that if you ask 100 surgeons today on the safety of Alloderm vs. Scaffolds all 100 would pick Alloderm. Now in 7 to 10 years that may change.

 Not sure if this is useful...better to ask 100 urologists. Also find out how many doctors have had to take out alloderm grafts. Urologist Dr Gary Alter can give some good advice regarding this. > eqstudent wrote: As the CMO of the firm where I work said about the emerging scaffolding opportunity 'let them continue to experiment on people in Eastern Europe and the Far East where no one seems to care'.

 Your CMO sounds unethical at best and it also seems that the company you work for are not going to win any awards for pioneering efforts or breakthroughs any time soon . Perovic and his team were world renowned. At least in the UK all the top urologists I had consulted respected the work that the Serbian team did. Also I doubt any doctor anywhere really cares about us the way we are supposed to care for ourselves. There is limited sympathy when things go wrong especially with penis surgery whether in serbia, uk, thailand, us or mexico
Even though the surgery didn't work in terms of gains, I am glad I was left with nothing rather than a dodgy alloderm graft years later. Being Circumcised is a major drag too but that would have happened with any surgery regardless.

I would not recommend either procedure and in hindsight would never recommend anyone taking a scalpel near their penis unless absolutely required.
However, even though no urologists are going to appreciate anyone inserting PMMA in their penis, my interest is still piqued and I enjoy reading the studies that you gopher out so keep it up please. More information both negative and positive regarding the procedure is better and thanks to all.

(disclaimer: just an average joe with no medical background yada yada, read as opinion only)

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##  Re: Any experience with Texas Phalloplasty?

   15 years 2 weeks ago [\#1269482692](#1269482692)

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> hoddle10 wrote: ...In my opinion, based on cases I've followed pre the actual surgery (ignoring those who only joined the forum and told of their woes after they had surgery), I'd say short term success (under 2 years) of these procedures is about 75%. Long term I'd say this drops to below 50%. I'm not including the Elist Implant in this.

 I am very comfortable in using those numbers, based on your 14 years' experience in this field, in lieu of established studies. I would suggest you create a sticky post with this info so that newbies such as myself can see what they are really up against before they undertake these elective surgeries!

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##  Re: Any experience with Texas Phalloplasty?

   15 years 2 weeks ago [\#1269437125](#1269437125)

- **[eqstudent](https://www.j4.phalloboards.info/forum/user/1725738-eqstudent.html "View eqstudent's Profile")**
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 @mikehok ' the touchups for FFT if needed would not be an issue for me. I agree that Alloderm has a high risk just from the surgery so I would not be surprised that there are bad outcomes. There are also some very good outcomes like soma. I will continue to research.@justabitmore ' Conservative staged FFT is my leading option based in small part on your testimony. I will ask the doctor for 10 to 15 references that I can speak to who have had the procedure.

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##  Re: Any experience with Texas Phalloplasty?

   15 years 2 weeks ago [\#1269429454](#1269429454)

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 EQ, FFT I can understand because of it's safety profile. Personally I wouldn't do it because I don't want to do constant top ups and there appears to be some disagreement over the firmness of the result.

But alloderm would concern me, I've heard too many bad stories. it's interesting how we all assess risk in different ways. I think somewhere you described yourself as more risk averse than me and yet you're prepared to consider something I wouldn't. Seems we all have a bias when weighing these things up. After my previous experiences I'm trying to avoid having a scapel anywhere near my Dick and so the idea of a quick in and out with a micro cannula appeals. Each to their own I guess

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##  Re: Any experience with Texas Phalloplasty?

   15 years 2 weeks ago [\#1269437135](#1269437135)

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 @hoddle10 ' thanks for your opinion. I don't believe I am operating on any 'gut feeling'. I am trying to do detailed analysis of the viable options as I see them. I do believe there are other viable options than Newplastic injections see my options here [ phalloboards.websitetoolbox.com/post/sho...401713&amp;postcount=16I](http://phalloboards.websitetoolbox.com/post/show_single_post?pid=1269401713&postcount=16I) am not sure why you included FFT in the surgery category. IIMU that it is an injectable filler option much like Newplastic or Artefill. Am I mistaken? I have stated in the past that I see all the PE procedure options as investigational or experimental. There are no safe procedures, everyone needs to weigh the risks against their own personal situation.

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##  Re: Any experience with Texas Phalloplasty?

   15 years 2 weeks ago [\#1269450710](#1269450710)

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> mikehok wrote: I agree with Hoddle. Seems to me that sparticus/eq concentrate their attacks on PMMA and play down the risks with other procedures. I don't know why...

 Since you have made an issue with my posts I would like you to find and quote a single post I have made on this or the other site where I have "played down the risks with other procedures".

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##  Re: Any experience with Texas Phalloplasty?

   15 years 2 weeks ago [\#1269437147](#1269437147)

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 "You remind me of Sparticus and he couldn't seem to grasp that there simply is no safe option that anyone having this surgery needs to accept this and then make a decision based on the overall risks of the procedure itself and not so much the material being used."
Thank you for your astute observation. I apparently lack the ability to read medical studies, despite my education, and am irrational in concluding that NO procedure has enough evidence to support its efficacy or safety. I will take your advice and just accept the risks and get it done ASAP. Thank you for clearing up what I could not understand on my own.

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##  Re: Any experience with Texas Phalloplasty?

   15 years 2 weeks ago [\#1269467358](#1269467358)

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 @londonlad ' Hernia Repair is the new hotbed for Alloderm usage and is very controversial, Breast Reconstruction is the other but less contentious.[ journals.lww.com/plasreconsurg/Abstract/.../pubmed/18847657What](http://journals.lww.com/plasreconsurg/Abstract/2011/06000/The_Use_of_AlloDerm_in_Postmastectomy_Alloplastic.12.aspxhttp://asps.confex.com/asps/2006am/techprogram/paper_10256.htmhttp://www.ncbi.nlm.nih.gov/pubmed/18847657What) will make your head spin is that Alloderm has gained popularity as a hernia repair option because Alloderm does very well, and much better than tissue repair or artificial meshes, in contaminated (infected) wounds at resisting infections![ www.ncbi.nlm.nih.gov/pubmed/17071174](http://www.ncbi.nlm.nih.gov/pubmed/17071174) Agreed on the gains. Current state of the art for Alloderm penis girth increase is 0.75" max. If you want more than that I would look elsewhere!

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##  Re: Any experience with Texas Phalloplasty?

   15 years 2 weeks ago [\#1269444585](#1269444585)

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 I agree with Hoddle. Seems to me that sparticus/eq concentrate their attacks on PMMA and play down the risks with other procedures. I don't know why.
The fact is there are risks with ANY procedure. There are different types of risk. Personally I am convinced the risk of a deformed Dick is much greater with alloderm than PMMA.
The death of the Argentine beauty queen following a PMMA procedure is constantly cited. But what does that prove ?
Perhaps we should avoid the dentist since death can occur therehttp://www.telegraph.co.uk/news/1358962/Parents-sue-over-death-at-dentists.html
And whatever you do don't have a routine knee ophttp://www.dailymail.co.uk/news/article-1386050/Mia-Amber-Davis-Road-Trip-Actress-plus-size-model-dies-36.html
Surgery to Repair an achilles tendon can be lethalhttp://profootballtalk.nbcsports.com/2010/07/22/former-nfl-player-dies-after-routine-surgery/
The list of deaths from routine surgery is endless. Obviously we need to assess the risk before proceeding with any procedure, but let's at least take a balanced view.

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##  Re: Any experience with Texas Phalloplasty?

   15 years 2 weeks ago [\#1293545706](#1293545706)

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 I recently had a FFT Girth enhancement (about 6 weeks ago). Not happy with results . Was 2 Inch Flaccid and 5 inches Erect .Increased Flaccid and Erect circumference by 1 Inch. But Erect length is now shorter. Only around 4 inches and very noticeable curvature when Erect. Will need to be corrected. Contacted Elist and they wanted to remove fat and put in impllant(no way I'm doing this),contacted Heller, Giunta, and Capriotti and they all said they could fix..Also contacted Dr Rosenthal (but he doesn't do FFT)who said he could address any issues. Since I will have to have lengthening procedure done and correct curvsture..any suggestions on who would be best?

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##  Re: Any experience with Texas Phalloplasty?

   15 years 2 weeks ago [\#1269495787](#1269495787)

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 skatezy you're right I shall avoid a knee jerk response. And eq for your information I haven't jumped on FFT or Alloderm or an implant. I haven't even jumped on PMMA yet.

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##  Re: Any experience with Texas Phalloplasty?

   15 years 2 weeks ago [\#1269451756](#1269451756)

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> eqstudent wrote: > hoddle10 wrote: 'I couldn't agree with many of your rankings and it seemed as if you'd already made up your mind and your chart reflected what you wanted to be the case.
>
>  Incorrect. The chart was my way of presenting my current thinking. If you have been following the thread you should see that I have already changed cells based on opinions from Dd71, justabitmore, Skeptical One, and mikehok. I have presented detail on my thinking/analysis and asked for, welcome, and incorporated feedback. > hoddle10 wrote: 'For example, you have the scaffold as higher risk than any of the dermal matrix products, which doesn't make much sense.
>
>  I ranked scaffolds higher risk because it carries the same or slightly higher surgical risks as the allografts plus the scaffolds/tissue engineering piece is highly experimental with few actual successes while the allografts particularly Alloderm have 20+ years of successful procedures all over the body and is standard for burn replacement, breast reconstruction, gum replacement and hernia surgery amongst others. > hoddle10 wrote: 'Basically what i'm saying is that side effects such as granulomas etc aren't all you need to worry about. I can't begin to explain the mental devestation that happens to a guy when he see's his penis is deformed, be it by uneven, lumpy, soft fat or necrosis, or material rejection, or scarring or shortening'
>
>  Since this seems to be about why I haven't chosen Newplastic (PMMA) I believe that most of the complications you cite have occurred in the face of PMMA patients just check realself or makemeheal sites. See also the independent studies I have cited. > hoddle10 wrote: 'The reason I specifically singled you out is because in another thread you said you considered a 1.4% risk with an injectable too much, which immediately made me wonder if you were fully aware of just how frequently the surgical options go badly wrong. '
>
>  Incorrect. In this thread the hypothetical 1.4% was referring to Alloderm surgery infection rates not injectables! [ phalloboards.websitetoolbox.com/post/sho...338552&amp;postcount=113](http://phalloboards.websitetoolbox.com/post/show_single_post?pid=1269338552&postcount=113)
> I also posted this [ phalloboards.websitetoolbox.com/post?id=5385417](http://phalloboards.websitetoolbox.com/post?id=5385417) so I am well aware of the risks. > hoddle10 wrote: 'FFT is definitely surgery. Liposuction on it's own is surgery'
>
>  You are absolutely right. I completely forgot the lipo component. I will update FFT procedure risk to medium even though I believe lipo is a very low risk procedure and FFT is also a very low risk procedure. Thanks! I think this segment should be moved into the "PMMA or nothing thread".

 Scaffolds are much safer than Alloderm as they aren't foreign bodies, but using your own cells. The scaffold itself will disolve within 6 months, whilst Alloderm may or may not reabsorb after 2+ years. Also alloderm is grafted, so can cause scarring and shortening and as a foreign body can be rejected encapsulated years later (as happened to the infamous Chad Hedman). In terms of surgical technique I can't see much difference. Alloderm has a much higher chance of getting infected and seeing as the matrix is semi permament it will require removal. The key difference between the two is that Alloderm offers far more consistent results, but as I've pointed out, at a higher risk.

It's not your fault as the threads get so big, so we can't expect people to know what has been discussed before, but many of the studies you've posted were already discussed at length, as were the posts on realself and makemeheal on the old board. The complications I've pointed out that occur in PE surgery which, you've compared with PMMA in the face, but this again has already been spoken about (again i understand that you wouldn't be aware of this.) You can't really compare facial injections of PMMA with penis surgery, but even if you did, complication rates would still be way lower.

Sorry I confused Alloderm and injectables for the 1.4% rate, but the general point I'm making still remains. If a 1.4% infection rate is worrying you, then overall complication rates from these surgeries should cause you much more concern.

As for Texas Phalloplasty you know fat transfer surgery is very easy compared to most plastic surgery procedures and you also know that the demand for penis enlargement in the US is very high. Yet despite this demand and simplicity of procedure I think only 3 Dr's in the entire US do it! You have to ask yourself why this is. And why do they offer both Alloderm and FFT. Alloderm is much more expensive, involves more intensive surgery and yields only modest results. Yet they still offer it. It doesn't make sense they'd offer a more expensive and riskier procedure if they truely believed in the quality of the results they are getting with FFT. I think there are some pretty obvious red flags here in the same way there was when Dr Elist came onto the scene.

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##  Re: Any experience with Texas Phalloplasty?

   15 years 2 weeks ago [\#1269435382](#1269435382)

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 @ eqstudent, from reading your posts I don't think you should get PE surgery at the moment. It's obvious that you are trying to convince yourself that your gut feeling is right and that isn't the way to go about making a decision like this. It seems to me that the element of uncertainty with PMMA scares you (it does me and a few other members I've spoken to) and therefore you are trying to convince yourself that other methods, with appalling track records, are viable alternatives because the materials themselves are more predictable. You remind me of Sparticus and he couldn't seem to grasp that there simply is no safe option that anyone having this surgery needs to accept this and then make a decision based on the overall risks of the procedure itself and not so much the material being used. PMMA might have a low percentage chance of causing serious problems, but penis enlargement surgery (FFT, Alloderm, Silicone, PLGA or dermals) has a far higher percentage chance of creating serious problems. We all wish there was a perfectly safe, consistent mehtod out there, but there isn't and anyone having enlargement must accept an element of risk and be prepared to accept the consequences. But don't allow you fears related to one method cloud your judgement when it comes to looking at the alternatives. Fat is far less scary than PMMA, but the overall track record of that procedure is pretty damn poor and I can tell you first hand that trying to get it corrected can have devestating consequences.

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