Am I A Good Candidate For The Wrap Around Testicle Implant Enlargement Method?

Q: Dr. Eppley, I hope you are well. I am writing to inquire about the aesthetic testicular augmentation procedure described on your website, specifically the technique in which an implant encapsulates the existing testicle to increase volume.

While researching this topic, I have noticed that several clinics appear to offer enlargement by placing implants beside the natural testicles. My initial concern with that approach is how it may look or feel to have two separate structures side by side in the scrotum. For this reason, the encapsulating (wrap-around) technique described on your website particularly caught my attention.

At the same time, I also appreciate the benefit of still being able to feel the natural testicles. From the examples I have seen, larger implants sometimes seem to push them out of sight.

Before arranging a consultation, I wondered whether you might have any photographs available of the side-by-side implant approach so that I can better understand the visual differences between the two methods.

I would also be grateful if you could let me know the estimated costs for either procedure, including surgery, anesthesia, and follow-up care. Based on the examples I have seen on your website, I suspect that the 7 cm option might be most suitable for me.

Thank you very much for your time. I look forward to your response.

A:Thank you for your inquiry and your questions to which I can say the following:

1) As you have correctly surmised there are two different techniques first testicular enlargement, the wraparound technique as well as the displacement one. Each approach has their distinct advantages and disadvantages. If one of them was truly perfect that would be the only one that would be offered. Typically the displacement technique is done most of the time for older men who have developed testicular atrophy and have a loose scrotum. The wraparound technique is typically reserved for the younger patient who has a normal size testes and a much tighter scrotum.

2) While I have no long-term concerns about the displacement technique in older man, I do have them for the wraparound technique in younger man. Besides the ability to feel the natural testicles it is unknown long term how this may affect fertility as well as the ability to detect testicular cancer. There is also the risk of displacement or separation of the implant from the testicle secondarily..\ None of these are concerns with the displacement method. For these reasons I’m very cautious about the use of the wraparound technique in men with normal size testicles.

3) Due to patient confidentiality I am not in a position to pass around patient photos.

Dr. Barry Eppley

Plastic Surgeon