Am I A Good Candidate For XL Custom Testicle Implants?

Q: Dr. Eppley, I am interested in learning more about your custom testicular enhancement procedures, specifically the side-by-side displacement implant technique.

My goal is a substantial cosmetic enlargement rather than a subtle or natural-looking enhancement. I have reviewed your website extensively and have seen references to implant sizes ranging from 6 cm to over 10 cm.

One aspect of my history that may be relevant is that, although my resting scrotum is relatively tight, I have performed saline infusions into my scrotum, reaching maximum size of around 17.5″ in circumference. I understand that temporary expansion is not the same as permanently supporting large implants, but I wanted to mention this in case it is relevant to tissue elasticity, implant sizing, or the potential for staged enlargement.

My questions are:

1. Based on my anatomy and expansion history, what implant size range do you think is realistic?

2. Would you recommend a staged approach, or could my desired result potentially be achieved in a single procedure?

3. Do you think I could ultimately be a candidate for very large implants (9–11 cm range)?

4. What is the largest sized implants you have used in a patient?

A:Thank you for your inquiry and detailing your testicular enhancement objectives. Your history of saline scrotal infusions is very relevant as this suggests you would have a large scrotal stretch skin capacity. This along with your height and weight, indicating you are not a small size male, would indicate that very large testicular implants would be appropriate. Just based on that information alone I would think that the size range of 9 to 11 centimeters, as you have noted,  is well within the range of what will likely fit.

The largest testicular implants that I have a placed is 11.5cms. As you might guess at that size this patient also had a history scrotal expansion and it also graduated from an initial 8.5 cm to the 11.5 cm size.

Dr. Barry Eppley

Plastic Surgeon