How Can I Improve My Hard Small Testicle Implant?

Q: Dr. Eppley, I had my left testicle removed about 22 years ago due to a sports injury. I had a saline testicle implant placed about 18 years ago. It is sutured in place and is very firm/hard. A couple years ago I started HRT to boost my testosterone and since starting that my right testicle has shrunken quite a bit. My right testicle is small and very soft, it also sits higher in my scrotum and feels like it’s not even in my scrotum sometimes. Last year I had HA filler placed in my penile shaft to add girth. The larger penis size now outshines the scrotum…honestly I just feel like I don’t have much of a “package” in my scrotum. I’m interested in replacing my left implant with something more realistic and bigger and also enhancing my right testicle to give my scrotum a better fill.

A: Besides having an inadequate testicle implant replacement you are describing classic penile-scrotal disproportion. The replacement of the existing testicle implant with an ultrasoft larger implant is obvious. For the shrunken right testicle I would use a displacement implant technique given its small size and high position in the scrotum. The only question is what size the new testicle implants should be. Usual implant size ranges in these situations is in the 6.0 to 7.0 range.

Dr. Barry Eppley

World-Renowned Plastic Surgeon