Q: Dr. Eppley, I am interested in a scrotal reduction procedure. I have a testicular implant on my right side. There is a lot more scrotal skin on the left side than the right. I need it reduced using I think a lateral incision. Would you also if I wanted put in an incision on the right side just for aesthetics, so that it looks as if both sides have been reduced? Do you ever do that. Just create a scar for aesthetics? For symmetry?
A: A scrotal reduction can be done on the larger left side. Your unique situation of having a testicular implant on the opposite has created this unilateral need. If you prefer to have a scar made on the right side, without any skin incision for the sake of scar symmetry, that can be done as well. Usually a scrotal reduction or scrotal lift is done by making a midline excision of skin along the natural raphe between the two sides of the scrotum. But there is no reason that the reduction approach can not be down on the side as opposed to the midline. In your case this would likely create a better and more symmetric scrotal reduction result.
Dr. Barry Eppley