Massage Tips to Prepare for Total Phalloplasty
The first step towards having a long, large, visually pleasing neophallus is proper massaging of the musculocutaneous latissimus dorsi flap (MLD flap). Daily massage is a vital component of Dr Sava Perovic's Total Phalloplasty whether to solve micropenis syndrome or as the ideal final female to male operation in transsexual surgery.
Obese patients must first lose weight or get liposuction of the donor site before transsexual surgery if the female to male operation gender transformation is to be followed by Total Phalloplasty seven days later during the same trip to Belgrade.
However, many FtM gender reassignment surgery patients as well as many micro penis patients are lean. Proper massaging gives you greater penis size options but has many other benefits, particularly for thin persons. Some female to male sex change patients are not very concerned whether their neophallus is average penis size or average penis length. A number of persons want the smallest possible size of the penis which is 12-13 cm and depends on skin thickness. The smallest AMS penile implants are 12 cm long.
But men born with a penis only a few centimeters long often want the full 18 cm length and 15 cm girth (7" x 5.9") Professor Perovic can achieve. They want a penis size that is two centimeters longer than the longest national average penis size on earth and nearly 8.5 cm longer the shortest penis length national average.
FtM SRS surgery patients who recently had a mastectomy particularly need very good professional massage in order to prepare the back well. It should be superficial and involve only the skin and subcutaneous tissue. It is best to massage both sides and Dr Perovic will choose the best donor site.
Dr Perovic says: “The patients should not be obese in order to be able to create normal size penis — not too thick — and they should prepare the donor area skin by intensive massage in order to increase skin elasticity and enable us to close the donor site defect directly. The massage is best done by a professional. All skin should be treated in the directions shown by the arrows in this photo.”
A Total Phalloplasty patient and the person's professional massage therapist recommend the following:
- It's important to have the massage daily!
- Every morning or every night doesnt matter but massaging twice a day is better!
- If twice daily, then do a hard massage once and a soft massage once (i.e.; soft in morning, hard at night to minimize tissue bruising).
- Go for deep tissue massage using your fingers or the palm of the hand and do fast strokes!
- Then alternate using a forearm to do a slow deep stroke across. This varies the tissue stretching and helps builds the elasticity.
- It's best to use a Vitamin E moisturizer cream!
- Vitamin E improves the skin elasticity as well as keeping the donor site skin healthy and enabling it to heal quickly after the surgery.
- Hint: Apply the cream on hands and rub in prior to massaging skin, not directly to skin, or will be slipperly and impossible to massage!
- Tip: For lean guys, really try and get the site massaged twice daily! If no one is able to do the back twice daily, you can still massage deeply the front sides yourself and have the back done once daily.
