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07 Jan 2024 04:18
HI all,

Long time lurker here, the info here (on what is a very personal and not oft-talked about topic) is invaluable. The conversations here prompted me to finally get a ligament cut procedure with Dr. Victor Liu after thinking over it for a decade (scheduled to be done in a few weeks). I'm obviously nervous about getting such a major procedure done and what might happen in case things go wrong, but thought of starting this thread as another real world progress report. I'm going into this procedure with my eyes open and not expecting much. For the record, I'm uncut and at 4.5" erect (I don't do BPEL or anything like that, I just measure the usable length). I've had good partners thus far and enjoyed my sex life, but always wished I could add a bit more. I've tried practically every enlargement device/regimen there is (stuff from monkeybar which I tried for quite a bit, the noose extenders for while, vac extenders, weight hanging, Bib hanger, pegym and other forums, you name it) on and off but got no success. Perhaps it was my lack of "full" commitment or (more likely) simply genetics.

One question I had before I have my procedure done was about Dr. Liu saying he only cuts 90% of the deep suspensory ligament to preserve some stability during sex. I'm curious if other docs just detach the entire ligament (something which Dr. Liu offered if I wanted but did not recommend)? Also wondering if the penis can be elongated without full detachment in the first place. If anyone has any experience on this subject, I'd appreciate your thoughts.

Thanks to all for all the helpful info (especially from Skiman and SouthBay612), I'll do my bit to document my journey as well and will try to be as detailed as possible.
15 Sep 2023 20:50
Apologies for the double post

@Texas
You mentioned not using a vac hanger on your aftercare thread if you had a graft done or fillers, correct? I own the bib hanger, and a vac hanger, the vac hanger isn't that tight to be honest...since mainly hanging with the pressure on the glands. What would you recommend as the best method for hanging following this procedure? I also have this still on system leg strap, though I'm wondering if a noose could leave an indentation/gap right behind the glands?
25 Aug 2023 04:31

MacVette07 wrote: Great info. That is a hell of a deal for everything that you get. I look forward to seeing your progress and hearing how effective the pre-mature ejaculation portion was. Did they only cut at the pelvis or did they also cut around the circ scar like I see them do in their video?


They installed the Megaderm graft from pubic bone region. They offered to do it from the circmumsicion scar to offer me a better esthetic resulting circmumsicion but I was too chicken to let them do it. In my mind I said to my self what's done is done in the past and I don't like to take any extra unnecessary risks. I had my original circmumsicion here in Cyprus in February 2023 so I didn't want more scar tissue in the same area duplicated also having stitches right next to my graft just didn't sit well with me. I know I'm a bit paranoid but that's just a part of my nature. Besides even though my original circmumsicion isn't the best looking it worked..I achieved 7 inch erection prior to the procedure in Korea.

I really hope that once this skin graft is fully integrated that I can still have that length or at least very close to it. I really hope that.

P.s In my previous post I said I was biased against ligament cut. But that doesn't change the fact that I have never done it, and if Proud Urology would do it for you I am pretty sure they would do a great job.

Additionally their 5S procedure is really value packed so let's say you had the extra cash to spend and enough penile skin to have ligament cut and that biggest Megaderm graft they offer + you win the ligament size increase ("casino"), I would have no doubt in my mind they could theoretically make you enormous. And the Megaderm does have a certain weight to it, I can testify to that!. My flaccid length on its own before was like 11cm maybe a tiny bit less on a cold day. But now it's actually 0.5 - 1 cm longer when it's untouched and free to hang...And I did not even have the ligament cut! The 5x8cm graft gave my dick a certain weight to it. I guess I am saying I can kiss retracting penis good bye to an extent. How ever I live in a very hot country anyway. Can't put my hand on the bible that this will be the cas in the winter or for people in very cold climates.

I hope I am making sense...a ligament cut, plus the weight of a 5x10cm skin graft might actually hold your extra length in position. I am speculating though to be honest.

I was just not rich enough and basically a bit too much of a coward to take the chance because I don't like ("casino") for the extra flaccid length. But if I had the money after experiencing their skills..I might now. Oh well water under the bridge now as they say. Below are my latest (By the way my hands are quite big oddly enough) :"completely" flaccid BASE girth of 13.5cm is still holding and MID girth of 13.3cm approximately. I have to be careful when I measure because the compressive wrap bandage does make the size a bit tighter due to compressing the skin around the implant, and also being out of the compressive wrap for too long might caused swelling. But I feel safe saying I am between 13-13.5cm flaccid girth range and I am very happy about that because I know I am a grower anyway. When I finally get to 100% erections my penis girth will be really impressive and I really can't wait to show you guys, because those are the numbers that matter the most to me! And you cannot BS your away around a rock solid erection it's ironclad.
15 Jul 2023 01:26

SouthBay612 wrote: @Texas @EricPig what do you recommend for hangers? I got my lig cut and doc has me wearing what I'd describe as a "weighted vest" which works, but easily falls off. I watched that video and he mentioned BibHanger - checked out the website and it looks pretty old school so not sure if it's even still a thing. Also heard Skiman mention Malehanger, which seems like it could work.

Any recos? I'll keep searching the forum too...


Just saw a post from Texas which was helpful. Sorry, should have looked harder first!
Clamp style hangers are a must, I can attest to actually having trackable gains from using my "p-hanger" ( its basically a Male hanger / Bib Hanger / etc etc ). Also. while using this style of hanger, i would use a hanger that attaches to ONLY the head area: like a noose ( from Zen Hanger ) and/or a small Clamp Style ( home made ).
15 Jul 2023 01:24
@Texas @EricPig what do you recommend for hangers? I got my lig cut and doc has me wearing what I'd describe as a "weighted vest" which works, but easily falls off. I watched that video and he mentioned BibHanger - checked out the website and it looks pretty old school so not sure if it's even still a thing. Also heard Skiman mention Malehanger, which seems like it could work.

Any recos? I'll keep searching the forum too...
09 May 2023 16:58
I went to Avanti and would recommend. I almost went for Round 3 this week actually but canceled because of scheduling issues. May be for the best since the wife is going to get vaginoplasty later this year tlans they're going to make her "1 finger" tight.

I'm using the Male Hanger. Went for BIB first but the website is 30 years old and unprofessional so I dodged.

Currently doing 3 to 4 sets per day. Started at 20 min sets but due to how much pressure I need for the hanger I was getting cold glans so I increased weight but reduced time. But I'm figuring this out a little more each time I do it. Currently using the BTC between the cheeks method.
25 Apr 2022 17:31
@Dthom
It sounds to me like you are moving in the right direction. The 2 hours a day is a great benchmark to hit. The second would be to track your progress every 100hrs of hanging. I think the weight is fine ( at this point ) if you are used to it and handling it well.
BUT...... Lets discuss what type of hanger you are using and next lets discuss having you alternate the types of hangers. Contrary to the popular beliefs out there - Vac hangers produce the least amount gains off all. They do have their place though and should be rotated through. Clamp style hangers are a must, I can attest to actually having trackable gains from using my "p-hanger" ( its basically a Male hanger / Bib Hanger / etc etc ). Also. while using this style of hanger, i would use a hanger that attaches to ONLY the head area: like a noose ( from Zen Hanger ) and/or a small Clamp Style ( home made ). before anyone talks about Noose being bad - Yeah they are, if you use them wrong or to long and without padding. I can use mine for an hour , or a bit more, with out a problem or pain - and if I do get a bit of irritation I stop at once and switch to vac style and either hang or stretch. All of the aforementioned pull differently. Also, each will have different weight capacities. For Example: For me: I am only using head style hanger right now for mine, and vac style and a noose for my stretching. When using a head style ( noose or clamp ) you will find that the weight amount you can is much less. Conversely, when you do Clamp Style ( bib / p-hanger / etc ) you will notice you can do more; but that doesnt mean you should, lol, given the scar i mentioned from the other post.

Hope this helps brother.
12 Apr 2022 01:58

GirthyGoals wrote: Texas post a great aftercare routine. I believe it's in the pinned post on top. At avanti they'll give you a noose hanger and wraps. The biggest thing to focus on in your aftercare is keeping it elongated to prevent turtling and massaging everything. Into place while it is malleable. Don't use any device that grips the shaft itself for example Bib's hanger. If using a hanger use one that grips right behind the glans. Also I know texas was big on them and after reading some of his stuff I purchased some. Sleeves. I know he's referenced autoxleeve before


Are you saying use the autoxleeve instead of wrapping?
11 Apr 2022 00:51

GirthyGoals wrote: Texas post a great aftercare routine. I believe it's in the pinned post on top. At avanti they'll give you a noose hanger and wraps. The biggest thing to focus on in your aftercare is keeping it elongated to prevent turtling and massaging everything. Into place while it is malleable. Don't use any device that grips the shaft itself for example Bib's hanger. If using a hanger use one that grips right behind the glans. Also I know texas was big on them and after reading some of his stuff I purchased some. Sleeves. I know he's referenced autoxleeve before


So is it advisable to use sleeves, autoextender devices, etc that is not provided by Avanti? Shouldn’t the noose they provide and massage instructions be sufficient?
11 Apr 2022 00:15
Texas post a great aftercare routine. I believe it's in the pinned post on top. At avanti they'll give you a noose hanger and wraps. The biggest thing to focus on in your aftercare is keeping it elongated to prevent turtling and massaging everything. Into place while it is malleable. Don't use any device that grips the shaft itself for example Bib's hanger. If using a hanger use one that grips right behind the glans. Also I know texas was big on them and after reading some of his stuff I purchased some. Sleeves. I know he's referenced autoxleeve before
23 Mar 2022 22:43
Are you vacuum hanging or like a bib hanger? I’ve just been using my ads vacuum for now, I will start hanging probably next week I’m just afraid of the incision getting ruined
04 May 2021 18:17

greygreygrey wrote:

ToughPilllToSwallow wrote: I used a variety of stretchers before pmma , and I made some progress. The X4 is fine, the bib hanger is really difficult to get adjusted, the zen hanger works but seems a little dangerous to me, the size doctor is probably the best of the bunch. After pmma I gave it up. My suspicion is that it gets harder to stretch your penis after a collagen filler, because there’s simply more tissue to be stretched. I don’t know though.


How much did you try to stretch after PMMA? I just ordered a vacuum hanger and hoping to gain some length after my 2nd round. I also believe I might have lost some length, probably caused by the significant amount of scar tissue formed.


Not that much honestly. Progress had already slowed to a crawl before pmma, so I was just tired of it.
02 May 2021 22:07

ToughPilllToSwallow wrote: I used a variety of stretchers before pmma , and I made some progress. The X4 is fine, the bib hanger is really difficult to get adjusted, the zen hanger works but seems a little dangerous to me, the size doctor is probably the best of the bunch. After pmma I gave it up. My suspicion is that it gets harder to stretch your penis after a collagen filler, because there’s simply more tissue to be stretched. I don’t know though.


How much did you try to stretch after PMMA? I just ordered a vacuum hanger and hoping to gain some length after my 2nd round. I also believe I might have lost some length, probably caused by the significant amount of scar tissue formed.
02 May 2021 09:03
I used a variety of stretchers before pmma , and I made some progress. The X4 is fine, the bib hanger is really difficult to get adjusted, the zen hanger works but seems a little dangerous to me, the size doctor is probably the best of the bunch. After pmma I gave it up. My suspicion is that it gets harder to stretch your penis after a collagen filler, because there’s simply more tissue to be stretched. I don’t know though.
24 Apr 2021 20:16
Hi gents

I wanted to see if anyone else has dealt with having a soft glans/venous leak issue after hanging or manual PE when erect.

I started becoming really dedicated to manual PE around 10 years ago and got into heavy wrapping and hanging along with clamping and some occasional air pumping. My glans was definitely taking a little beating once I was maybe 5 minutes or more into hanging with heavy weight. I used heat wraps to warm up and silicon and bandage wrap under my Bib hanger but my glans still occasionally got a little blue/cold. Looking back obviously that seems dumb to have done, even for 5 minutes multiple times but I also think the pressure of having the weight pulling down on a partially engorged glans, may have damaged the veins as well. All in all, I tried to follow exact instructions from other guys on the sites but maybe I was still doing it wrong.

Prior to that time, I recall my glans would fully engorge with an erection but ever sense, my glans is maybe 50-60% full during an erection. I’ve had one girlfriend say something like, “why doesn’t the tip get as hard unless you really squeeze it?” I didn’t really care that much since it didnt affect having sex but now I realize I may have something going on that could be resolved.

If I really flex down hard I can trap the blood in there and get a full 100% for a few seconds but it’s impossible to keep for longer unless I clamp off the base (like I used to do with clamps which may also be part of the cause).

Either way, I’m stuck with about 50-60% glans max in general and it’s smaller than my shaft which is 4.6 EG so I want to address this before I do any fillers.

Has any here successful used or tried any methods to repair something like this? I’ve read about doing a penis Doppler study, nerve conduction testing , shockwave therapy and possibly surgery that can be performed to ligate veins and close iatrogenic shunts(?).

Any feedback?

Any doctors recommended for someone on the east coast to check it out. I was thinking maybe Morganstern.
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