TOPIC: Lengthening with Gary Alter?

Hi KWH

This email address is being protected from spambots. You need JavaScript enabled to view it. You will probably get Liz sending you a reply with all the details. If you are close go and see him its a 100 quid and worth it to see if you are comfortable with him (you will be) he did advocate use of extenders but not sure at what time IE how long after.

He is also fairly honest for a guy who sells operations and I remember I went to see him over ten years ago and he told me my penis was already very long (it was only about 6.5 fully stretched flaccid and 4.5 non stretched so he was generous) but nevertheless he basically talked me out of a procedure. He said he could do it and that he could see why as I am very tall but no pressure at all and I actually got a confidence boost!

Justabitmore wrote: Hi KWH

This email address is being protected from spambots. You need JavaScript enabled to view it. You will probably get Liz sending you a reply with all the details. If you are close go and see him its a 100 quid and worth it to see if you are comfortable with him (you will be) he did advocate use of extenders but not sure at what time IE how long after.

He is also fairly honest for a guy who sells operations and I remember I went to see him over ten years ago and he told me my penis was already very long (it was only about 6.5 fully stretched flaccid and 4.5 non stretched so he was generous) but nevertheless he basically talked me out of a procedure. He said he could do it and that he could see why as I am very tall but no pressure at all and I actually got a confidence boost!

Thank you for the link JAM. I sent an e-mail to lcas.com 3 or so weeks ago and it seemed like an automated reply with a .PDF attached to it. It would\'ve been nice to contact him over e-mail but I\'ll definitely keep him in mind! Must admit though that Clinic-Brazil offering lig cutting and a weeks accommodation for 2000 euros is tempting. There\'s also Dr. David Ralph who does lig cutting in the UK for '2500. Dr.Viel charges '4000 so I\'m going to do abit more research and ask afew more questions!

From what I read about Dr. Alter in the old mns was that he was not too aggressive in cutting the susp ligament but on the other hand, he \'will not f_ck you up\' either.
He is supposed to be good at repairing botched PE surgeries. Although he has an office in NY (or at least he did at one time) he only does surgery in CA.

@KFH
You\'re right that opening up Eastern Europe had brought highly competent specialists at local depressed economy prices into the game plan. However it is important to verify all credentials and track records as over there pretty much anything can happen due to extensive corruption. And you wouldn\'t want a surgeon who bought his diploma. Yes, I am exaggerating, but am doing so purposely so that others here err on the side of over-precaution rather than thrust themselves into uncertain situations.
Yet very many highly qualified and competent surgeons have been trained in the former Soviet Union and more recently in Russia, it is a nation with some of the brightest and most competent professionals around. It is the surrounding context of societal structure which tends to bear weight on individuals and organizations, so we must proceed with caution to ensure that those at Clinic Brasil and indeed the best doctors and not simply those with the right connections.
One member\'s experience is important to know about yet it would help to have more information as we\'ve seen in the case of other Phalloplasty surgeons that some in the USA tend to use discussion boards such as this one to pose as patients and promote their procedures. However, if we take into consideration local market conditions, the pricing at Clinic Brazil in Kalingrad probably reflects a very high cost at local market conditions. For example in northern Poland at this date the average wage is $500/month so an operation at a clinic located there would probably cost a lot less than in London.
FWIW
HC

Thank you for the post HC! I\'ve been considering penile lengthening for around 18 months now. I\'ve been doing research and asking many, many questions. Unfortunately many of these questions were directed to UGRS from which I came to the conclusion that they were a shady organisation. Many surgeries want you to book a consultation, which is understandable, but the majority of information at these consultations is basic stuff (if you\'ve been doing your research for a year or so!).

It would be so very useful if the surgeons would allow potential patients to ask them specific questions via e-mail. I understand it would be very hard for them to fit this into their schedule but it really would be better the for PE community as a whole rather than websites giving vague descriptions and \"expected\" results.

As you may know I\'ve been waiting for razor101 to report back with an update of the lig cut procedure he had at clinic-brazil. The wary side of me did take into consideration that companies may advertise their procedures through fake reports on forums such as this one but I don\'t know what else to go on evidence-wise.

Could I request the surgeons full name (by e-mailing clinic-brazil) and then somehow search for his/hers credentials/qualifications online? Is that possible?

I\'m a young man (maybe too young some might say to consider surgery, especially when I\'m apparently over average) so the cheaper options really do look appealing! I know it\'s a terrible way to go about it but if I did go with clinic-brazil (which the receptionist reported would cost around 1800 euros for the lig cut AND 4 days accomodation at the surgery) I would still have a big chunk of my savings left!

Thank you again for your post, it\'s always nice to discuss this, to get more clarity.

The reason Alter only does surgery in CA is because the statute of limitations in CA which limits a max claim of $250,000 for medical malpractice.

I\'m very interested in the lengthening surgery with Dr. Alter. I\'m not quite ready to schedule a consultation though. Does anyone know off hand how much he charges?

I have been having emails with several Phalloplasty surgeons and Alter has been the most honest in his communications. The others just seem greedy and ready to do anything to charge you lots of money.

Thanks Mexmuscle for your insight. Would mind giving me a general idea of the cost compared between the \"other guys\" vs Alter for lengthening only? I\'m just trying to get a ballpark number and yes, I will likely end up with Alter. I just wish someone in the U.S. did the scrotal approach.

I think I\'m going to end up doing it with Dr. Alter also. I think it\'s in the ballpark of $5000 which is less than the new price of Rosenthal (less than a year ago it was $4500 and he said he will still honor it since he gave me that price but still trust Alter more, but now Rosenthals price is $6000) but more than the Tijuana Doctors which I think some said on here was around $3000 or $3500 not too sure. Reason I think I will end up with Dr. Alter is because he does the Peno-scrotal which is the turkey neck.. I have a pretty bad one when it\'s Flaccid and I feel when it\'s Erect it really pulls my penis back even tho it\'s not as bad in the Erect state, so I will do that. I don\'t know how much total it will be with that but I believe it\'s $5000 for the lengthening alone. Anyways if you\'re getting it soon I would love to see how you progress because I probably won\'t be able to do mine for another 4-6 months so good luck. If anybody who\'s seen my only thread and some posts saw I was highly interested in the doctor in Germany (UGRS) but they haven\'t even replied to my 2 e-mails. Dr. Alter replied right away, and it was like a midnight e-mail so you should e-mail him with any questions... anyways good luck man and I hope you\'re ready to put your all into it post-op, as I see that\'s the only way to go about it. Also some will say they didn\'t gain, but everybody is different because they are a few including the infamous messageman who did lengthening when it was new and gained within the time frame of his surgery and then later gained more through manual PE, so everybody is different. Maybe you will gain and maybe you won\'t but if you\'re like me then you will find out for yourself. Sex is very important in our lives, especially for me because firstly I have a great social life as it is and secondly I have a best friend who is an upcoming famous singer in a European country and spreading throughout the other countries and he is dying for me to get there already with all the groupies he has and I see it through skype when they\'re at his house and they request me on facebook just because they see me in pictures with him from when he lived here, so it\'s true but I definitely need to take a year or so to try and get some work on my smenis (small penis lol only in length 4.5 inches but decent Girth at 5inches). Anyways like I was trying to get to, why not try and see for yourself. Just do your research and come up with the best path for you. After that I\'m definitely going to see how most of the members here report their PMMA path 2 years after which is supposedly the time frame of problems happening in other areas of PMMA such as face, etc etc. Hopefully everything goes well with that because it is very appealing at the moment. I didn\'t think of Girth enhancement before but if I have satisfaction with lengthening I will definitely do PMMA after barring any setbacks happening at the 2+ year line with the members here. Anyways I\'m babbling, I just wanted to show you that others are in the same boat as you with wanting lengthening first. Keep in touch with your path before and after. Take care.

newbie415

Thanks for the response. We have a very similar approach towards PE. I\'m also interested in getting the webbing reduction as well.

As for lengthening, my only real hold-up is the pubic scar. I really like the scrotal approach because the scar is hidden and it\'s possible to hang earlier due to not pulling on the incision site. With that said, I\'d rather deal with those issues instead of ending up with a Dick \"on ice skates\" that needs reattaching. I just don\'t know how much of the success of lig release is due to skill of the surgeon. By that I mean, is the procedure so standardized among PE doctors that the result will be 95% the same whether I go with Camacho or Alter? Money is not the issue here; I just wonder why no U.S. surgeon does the scrotal approach while multiple foreign surgeons do. I assume that they consider it unnecessary, but maybe they see it as risky for some reason. I don\'t know, but it\'s a good question to ask, since supposedly most PE surgeons are aware of the technique.

Also anyone that can comment, how much of a difference in risk do you think there is between an extremely skilled surgeon and a good surgeon when it comes to lig release. If they both release the same ligs, then is the only difference how aggressive they are or is there other nuances to the surgery that separate the very best?

yea I have no idea why any US surgeon wouldn\'t do the scrotal approach. I think somebody asked Dr. Rosenthal about it and he something negative about it but I\'m not completely sure(not that I would take his word for it). I think the difference between certain surgeons in general is the incision they make. Some use flaps, some just a horizontal one which i think is better as far as scar tissue. As far as results for Erect length I\'m not too sure what the difference is. I think that comes down to the individual person. Anyways good luck in your research and decision. We need more members who have done lengthening recently and post about it so we could have more ratio of success to fail rate on an Inch or more gain. Hopefully with myself you and a few others we could record how it is post surgery with pictures and etc for others. Member KFH has set a date for lengthening in December and he just posted something on questions he asked the practice that he\'s going to do the surgery with. So check that out as well. Again good luck.

has anyone went through with the penile lengthening surgery with this doctor? if so how did it go ?