Dr. Giunta's NEW Free Fat Transfer (FFT) Technique
Using Platelet Rich Plasma (PRP)

Dr. Giunta’s proprietary method of Free Fat Transfer (FFT) for girth enhancement has recently improved with his use of Platelet Rich Plasma (PRP Technique)—continuing to set new standards in Phalloplasty fat retention. He now approaches almost complete retention of fat tissue grafts in penis girth enlargement. With this new addendum to his already successful technique, Dr. Giunta can offer additional help for Erectile Dysfunction (ED) patients with penile implants (see below) and can reduce the need for subsequent fat “refills” to maintain the desired volumetric gains in penile shaft thickness.

What’s Free Fat Transfer (FFT) All About? And Why Is It The Safest Method For Penile Girth Enlargement?

For many decades, the use of autologous fat (fat originating within an individual) in what is commonly termed “Free Fat Transfer” as a graft medium, has enabled surgeons to perform volume-enhancing procedures including augmentation of the lips, buttocks, facial work, and of course . . . penile girth enhancement. Autologous fat has many, many advantages over other volumetric fillers for such cosmetic work in that it is never rejected—because it’s the patient’s own tissue—it’s soft and pliable; is readily available in most patients . . . and perhaps most important lacks any risk of foreign disease transmission.

Contrary to previous skepticism by the medical community the last several years, FFT has now been accepted as being one of the best available graft/filler materials for surgical procedures that require volumetric fillers. Failures of fat transfer techniques in the past largely were attributable to a lack of consistent transfer standards and equally on methods to transfer the adipose tissue (fatty material) without considerable damage to the cellular structure. With the development of better fat harvesting instruments, low pressure cleansing, additives, and consistent techniques, Free Fat Transfer has become, in many cases, the preferred method of choice for many cosmetic procedures.

Patient had original girth enhancement surgery on October 20, 1995.	Patient photo is a postoperative example of fat retention using Dr. Giunta's FFT technique for girth enhancement.  Photo was taken on February 8, 2007 and shows that after almost 12 years, the patient has retained the fat that was used in the original girth enlargement.

So, how safe is Free Fat Transfer as a graft medium?

It is very low risk as compared to other methods of girth enlargement of the penis. Serious complications such as ED or loss of sensation are virtually unheard of. Minor infections and lumpiness are also very rare (less than 4%) and easily dealt with. It is a safe, effective choice for those individuals considering penis enlargement. The lack of rejection and foreign disease transmission alone are significant criteria for selecting FFT Phalloplasty versus all other methods. Overall, when considering the factual data from penis enlargement cases comparing fat transfer versus other methods of penis enlargement—none can compare to the safety, economic benefit to the patient (it is usually less costly than other techniques that require expensive cadaver tissue), and success rate of using fat in girth enlargement of the penis.

Giunta’s PRP Technique—

Dr. Giunta’s Platelet Rich Plasma (PRP) technique parallels the widely recognized method of increasing the rate of fat graft survival by improving the conditions and biochemical environment of the adipose tissue at the graft site. There are, of course some differences in Dr. Giunta’s technique from that of traditional PRP concentration and much of this is proprietary. However, traditional PRP is now a widely accepted method of improving wound healing, and is considered a medical procedure subset that is used in conjunction with standard surgical procedures, not just those of cosmetic or plastic origin.

PRP consists of highly concentrated plasma from the patient that is rich in bioactive proteins and human growth hormones (factors PDGFaa, PDGFbb, TGF-b1, TGF-b2, VEGF and EGF) that can speed and ensure the healing process. These plasma concentrates—most at 500-600% of normal plasma levels—affect cellular processes including, but not limited to; cell propagation, angiogenic formation (capillary and venous formation) collagen formation, and cellular matrix production. All of these things enable the FFT grafts to “take” and become homogenous with the surrounding tissue.

The commonly accepted method of harvesting/isolating Platelet Rich Plasma is by using centrifuge separation of the patient’s blood into the three levels defined by spin separation. Once the enriched and concentrated PRP is collected, Dr. Giunta introduces it into the harvested adipose tissue, then leaves it to incubate for a period of time to release growth factors and other compounds into the mix in the appropriate amounts. Finally, it is reintroduced in the penile shaft where it will aid in the fat retention and healing processes. This further increases the fat retention rate (and graft growth) to reduce even further the need for subsequent “refilling” of the surgical area to maintain the desired thickness volume.

Why No One Else Has Dr. Giunta’s PRP Free Fat Transfer Technique—

It is well known that in the art of Free Fat Transfer, technique is everything. While FFT represents perhaps the safest (it has minimal reported complications) method of volumetric enhancement for Phalloplasty, most limitations and complications arise from the ensuing steps to achieve fat transportation by surgeons who haven’t yet mastered the intricacies of FFT technique.

For instance, poor harvesting or pressure harvesting can lead to fat cellular membrane damage, resulting in some areas where the fat graft is introduced that show fat retention—while other graft areas die and are reabsorbed by the patient’s own body, delaying healing at the receptor site. This can lead to lumpy, distorted penile shafts (palpable nodules or cystic accumulations). Dr. Giunta has performed over 4,400 Phalloplasty procedures, most employing his FFT girth enhancement technique.

Erectile Dysfunction (ED) Who Have Penile Implants—

Patients who have penile implants traditionally experience a reduction in the length and girth of the penile shaft due to the implant material(s). Sadly, this is a complication of having penile implants. Fortunately, however, Dr. Giunta’s FFT technique using Platelet Rich Plasma can effectively reverse some of these losses, depending on the implant type and patient, and can add both length and girth to the patient who has penile implants.

Read About Dr. Giunta's New Adult Stem Cell Free Fat Transfer Technique for Penile Girth Enlargement Patients...

For more information, contact: info@drgiunta.com

or call: 703-845-7400