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Cosmetic Surgery  (Expert Forum)
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frenular bar reconstruction
Answered by
Howard Rosenberg, MD - Cosmetic Surgery
Accent on Aesthetics Plastic Surgery Medical Center
Questions in the Cosmetic Surgery forum are answered by Dr. Howard Rosenberg. Topics include bariatric surgery reconstruction, breast augmentation, chemical peels, cosmetic or reconstructive surgery, face lift, nose reconstruction, and tummy tucks.

frenular bar reconstruction

by Allen714, Feb 21, 2009 10:23PM
For reasons that are irrelevant to this discussion, over the past three years I have 'grown' back (through various stretching methods) a 'foreskin' that more than adequately covers the glans. I look no different than an uncircumcised man. However, without some artificial means of keeping the skin over the glans (tape etc), when wearing clothes and being active the skin immediately retracts behind the glans and the glans becomes very sore very quickly. This is due, of course, to the fact that the frenular bar was removed at circumcision. This is the 'pucker' at the end of the foreskin, the purpose of which is to keep the foreskin over the glans when not erect. My frenulum was left mostly intact, by the way.

Is there some kind of surgery that would restore what the function of the frenular bar did? Something that would produce a narrowing or puckering at the end of my restored 'foreskin'?

by Howard Rosenberg, MD, Feb 28, 2009 11:26PM
Your best option would be to seek a consultation with a urologist.  Most plastic surgeons leave treatment of these problems to a urologist who typically perform circumcisions.
Member Comments (4)

by tlh777, Feb 26, 2009 04:56AM
Yes,a minor surgery to remove a V-shaped piece of skin can be done.Here is more info for you

http://www.norm-socal.org/MeetingNotes/1999-11.html


Q: Did he put you under?

No, he used local anesthesia, about 20 shots. I wanted to be conscious. And he was very good; he discussed what he was doing. He made a comment right before he made the first cut; he said, "This is the hardest part for me." I said, "Why?" He said, "Because it took you so long to get this new skin."

He didn't cut any of the length, he took a little "V" part out of the new frenar band I created, and closed it up.

http://www.viceland.com/int/v10n9/htdocs/point.php?source=db

The time taken to achieve full coverage varies considerably, depending in large part on the initial length of the residual foreskin. While some men have achieved remarkable results in just a few months, the process can take as long as one to two years. Once full coverage of the bell end has been achieved, the natural narrowing of the tip of the foreskin (the “frenar band”) can be additionally reconstructed by minor plastic surgery, such as tissue removal or suturing (best to get the professionals in for this part). Et voila, your very own little pink riding hood, just like nature intended.

DR MITCHEL DANIELSON

by Allen714, Feb 27, 2009 08:57AM
To: tlh777
I very much appreciate your response and the fact that you have taken my question seriously. Now, if only a Dr. would so kindly do the same. I'm wondering still, is the procedure something that any urologist can do? Or any plastic surgeon can do? What exactly does it mean by "the professionals"? Are there specialists that do this procedures? Is there a technical name for the procedure so that if I call a urologist or plastic surgeon they would know what I was talking about? I wasn't planning to try this at home. :-)  

by Allen714, Feb 28, 2009 11:25AM
I was also wondering about using surgical skin adhesives like DermaBond or UroBond or Mastisol to reduce the opening of the foreskin. Any suggestions/warnings?
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