GeraldB
Testicular Enhancement in Miami 

I found this information.  I am going to call to see if I can get the price and a photo of the implants.  I will also ask if the implants float free inside the scrotum or are attached to the inner sack.

John L. Whitehead DO
Alain Ramirez MD
Christian Quintero, MD

1111 KANE CONCOURSE, SUITE #311
BAY HARBOR ISLANDS, FLORIDA 33154-2041



https://www.restoremedcenter.com/procedures/mens-health

  • Testicular enhancement: 

    • Testicular enhancement is one of our most popular procedures. The satisfaction rate is high, and the results are aesthetically pleasing. We insert soft, ovoid prostheses in front of your existing testes to reduce any likelihood of impairment to your sperm and testosterone production which has been noted with cap-type prosthetics.


      D3EB0B07-732D-4795-86F7-427D0A8FC1AD.jpeg  040B098C-1135-4522-8061-AAEDD6100354.png 

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GeraldB
Today I called this office and talked with Dr. Ramirez.  

They use two standard testicle implants  Both are added into the scrotum with the natural testicles.  Each implant is stitched to an inner testicle sack so that they cannot move to a different location.  He said that if they are sized correctly, men who have had the procedure are very happy.  It's intended for men with small testicles.  Especially if they are on TRT and experiencing atrophy.  None have wanted the implants removed.   He said that none of the men have found this uncomfortable.  He said that everything fits well and looks natural.  He also said it feels natural.  The scrotum stretches to fit the added implants.

Dr. Ramirez said that the doctors at this office are not comfortable with the idea of putting a cap on the natural testicles (the Elist procedure).

The cost is $6000
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Codyusaf
Did they tell you what size options they have? 
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GeraldB
I have gathering more information about the procedure.  I found out that each implant is attached to a natural ball.  A stitch holds it to the nut inner sack.  It will feel like my tiny natural balls will be like the cords attached to implant.  I like this better than added silicone covers (the Elist method).
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Codyusaf
GeraldB wrote:
There are several companies that make FDA approved testicle implants in various sizes.
The office places an order for the size needed.  They cannot be returned.  My understanding is that the companies make about 4 sizes. 

I am planning a trip to Miami in February.  I am seriously considering this procedure.  By the end of the year, I will probably put money down to reserve an appointment. 

I asked what size they might suggest for me, based on some photos and information I gave them.  The answer is a pair of 1" X 1.5" implants.  I took the measurements and made an (oven baked) polymer clay set.  I have read that the scrotum adjusts / stretches (naturally) within a few weeks to content. To me, this seem like it will be a good fit.  I will talk to the Miami clinic and find out what they think.

It's embarrassing to show these photos with my tiny testicles.  I would love to have a pair of medical implants added.  I think I would really like it.  For me, I feel more comfortable with this procedure  instead of adding silicone covers over my nuts (the Elist method).

Obviously, you cannot go too big. I don't think the Miami office would do it.  And, it would be uncomfortable.


I WANTED TO GET AN IDEA OF THE SIZE WITHOUT AN OFFICE VISIT TO MIAMI.   
THIS IS HOW I DID IT AFTER A VISIT TO THE ART SUPPLY STORE.Clay01.jpg  Clay02.jpg



The largest implants I was able to find are 5 cm by 4 cm.  I think the volume is somewhere in the 40-48cc range (each).

update: so I contacted them and their largest size is 2” by 1” and anything above that is custom and gets pretty pricey. 
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Texas
@GeraldB 
So what did you decide ?  
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GeraldB

In February, I am flying to Miami for a workshop. 
I have added 5 extra days to get the procedure before the workshop and rest.
I am still deciding on what size to get.

I was told that the implant is stitched to the inner sack of each testicle.  That holds it in place.
The inner sack is tough and stretchy.  

The price is $6000

PHOTO SENT BY DOCTOR AT THE CLINIC
RamirezImplants.jpeg  ImplantsSuperior1.jpeg 
ImplantsSuperior2.jpeg   



CURRENT PHOTOS OF ME
MY NATURAL BALLS ARE REALLY TINY (about 1 inch) AND THERE IS EXTRA ROOM IN THE SCROTUM.  IT PULLS TIGHT SINCE I DON’T HAVE THE VOLUME TO FILL IT.  WHEN RELAXED, THERE IS ENOUGH ROOM FOR IMPLANTS.  THINGS I HAVE READ (AND QUESTIONS FOR CLINICS) INDICATE THE SCROTUM WILL ADJUST TO IMPLANTS WITHIN A FEW WEEKS.
 Dick01.jpg 

EXAMPLE ONLINE PHOTO OF WHAT AM TRYING ACHIEVE WITH THE IMPLANTS

ballsExample (1).jpg



SCALE MODELS FROM OVEN BAKED SCULPTEY ART CLAY (3.9 CM x 3.0 CM PAIR).  SLOW OVEN BAKING AT 275 F TURNS THEM INTO PLASTIC. 
I THINK THIS SIZE IS GOING TO WORK WELL.
ArtClayModel01.jpg 
ADDITIONAL INFORMATION ABOUT DR. JOHN WHITEHEAD

  http://www.transhealthcare.org/john-whitehead/


Whitehead.jpg 

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Texas
@GeraldB 

Thats great info.   Im curious what size you will decide.       I have been on testosterone for years and have only what resembles balls.  lmao.      This whole thing makes me curious. 

How do they stitch them in there?  and how will it not feel like you have 4 balls in the end?    Did they explain any of that ? 
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GeraldB

From Dr. Barry Eppley Website 
Indianapolis, Indiana

https://exploreplasticsurgery.com/plastic-surgery-case-study-scrotal-enlargement-with-custom-testicular-implants-in-a-side-by-side-technique/

Background:
While the penis and scrotum lie in anatomic proximity, there is no aesthetic standard as to the size relationship between the two. While not described such a proportionate relationship between the two most certainly does exist although it is open to individual patient interpretation. A penis may be too ‘large’ for the size of the scrotum or the converse may be perceived.

In the older male a penoscrotal disproportion can occur in the presence of erectile dysfunction in which a penile prosthesis has been placed. With concomitant testicular atrophy, the scrotum can be perceived to be out of proportion as the penis has become surgically enlarged. In such cases the placement of testicular prostheses can provide an immediate and permanent scrotal enlargement and create a better match to the penile size.

In the placement of testicular implants in the older male with a penile prosthesis the issues to be determined are; 1) what is the maximum size of testicular implant that can be placed, 2) can testicular implants co-exist with a penile prosthesis and, most importantly, 3) what is to be done with the existing natural testicles?

Case Study:  This middle-aged male presented for scrotal enlargement with testicular implants. He had a penile prosthesis in place that maintained a consistent penile length. His natural testicles measured 3.5 cms in length.

[5-cm-Testicle-Implant-Placement-Dr-Barry-Eppley-Indianapolis-300x96]https://exploreplasticsurgery.com/wp-content/uploads/2019/06/Custom-6.5-cm-Testicle-Implant-Placement-Dr-Barry-Eppley-Indianapolis-300x96.jpg 300w, https://exploreplasticsurgery.com/wp-content/uploads/2019/06/Custom-6.5-cm-Testicle-Implant-Placement-Dr-Barry-Eppley-Indianapolis-768x247.jpg 768w, https://exploreplasticsurgery.com/wp-content/uploads/2019/06/Custom-6.5-cm-Testicle-Implant-Placement-Dr-Barry-Eppley-Indianapolis-1024x329.jpg 1024w" data-lazy-sizes="(max-width: 403px) 100vw, 403px">[5-Testicular-Implants-result-Dr-Barry-Eppley-Indianapolis-300x135]https://exploreplasticsurgery.com/wp-content/uploads/2019/06/Custom-6.5-Testicular-Implants-result-Dr-Barry-Eppley-Indianapolis-300x135.jpg 300w, https://exploreplasticsurgery.com/wp-content/uploads/2019/06/Custom-6.5-Testicular-Implants-result-Dr-Barry-Eppley-Indianapolis-768x346.jpg 768w, https://exploreplasticsurgery.com/wp-content/uploads/2019/06/Custom-6.5-Testicular-Implants-result-Dr-Barry-Eppley-Indianapolis-1024x461.jpg 1024w" data-lazy-sizes="(max-width: 347px) 100vw, 347px">Under general anesthesia and through a 3 cm midline raphe incision pockets were developed inside dartos fascia on each side. A thick midline bridge of tissue was maintained between the two pockets. The existing testicles were pushed posterosuperiorly in the making of the pockets. Ultrasoft silicone testicular implants measuring 6.5cm in length and 4.75 cm in width are placed on each side. A three soft tissue closure was done.

Custom Testicular Implant Placement Dr Barry Eppley IndianapolisThe good elastic deformation property of the implants allowed for their passage through a much smaller incisional length.

When considering a increase in testicular size with two smaller than desired normal testicles, there are two options. One approach is to enlarge the existing testicles through a wrap around implant approach. (clam shell implant design) The other approach is place the larger sized implant next to the existing testicles in a side by side fashion and make them ‘invisible’ by comparison. Each testicular implant enlargement method has their advantages and disadvantages.

Case Highlights:

1) Penile-scrotal disproportion most commonly occurs in older men who have a penile prosthesis and testicular atrophy

2) Creating larger testicles can be done by either enlarging the existing ones (wrap around testicular implants) or placing larger ones next to the existing ones. (side by side testicular implants)

3) Even very large testicular implants can be placed through a small midline raphe incision.

Dr. Barry Eppley

Indianapolis, Indiana

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