Figure 1.

A 26-year-old man several years after penile enlargement with VY advancement flap and penile fat injections (by other physician). (A) Pre-operation: The patient has a wide, hairless pubic scar, and a low-hanging penis with distortion from fat. (B) Markings for complete reversal of the VY flap and selective fat excision to achieve more normal contour. (C) The appearance after the procedure. Note the small drain. (D) Several months post-operation showing a normal penis with elimination of most of the deformities.