This website focuses on the MTC method and strongly recommends it. It does not recommend surgical foreskin reconstruction at all, but below is the most commonly performed surgical method, as well as information about "touch-up" surgery:
Surgical foreskin reconstruction has remained largely unchanged since Celsus first described the procedure 2000 years ago.
An incision is made around the base of the penis and the penile shaft is denuded (in other words, the skin is peeled off), leaving
the shaft skin attached only beneath the glans penis. This skin is then pulled forward to replicate a foreskin. To tighten the new
foreskin and improve its contour, a wedge-shaped section may be removed and the opening sutured shut. Skin is then harvested from
the scrotum and grafted onto the penis to patch the missing shaft skin. This is performed as a series of three operations, followed
by several sessions of electrolysis to kill the hair follicles in the grafted scrotal skin.
The cost of the procedure is high, upwards of $25,000 in the United States, and it has a poor success rate, with 30% to 40% of
patients requiring multiple attempts. Even when the operation is successful, because of scarring and extensive tissue damage, the
results are often neither visually nor functionally pleasing. It is for these reasons that most doctors now recommend non-surgical
restoration possibly followed by minor "touch-up" surgery.
Although they are not very commonly performed, "touch-up" or "finishing" surgeries are available for those that have completed non-surgical foreskin restoration and want to make their new foreskins look as natural as possible:
There are procedures to tighten the restored foreskin, such as by removing one or more small wedges of tissue and suturing the openings closed. The foreskin can also be tightened by a simple purse-string suture, where a continuous stitch is made around the tip of the foreskin and then pulled tight, drawing it closed in somewhat the same way the frenar band works in a natural foreskin.
Jagged or badly discolored circumcision scars can be improved by removing the scarred tissue. With a cleaner incision and better after-care, the new scar should be lighter and less noticeable.
Although an actual frenulum cannot be reconstructed, surgery is available to restore the appearance of one for those whose frenulums have been severed.
These touch-up surgeries are relatively minor procedures that can be performed under local aenesthesia.
Whether you are interested in full reconstruction or only touch-ups, you should consult with a urologist experienced in foreskin reconstruction. It is beyond the training of an ordinary plastic surgeon.
Contact NORM for a list of referrals.
Although non-surgical foreskin restoration has been practiced since antiquity and modern tape-based techniques like the method described here have been successfully implemented for over twenty years, the information on this website should not be construed to be medical advice. Consult with your physician if you have any questions, concerns, or problems.