I was very interested in this procedure, but something doesnt make sense. You can guarantee 1-2in length flaccid depending on patient’s anatomy. If you a moving upto 1 inch from inside by the repositioning, would that not also equate to erect length?
patients reports have also stated scaring is not ideal, would using butterfly bandages on the incision first before stitching help with scaring? Also the use of silicone sheets after the incision has fully closed be beneficial?
Great questions. There are a couple of important distinctions here that may help clarify how the length gains work.
For qualified MegaMAXL patients, Rejuvall guarantees
at least 1 additional inch of flaccid length. For qualified SuperMAXL patients, the guarantee is
at least 2 additional inches of flaccid length.
Those guarantees apply specifically to
flaccid length. Most patients also gain some erect length, but that portion varies considerably based on the patient’s anatomy, so it is not something we can guarantee.
One way to understand this is the difference between a “shower” and a “grower.”
A
shower already has more of the penis externally presented while flaccid. When MegaMAXL changes the position of the penis and brings more of the existing shaft forward, that patient may have more opportunity for some of that change to remain apparent during an erection as well.
A
grower, on the other hand, already undergoes a much larger change between the flaccid and erect states. During an erection, much of the erectile tissue that sits farther inward while flaccid is already extending outward. Because that tissue was already being utilized during the erection before surgery, there may be less additional erect length available from repositioning it.
That is why two patients can both gain an inch or more of
flaccid length from the same type of surgery but see different changes in their erect measurements.
MegaMAXL also should not be thought of as simply “pulling an inch of penis out of the body.” The operation involves ligament work and penile repositioning that changes how the existing anatomy sits and presents externally. Surgery cannot create new erectile tissue, so the amount of erect-length change ultimately depends on the anatomy the patient started with.
As far as scarring goes, that is influenced by both
postoperative care and the patient’s underlying ability to heal.
Following the prescribed aftercare protocol closely is extremely important. Incision care, avoiding excessive tension on the incision, activity restrictions, and following the postoperative scar-care instructions can all have a major effect on the final appearance.
However, health and nutritional factors matter too. Patients who are poorly nourished, have experienced significant weight loss, smoke or use substances that interfere with healing, or have a history of heavy alcohol or drug use may have poorer tissue quality and less predictable wound healing. Those patients can be more prone to delayed healing and more noticeable scarring even when the surgical closure itself was performed correctly.
We would
not recommend adding butterfly closures or otherwise modifying the incision support unless Dr. Carney specifically instructs you to do so. The incision is closed and supported according to the needs of this particular operation, and adding tension or adhesive devices in the wrong place can potentially work against the intended closure.
Silicone scar sheets can sometimes be beneficial
once the incision is completely closed and adequately healed, but timing is important. That is something the surgical team should approve based on how the individual patient is healing rather than something we would recommend starting automatically.
So the short version is:
MegaMAXL and SuperMAXL have predictable flaccid-length gains in qualified patients. Erect-length gains are common, but how much a patient gains depends heavily on their starting anatomy — including whether they are more of a “shower” or a “grower.” And scar quality depends not only on the surgical closure, but also on aftercare and the patient’s overall health and healing capacity. 
