Vaginal
rejuvenation has gone from hush-hush to trending. The scenario will likely be
much the same for men. They, too, want sexual parts to look and feel better,
and men are starting to make those desires known, according to Beverly Hills,
Calif., dermatologic surgeon Jason Emer, M.D.
“I have
many younger male patients who are interested in this,” Dr. Emer says. “As the
vaginal rejuvenation market is skyrocketing, men are seeking their own type of
rejuvenation. Who wouldn’t want to be a little bit longer, thicker, or have
more sensitivity and a better sex life? These men are also becoming interested
in the cosmetic appearance of the actual penis and scrotum itself.”
The
potential patient population also includes older men, who might have erectile
dysfunction, resulting from age or health issues, such as prostate cancer
treatment or high blood pressure, as well as cosmetic concerns that keep them
from feeling good during intimacy or being comfortable naked, according to Dr.
Emer.
Dr. Emer
started doing penile enhancement treatments about three years ago. Until
recently, most procedures involved using hyaluronic acid fillers or fat
injections for penile enlargement. But injecting fillers and fat into the penis
can be risky business. There are concerns, according to Dr. Emer, that small area,
like the penis, fingers and noses, which have less blood circulation, could be
at risk for serious complications from injectables, such as impending necrosis
or vascular occlusion injuries.
So, Dr.
Emer looked into other options — things he could do externally to the penis and
scrotum to achieve desired outcomes with less risk. He found lasers and shock
therapy are potential options in penile rejuvenation.
“These
[modalities] stimulate the blood flow and theoretically can improve erectile
dysfunction and, in turn, sexual stamina,” he says.
Penile Enhancement Research
Dr. Emer
says he has been contacting companies to conduct trials on the use of lasers
and shock therapy on penile enhancement with an overwhelmingly positive
response.
“I had
been performing hair removal treatments in the genital area with a device
called LightPod Neo, made by Aerolase. It’s a microsecond Nd: YAG laser which
is virtually painless and requires no direct contract. It’s very quick,
high-energy pulsing, so that you can damage the hair follicle without risk to
the the skin,” Dr. Emer says. “When I started doing hair removal on the scrotum
and around the penis, patients reported the appearance of their scrotum and
penis improved. The skin was less wrinkly, it was smoother, and some even
reported it wasn’t as veiny.”
Dr. Emer
says that wasn’t too much of a surprise, given the LightPod device has been
used for facial rejuvenation. Passes
with the device cause deep heating of the tissue promoting collagen formation
and tightening. It may also be increasing blood supply to the penile area, he
says, which would improve sexual function, sensitivity and size.
After
using the LightPod Neo on about 10 patients, Dr. Emer says none have reported
negative outcomes or complications. All have mentioned that they’re more
sensitive in the area since treatment.
“They’ve
noticed at least a short-term increase in size, and I have a couple of patients
who were unable to get erections easily and now are having them
uncontrollably,” Dr. Emer says. “We’ve done similar testing now with another
device called Cellutone by BTL Aesthetics which uses shock waves to stimulate
blood flow and cause an acute short-term inflammation in the area treated,
that, when it repairs itself, heals with improved local function. Not only have
patients reported improvement in erectile dysfunction and size, we’ve also
noticed improvements using this technology among men who have curved penises
and are looking for a more straight appearance.”
Another
treatment that is promising is the use of platelet-rich plasma, or PRP,
according to Dr. Emer.
“We
initially began seeing increased thickness with PRP injections, but then men
were not only getting reporting increased erections, better sex, more
ejaculations and heightened sensitivity,” he says.
The
problem for surgeons who want to start incorporating penile rejuvenation into
their practices is the lack of data and information about best practices,
according to Dr. Emer. For now, there are a few researchers conducting trials
on penile enhancement — Dr. Emer being one.
“There
really isn’t much out there. I’m one of the innovators. I hope to be a pioneer
in this field. I am trying treatments to meet the demand of my patient
population and heighten awareness in this field. I hope that one day this will
be mainstream like vaginal rejuvenation has so quickly become. For now,
surgeons are going to have to watch what I [and a few others] discover as we
try different methods,” he says.
Penis Pumps & Scrotox
Dr. Emer
is studying not only individual therapies, but also combinations of devices and
injections, as well as how dermatologists and cosmetic surgeons can work with
urologists to improve results of treatments. For example, Dr. Emer advocates
the use of patient controlled penis pumps at home, immediately after
treatments. Dr. Emer says combining what the urologist does with pumps with
laser or other injectable treatments further increases blood flow, stimulates
new blood vessel growth and could improve overall outcomes.
He is
investigating the use of Botox to the genitals.
“Botox
decreases sweating, improves wrinkling and may in some cases make the scrotum appear
larger by relaxing the muscles in the area,” says Dr. Emer.
Dr. Emer
says he has coined the term “Scrotox” for this manly treatment.
“It’s not
only cosmetic, my marathon runners and cyclists who get inner thigh rubbing and
irritation from sweat, benefit from this treatment as it decreases skin burn,”
he says.
Now is
the time for aesthetic physicians to consider looking into offering these
alternative options to male patients, according to Dr. Emer.
“I think
it’s a trend that people will start hearing more about, as there is significant
demand. Hopefully, companies will start doing research with me and other
interested doctors, so we can get data out to the medical community,” Dr. Emer
says.
The
timing is right. Men are paying more attention to their looks. They are having
skin rejuvenation procedures, body contouring, teeth and hair treatments. They
are man grooming more than ever, he says.
“I think
every [man] is going to want to do this, as commonly as getting their hair cut
or their teeth cleaned,” he says. “Men want to feel and look good. They want to
have a better sex life and feel confident being naked.”
Disclosure: Dr. Emer has ties with Eclipse,
Aerolase and BTL Aesthetics.
Lisette
Hilton
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