Circumcision
Circumcision is a surgical procedure that involves the removal of the foreskin, the fold of skin that covers the tip of the penis. It is often performed for cultural, religious, or medical reasons. In some cultures and religions, circumcision is a traditional rite of passage or a religious requirement. Medically, it may be done to treat conditions such as phimosis (a condition where the foreskin is too tight to be pulled back over the head of the penis), recurrent infections, or inflammation.
Circumcision - Removal of the Foreskin
The foreskin is made up of different layers of skin that surround the penis and form a fold around the glans. This fold resembles a cuff around the glans. On the underside of the glans, there is a small fold of skin that connects the foreskin to the base of the glans, called the frenulum. At the base of the glans, there is a raised area in the shape of a crown, called the corona of the glans, which outlines the balanopreputial sulcus below.
Aesthetic circumcision aims to improve the appearance of the penis by leaving the glans partially or completely exposed at all times, even when at rest.
During circumcision, the foreskin is not simply removed; it is skillfully repositioned and reduced.
Dr. Danino aims for the best aesthetic results by taking the final appearance into account. He can modify the foreskin in four ways:
low and loose, low and tight, high and loose, or high and tight. These terms describe how the foreskin will rest against the shaft after the operation.
For example, in a high and tight circumcision, the foreskin is retracted so that its inner surface faces outward, wrapping around the shaft in a supportive manner.
The surgeon then removes the tissue that was on the outside of the foreskin and carefully sutures the incision to maintain the contours of this "high and tight" adaptation. The subtle scar will be positioned higher on the shaft when the penis is flaccid, providing a secure and supportive final result.
Main Medical Reasons for Circumcision
Phimosis and paraphimosis are two of the main medical reasons why circumcision may be recommended:
Treatment of Phimosis
Phimosis is a condition where the foreskin, the fold of skin covering the glans of the penis, is too tight to be easily or fully retracted. This can lead to difficulties in pulling the foreskin back over the glans, which may cause issues such as infections, pain during erection or sexual intercourse, and even difficulty urinating. Phimosis can be treated in various ways, including conservative methods like the application of steroid creams or, in more severe cases, through circumcision, where the foreskin is surgically removed. The choice of treatment often depends on the severity of the symptoms, the patient's preferences, and medical recommendations.
Treatment of Paraphimosis
Paraphimosis is a medical condition where the foreskin, once retracted behind the glans of the penis, becomes unable to return to its normal position over the glans. This can cause the glans to become constricted, leading to swelling, pain, and sometimes difficulty urinating. Paraphimosis is typically considered a medical emergency and may require immediate intervention to restore blood flow and prevent potential complications. Treatment can involve conservative methods such as manual compression of the glans to reduce swelling, or in severe cases, surgical intervention to return the foreskin to its normal position.
Before / After Results of Circumcision - Foreskin Removal
It is important to note that the examples of surgery performed by Dr. Alain Danino are provided for informational and educational purposes only. These illustrative cases are intended to offer insights into the surgical procedures performed, but they should in no way be considered a guarantee or assurance of the surgical outcomes that potential patients may achieve.
-
HOW DOES THE PLATELET-RICH PLASMA (PRP) INJECTION SESSION WORK?The platelet-rich plasma (PRP) injection session for the treatment of baldness begins with a consultation to discuss medical history and expectations. Next, a blood sample is taken, centrifuged to isolate the PRP, which contains growth factors. Before the injections, the scalp is prepared, sometimes anesthetized, and then the PRP is injected directly into the areas to be treated. After the injections, scalp stimulation may be performed. The session ends, and post-treatment instructions are provided to maximize results. Multiple sessions may be necessary for lasting effects.
-
HOW MANY PRP INJECTION SESSIONS WILL I NEED?The number of PRP injection sessions needed for baldness treatment can vary depending on several factors, including the severity of hair loss, individual response to treatment, and the patient's specific goals. In general, multiple sessions spaced over a period of several months may be recommended to achieve optimal results. Typically, an initial regimen might include several sessions close together over the first few months, followed by maintenance sessions at more spaced intervals. Dr. Danino recommends one session monthly for the first few months, followed by maintenance sessions every three to six months.
-
WHAT ARE THE RISKS OF BALDNESS TREATMENT WITH PLASMA INJECTIONS?Platelet-rich plasma (PRP) injections for baldness treatment are generally considered safe because the PRP is derived from the patient’s own blood, reducing the risk of allergic reactions. However, as with any medical procedure, there are some potential risks associated with PRP scalp injections. Some of these risks include: Injection site discomfort: Temporary redness, swelling, or tenderness may occur in the scalp after injections. Infection: Although rare, there is a risk of infection at the injection site. Health care professionals take steps to minimize this risk by following aseptic protocols. Bleeding: Minor bleeding may occur at the injection site, especially in people who bleed easily. Unsatisfactory Results: Treatment results may vary from person to person, and PRP is not guaranteed to be effective for all individuals.
-
HOW LONG DOES PRP INJECTION TREATMENT LAST?The duration of a PRP injection session for baldness treatment can vary depending on several factors, such as the method used by Dr. Danino and the area of the scalp being treated. In general, a PRP session can take about 30 minutes to an hour. The process involves drawing blood from the patient, centrifuging it to isolate the platelet-rich plasma, and finally, injecting this plasma into the scalp. The total number of sessions required will depend on the treatment protocol recommended by Dr. Danino and the patient's individual response to PRP.
-
CAN WE RETURN TO OUR USUAL ACTIVITIES AFTER A PRP SCALP TREATMENT?Generally, most people can resume their normal activities after a PRP scalp injection session. Although the procedure is considered minimally invasive, some individuals may experience temporary mild redness, swelling, or sensitivity in the scalp. These side effects are usually transient and resolve within a few hours of treatment. Dr. Danino recommends limiting strenuous physical activity to avoid sweating, and sun exposure. Wait 24 hours before washing your hair.
-
WHY ARE PLASMA INJECTIONS A GOOD SOLUTION?Platelet-rich plasma (PRP) injections are considered a promising treatment option for baldness due to several potential benefits: Natural Approach: PRP is derived from the patient's own blood, reducing the risk of allergies or serious side effects. It uses the body's own healing mechanisms to stimulate hair growth. Growth Factors: PRP contains growth factors, proteins and other bioactive components that can promote cell regeneration, stimulate vascularization and strengthen hair follicles. Non-Surgical Procedure: PRP injections are less invasive than some other hair treatment options, such as hair transplant surgery, which generally means less recovery time and side effects. Potential to slow hair loss: PRP may help slow the progression of hair loss in some people by strengthening existing follicles. Versatile Treatment: PRP can be used as a stand-alone treatment or in combination with other treatment options, providing a versatile approach to meet individual needs.
