Fat Grafting vs Filler | लिंग की मोटाई बढ़ाने का सही तरीका | Dr. Vijayant Govinda Gupta — Transcript

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1. 0:00The current patient has had this European procedure done by us to make his penis longer and thicker.
2. 0:05The filler comes from France. But two patients this morning had had it done for themselves.
3. 0:10grafting. Fat grafting means that we took fat cells from their body and transplanted them into their penis.
4. 0:15I applied it in. So if you also want to make your penis longer and thicker and you want to use these two
5. 0:19I am confused about the options whether I should get fat grafting done or filler done then today
6. 0:23You must watch the video because in this video I will solve both your doubts.
7. 0:27In this, we will explain how I, as a surgeon, select whether the patient will feel fat or not.
8. 0:33How do you, as a patient, decide whether you will need filler or fat grafting?
9. 0:38Should I get a filler? So today's topic is patient selection.
10. 0:42In grafting versus filler, how do we select a patient as a patient?
11. 0:46What should I get on my penis? First, what is the normal size of a penis?
12. 0:50How thick should the penis normally be? There are many questions related to this XYZ question which
13. 0:54We 've covered this in previous videos on my channel . I'm Dr. Gupta, a new
14. 0:57Andrologist in Delhi, India and men can get their penis problems fixed near me
15. 1:01I have many videos about it , so please subscribe to my channel and
16. 1:05Make a playlist and watch it. There's no doubt that a thicker penis is more effective than a smaller one.
17. 1:10It gives enjoyment to the female partner because the vagina has a stretch receptor.
18. 1:14And the thicker the penis, the sooner the partner gets pleasure and orgasm.
19. 1:18For many men, even two lengths are fine, the hardness is fine. But because
20. 1:23After childbirth, the wife's vagina becomes loose and the man's penis becomes thin with age.
21. 1:27This causes a difference in sex and he may use fat or filler in his penis.
22. 1:31By getting it inserted and making the penis thicker, you can enjoy your sex life again and both of these
23. 1:35There are safe procedures, but fat grafting and filler give similar results.
24. 1:40In thickness, both are technically different concepts. In fat grafting, we use the patient's
25. 1:44Fat donor area means from her thigh, inner thigh , buttocks, stomach, chest,
26. 1:49Removes fat from the prepubic area where there is a concentration of fat and
27. 1:52We process it. Add raw fat, whether we process it and make nano fat or
28. 1:56Make it into microfat. Create it and insert it into his penis, which causes the penis to thicken.
29. 2:00And the filler inside the filler is this ready-made hyaluronic acid hydrogel.
30. 2:05Which is basically a protein molecule, which we get directly from a ready-made factory.
31. 2:09It's sterile, and we put it in the penis to make it thicker.
32. 2:13Body tissue is autologous. Filler is an inert, non-synthetic chemical that basically replaces your own.
33. 2:18It moves comfortably in the body. There is a cost difference between the two. Both involve surgery.
34. 2:22The procedures are different. There are separate videos describing how both are performed. But today's topic
35. 2:25The point is, yes, I want to gain weight. What should I choose as a fat filler?
36. 2:28What are the criteria? The first criterion is body fat. For fat grafting
37. 2:32We need fat and we will get fat from your body and if there is no fat in your body then we
38. 2:36Where will you remove the fat from? I get a lot of young boys who go to the gym.
39. 2:40I exercise, I am very thin, I have no body fat, there is no fat inside my body at all.
40. 2:44They are not overweight, they are very thin. Now these people say, give us fat grafting because
41. 2:47We heard somewhere that fat grafting takes a long time. Brother, fat grafting takes a long time.
42. 2:51It's a secondary question. But the first thing to consider is that the donor site is located in your body.
43. 2:55Where do we get fat from? If you're too thin, they'll say, "Sir, get us fat from the jokes."
44. 2:59Take it from behind, from the sides. But your backside fat isn't too much either.
45. 3:03If you are very muscular, athletic, lean then because we will get fat otherwise
46. 3:07We won't be able to graft fat. Therefore, the results after surgery are very poor.
47. 3:11versus a fat man. A man with a body fat percentage of 10 percent,
48. 3:15There is 15 percent in which we can extract healthy yellow fat and for that patient
49. 3:19Internal fat grafting will yield very good results. So if you are very thin or lean,
50. 3:23If you are athletic, fat grafting will not work for you versus if you are somewhat healthy.
51. 3:26So, fat grafting has two benefits . First, it will remove some fat from your body.
52. 3:30This will reduce some weight and by processing the same fat, that healthy yellow fat will be converted into
53. 3:33We can put it in your gender. The second criterion is weight stability.
54. 3:37Stability means what your future weight loss plan is. There are many
55. 3:42There are people who start using Manjaro after having fat grafting or
56. 3:46Take Ozempic, start exercising , or get fat grafting.
57. 3:51For the marriage that is about to take place, fat grafting is done but immediately after that
58. 3:54Later, they engage in dieting and weight loss. Now these patients say they haven't seen any results.
59. 3:57Brother, in fat grafting, we are not transferring the fat or butter .
60. 4:01fat cells so the actual word for fat grafting should be autologous fat transplant
61. 4:07Meaning, we will remove your fat cells, adipose cells, and put them in your penis.
62. 4:11are being transferred and if your body changes after this transplant or this transfer
63. 4:16If you lose weight, the fat cells on your penis will also lose weight.
64. 4:20If you give it a try, he'll lose that fat too and become slim again . So if you're in the next six months
65. 4:24Do you have a plan to lose weight in a year or do you take Manjaro or Ozempic or do you
66. 4:30If the fat does not stop then in that condition also fat grafting is not good for you.
67. 4:34Filler will be a much better option for you because you will lose fat and along with it
68. 4:39The increased thickness will also go away. The third most important point is predictability.
69. 4:43Predictability means how much fat you made it and for how many days it will remain that fat.
70. 4:47So both fat graft and filler behave differently in this case.
71. 4:51When we transfer fat, it contains approximately 30 percent water.
72. 4:56If we do fat grafting, for example, if we inject 100 ml of fat into you, then the result you will get is
73. 5:00on the table and the next day in about 6 weeks that water absorption is about 30 percent
74. 5:05The fat remaining is some fat within the fat.
75. 5:09The fat or cells will slowly eat away at your body. How many fat cells are actually on your penis?
76. 5:14How many fat cells will stick and give good results on your penis, you will know three
77. 5:19After a month, the actual shape of your penis and its thickness is fat.
78. 5:25It's only three months after grafting. But once those fat cells have stuck to your penis,
79. 5:31And after three months or four months I reached a stable size and after that I maintained my weight.
80. 5:36If so , that stable size will last normally for many years.
81. 5:41surgeon I can apply fat cells. I can make 100 ml, 200 ml, 300 ml, 400 ml as per your requirement
82. 5:47I can also inject you with a ML, but only 30% to 40% of it will be your fluids.
83. 5:5220-30 percent fat will go and how many cells will be left in the remaining cells, that is me.
84. 5:56I can't predict. You are healthy, non-smoker, non-diabetic,
85. 5:59Non-hypertensive, good lipid profile, no heart disease, weight
86. 6:03If it's stable, we can predict that 40% or 50% of your fat will be saved. But because
87. 6:08The penis is a mobile organ and keeps getting smaller as it grows, thicker and thinner.
88. 6:12How much fat will stick to it, and where it will stick. This leads to a point where it will have a lumpy appearance.
89. 6:16This means that after fat grafting, there may be more fat in some areas and less fat in others. This situation can arise and
90. 6:20It needs a retouch-up. What's in filler versus filler? It's the opposite.
91. 6:24The filler that I applied to you, for example, 50 ml, then that filler will be applied to the next 3
92. 6:29Within a month, the water absorbed will become 100 ml and a half . It will increase three times its size.
93. 6:33The result you got in OT will improve in the next 3 to 6 months.
94. 6:38The benefits of filler improve over time but reach their peak thickness at 6 months.
95. 6:43Then it slowly hydrolyzes and in about 2 to 2.5 years, almost 75% to 80% of it is
96. 6:48It will be absorbed and return to normal. So there's predictability in the filler which I
97. 6:53I'm trying. I know what kind of result I'm trying. I know what the result will be.
98. 6:57After this, the result will improve within the initial 6 months to a year and then the result will go down.
99. 7:01Whereas in fat grafting, the result initially goes down, then becomes stable and then
100. 7:05It improves over time. Then, one point you have to choose as a patient is
101. 7:09Longevity. Longevity means how long the purpose of this surgery is fulfilled.
102. 7:14It has to be maintained for a year. The patient says, "Sir, we need a lifetime. Not a lifetime, not fat."
103. 7:18Fat grafting works, not filler . Fat grafting is a one-time
104. 7:22Once it becomes stable, it lasts for 5, 7, or 8 years. But even within that, the fat cells
105. 7:26You die, you lose weight, your diet changes , and you age. Slowly, slowly.
106. 7:30It will gradually shrink. However, the filler we apply will have a very long life.
107. 7:35Netherlands body filler, European body filler 2.5 years 3 years because of quality
108. 7:39How good is the protein? If Europeans apply it lighter than what we spend in 1.5 to 2 years.
109. 7:43We import them from France. Then, if we use Chinese or Korean products, the result will be different.
110. 7:48Lasts only 6 months to a year because of the quality of filler, quality of hyaluronic acid,
111. 7:51The purity of the protein and its packaging all depend on your results.
112. 7:55What will happen? From a safety point of view, hyaluronic acid fillers are the safest. But today
113. 7:59Nowadays, many such fillers have come in the market which apparently give better results.
114. 8:03They offer silicone fillers, PMMA , PLLA, well, Alleek.
115. 8:08The filler is complicated. Its absorption kinetics are unknown and it contains
116. 8:12Patients sometimes experience quite severe complications.
117. 8:16People are using it, people are mixing it with filler. But in our center, we usually
118. 8:20Pure hyaluronic acid filler is used because of its complication rate.
119. 8:23The least and most important thing in every scientific study in meta-analysis is filler.
120. 8:27That it is reversible. Fat grafting is not reversible. Fat grafting is done once
121. 8:31So if we want to remove fat, we have to cut it out. In filler, we have a
122. 8:35There is an injection and an enzyme. If the patient feels that it does not contain a filler,
123. 8:38If it is needed or it has become too much somewhere or a little mountain has formed in some area then
124. 8:42By injecting, we can dissolve the filler and remove the patient's filler completely.
125. 8:45It will disappear or we will manage it by making it disappear as much as possible and making it reversible.
126. 8:49The point you need to discuss is OPD versus IPD procedure because
127. 8:53The filler comes pre-packaged, in a syringe . We don't have to do any processing on it.
128. 8:57You can come and get as many injections as you need. This is therefore an OPD or day care procedure.
129. 9:01In this, you can come in the morning and get your filler done after an hour and go away and there is no problem in this.
130. 9:04There is n't much pain, bleeding, or pain associated with fat grafting because your
131. 9:08Fat will have to be removed from the body, processed through liposuction and then applied.
132. 9:12This procedure is also day care, but it takes at least 6 to 8 hours.
133. 9:15You will need to stay in the hospital. This will be in GA. You will need some precautions after surgery.
134. 9:19You will have to take it and even though there are no cuts anywhere on your body, there are two holes in your body.
135. 9:23The first hole is a small hole inside the stomach from which we removed all the fat and the second hole is for the penis.
136. 9:27near where they will make all the fat and put it inside you. So this is also a point and because of this
137. 9:31There's a cost difference because fillers only cost the surgeon's fee plus the filler itself.
138. 9:34Fat grafting involves surgeon fees, liposuction fees, and more.
139. 9:38Anesthesia charges plus the cost of fat grafting are added together.
140. 9:42There's also a cost difference. Then comes recovery. Recovery is simple for both.
141. 9:46But the recovery of filler is much faster. If you need to increase your thickness or length,
142. 9:51In a situation where there is no time, you have to go abroad, your wedding is after 10 days, or immediately
143. 9:54If you want results, then faster recovery lies in filler.
144. 9:58Also, you can have sex the next day as there is no need for any cut healing time.
145. 10:01The filler contains no foreign material, which is why it heals very quickly.
146. 10:05But if you want to get fat grafting done, it will take at least 3 months.
147. 10:10As I explained to you, in fat grafting there is recovery, there is surgery, fat
148. 10:14It has to be extracted, processed, and applied. Then, the result comes.
149. 10:18If the grafts stick together and modeling is required, then fat grafting is a long-term procedure.
150. 10:22Mostly mature people who are married and are now able to make a long-term commitment to themselves.
151. 10:26Those who want permanent treatment for this, those who want to give time to their body,
152. 10:30You can plan this for yourself. Then there's touch-up. Touch-up means any of your
153. 10:34You will apply the liquid to your body. For example, if you are playing with clay at home, someone will be playing with it.
154. 10:39Everyone will be. If you have ever made something out of clay, let's see what you have made from clay.
155. 10:42I made some first. Then, for a quick touch-up, I added a little more clay. This is filler.
156. 10:46Or fat grafting. It's basically clay that we use to model your penis.
157. 10:49What happens is that after 3 months or 6, it may happen that more bacteria accumulate in some area.
158. 10:52To reduce the number of people gathering in a particular area, patients are advised to undergo physiotherapy.
159. 10:55Do it, model the penis, stretch it, massage it and then you can do it too.
160. 10:59That some area appears to have less fat. Other patients may wish that there's less fat here.
161. 11:03There's still excess left. If we fix this, it's called a touch-up. Touch-up means that
162. 11:07You will come and in the initial phase you will be given 100 ml fat or say 70 ml filler.
163. 11:11And your one look has come and you say Sir, I am satisfied but I need a little more.
164. 11:15Once the shape is formed here, we need to add some more clay and filler.
165. 11:19Now the problem with this is that it is easy to touch up the filler because 50 ml,
166. 11:23It comes in 5 ml and 10 ml packaging. For example, if you need a touch-up,
167. 11:26We can balance that area by applying just 5 ml or 10 ml of filler . Whereas fat
168. 11:30In grafting, because for touch up, complete surgery will be required again, hence fat grafting
169. 11:34You'll need to do a touch-up every time. So, you'll have to do liposuction, fat processing, and more.
170. 11:38It will take some touch up which is comparatively difficult in fat grafting .
171. 11:42But hybrid techniques have emerged. If you've had fat grafting done, you may be satisfied with it, but
172. 11:46If there are any areas that you want to balance , we can also overlay filler in that area.
173. 11:51It is not necessary to apply fat on top of fat . We can apply filler on top of fat.
174. 11:54It can also give you good results. Then the last point is reversibility.
175. 11:59You... got it done, it's thickened, but now it's so thick that it can't go into the vagina.
176. 12:03or have become so fat that you don't like the way you look or you
177. 12:07If you've applied a design that was previously perfect, the filler is reversible. You can completely replace the filler.
178. 12:12You can make it disappear completely. Give an enzyme injection and the filler will be gone within 6 hours.
179. 12:16All of the water you apply will be excreted in your urine.
180. 12:20Once it is applied, the fat is transplanted into your body, transferred and that
181. 12:24The fat will remain in your body. You can't just think about it one day and tell it to disappear.
182. 12:29Do it. Removing it requires major surgery. You'll need to open the entire penis and insert it.
183. 12:34All the fat cells have to be removed by cutting them out. Therefore, fat grafting is a
184. 12:38Non-reversible permanent treatment versus filler which is a temporary one
185. 12:42This treatment is based on improvement . So today I explained to you, brother, that
186. 12:46What is the difference between the two and if you also want to make your penis longer and thicker then
187. 12:49Number one, you don't need to do it, so keep in mind that everyone's penis is fine.
188. 12:54If your penis is 4.25 inches long, 1.5 to 2 inches thick, and you are having sex, children
189. 12:57If it's happening, and your partner is having an orgasm, then it 's working out well. If it's not,
190. 13:01You should also observe your partner and work hard at the places where he/she feels you are interested in.
191. 13:05Work on the clitoris, work on everything there . But if you think no, I
192. 13:10If you want something better than this, yes. There are options today . Natural options include massage, Kegels,
193. 13:14penile traction, PRP, P-Shot, P-Shot Plus, stem cell therapy, all of these and if you
194. 13:19You don't want it, I want immediate results. I want results that will
195. 13:22If the length and thickness increase significantly, then fat grafting and filler are safe methods for which
196. 13:26You can also increase it. There are two other methods I'm discussing, but I'm not going to discuss them yet.
197. 13:31It is not available. One of them is a silicon sleeve, also known as a penuma or implant.
198. 13:35Yes. The complexity is enormous. You 'll see many videos from around the world.
199. 13:39This happened, that happened. It's all nonsense. All the patients are crying. You just need to work a little harder.
200. 13:43Do it, delve a little deeper. You'll see how the patient is suffering from this surgery.
201. 13:48If she's bothered by getting sleeves, don't get them. There's no logic to sleeves. By the way, India
202. 13:51It is not available in me and you also do not have the option to get it done because the cost of the sleeve is yours.
203. 13:54Approximately $5,1000 for implanting the empty sleeve, and that too the cost of implant, all together will come to Rs 60.75
204. 13:59No one in India has 7 lakh rupees to spend per hour, fat
205. 14:02People cry for 50 days to do it, if you cannot afford it then stop watching that.
206. 14:06You can't afford it. The second option involves implanting these three pieces.
207. 14:10So many patients come to me and say, Sir, please put 3 pieces of implant, it will become fat.
208. 14:13A three-piece implant is a different problem for those patients.
209. 14:17Those who cannot get an erection, have erectile dysfunction. 3 pieces implanted
210. 14:20It's not about size. I know some great surgeons in our country who
211. 14:24To increase the size of the patients, 3 piece implants are being placed and those patients are getting cases on them.
212. 14:28They are doing it because after implantation they understand that the penis will stop getting erect.
213. 14:31The erection that used to be there before has disappeared, and the size hasn't increased. So, I implanted three pieces.
214. 14:34There is no way to increase penile implant size . 3-piece implant, penile implant
215. 14:38There are ways to fix erectile dysfunction . These are the options for increasing size.
216. 14:42I told you and from that option, one option is fat grafting or filler.
217. 14:46You can get good results by choosing this . Thank you so much.