Hakky and erosion?

[whatevery]

Read here that Hakky takes into account patient's desire for growth when sizing up cylinders and would often size up aggressively, especially for smaller penis guys like myself.
I'm pretty sure that if after few more interviews I'd still decide to implant myself out of town it would be with Hakky.

That being said however we know that over-aggressive sizing of cylinders could lead to erosion, so my question is... is there anyone on this forum that's been oversized by Hakky and it lead to erosion? DM, if necessary.

[edjohn]

The number of cases is so small we might never hear from one who had it with hakky and also is a regular here.

From what we know of erosion, however, it shouldn’t be related to whether you are upsized or not. It seems to have more to do with either natural physiology or lack of rest essentially. Malleables are far more prone because they never retract to give the tips a chance to heal from any strain put on them.

Also realize that when girth is factored in, since there is so much variation in natural girth, the majority of us are by definition oversized and this is what makes the penis get firm at our given size. Also consider how many dudes regain an inch or two of atrophy… these guys are all experiencing gradual success from “upsizing.”

I believe his reputation stems from being reliable at sizing properly, however, not necessarily that he sizes “riskily.” I am tempted to look to him for revisions when necessary, but after proper VED use pre-surgery, Clavell’s sizing had me exactly the same length post-op and at about 6 months I am almost 1/4” longer than I was ever naturally.

[whatevery]

What you say makes perfect sense. Thank you. I just decided to throw it out there just to see if anyone bites.

I already had a virtual with Clavell. A true expert and a class act but he shies away from LGX and I'm not ever sure if he does TEP which at this point I'm definitely considering. LGX would a natural and probably the only choice in my situation if you look at my size. I need the most reliable elongation and I definitely don't need any more girth.

Hakky does all of this, so is maybe Valenzuela. The later however doesn't have much of the track record here. People recommend him or hear that he is good, but I couldn't find a single person that actually had a procedure done with him.
Hakky on the other hand is one of the star doctors. I already communicated with him via email and saw few of his appointment videos and, just like Clavell, he also seem to be a class act. So unless I settle on somebody local that I'm ready to go with in the next 2 months I reckon Atlanta would be in the cards.

[ElbowRoom]

I had my implant placed by Hakky last October, no regrets. He really cares about his patients and goes out of his way to make things go as smoothly and easily as possible.

[LetoMan]

On the general topic of “upsizing”. Personally, I don’t believe there is any such thing that doctors are doing. They are correctly sizing guys.

If you are correctly sized, then you are neither oversized (which runs the risk of erosion) or undersized (risk of floppy glans). The proper way to size is set out in the surgical instructions for the implant.

If a doctor deviates from established procedures accepted by their fellow medical specialists, they set themselves up for malpractice lawsuits. If a doctor is regularly inserting larger implants than what the standard approach suggests, then they are going to get sued, and lose. Doctors don’t have “secret” techniques to expand your size. The medical industry runs on disclosure to the rest of the medical community. If the docs are doing something the rest of the medical community sees as in the patients best interest, then they have “cover” for that technique. If they don’t, they are gonna get sued when something goes wrong.

That does not mean a doctor’s skill and experience don’t count. Inexperienced doctors make mistakes, and over/under size. Experienced doctors correctly size, and often have known techniques (such as cutting down an RTE) to make the implant fit you as best as it can.

[Gt1956]

I think LetoMan is correct. Correct sizing is basically being agressive. In my opinion, based upon the fact that RTE's come in .5cm increments. As I see it. The absolutely best upsizing will be under .25cm. To Americans, we are talking about 3/16".

Agressive size is rounding up vs rounding down. We are still talking about .25cm.

[edjohn]

Well I am no surgeon, but I do know that stretching tissue to measure definitely has a level of finesse to it. I know for a fact that my penis was almost an inch longer in the vacuum pump than my max erect size the night before surgery, which means if he wanted to, and he put the same amount of force into pushing those measuring dilators into the CC, he could have oversized me.

I also do not believe that simply oversizing by a cm would increase erosion risk any, because the implant is always capable of going further than our body is ready for, it's a matter of taking things slowly and not cycling to excruciating pain for hours on end and not leaving it inflated to the point that those tips are under constant pressure and are made to atrophy.

If you think about it, every one of us who winds up longer than pre-op was technically oversized by definition. I don't believe that making that 1cm vs 2cm is any "safer." What matters is that the tissue has appropriate time to adapt to whatever amount it is.

[Mattbg7]

I posted recently about my risk of erosion and a surgery I will need to address this. My problem wasn’t caused by over sizing, but by the cylinder is off track and too far to the outside. A couple of members added similar issues to the post. I do wish there was more information about this and the corrective measures used to address and pictures of the outcome . But so far what I have seen is the most of the rare cases of erosion are caused by something else other than over sizing. Maybe Peyronies?

[ElbowRoom]

On the general topic of “upsizing”. Personally, I don’t believe there is any such thing that doctors are doing. They are correctly sizing guys.

If you are correctly sized, then you are neither oversized (which runs the risk of erosion) or undersized (risk of floppy glans). The proper way to size is set out in the surgical instructions for the implant.

I think this is generally correct. Hakky did ask me pre-op if I wanted to be “aggressively sized”, which I took to mean if there was a question about implant size or RTEs, whether he should err toward a little larger or a little smaller. I think there are judgment call cases like this, though in my case it didn’t apply because post-op I was told I was a “true 28cm” size.

[LetoMan]

The instructions for how to size are in the instructions for the implant from the manufacturer. You measure distally and proximally from the incision point, add those measurements together, and that measurement provides for the size of implant plus RTEs.

A doc has three choices of what they want to do:

1) Follow the instructions, using their experience and skill to get the best possible measurement and outcome.

2) Insert a larger device than the measurement, which is recorded in the surgical notes.

3) Falsify the surgical notes by claiming the measurement was greater than it actually was.

Option 2 is a recipe for lawsuits. Surgical notes are the first thing everyone (insurers, lawyers, review boards) are looking at when something goes wrong. Or even if it doesn’t.

Option 3 is lawsuits plus a serious breach of medical ethics. Docs could lose their license. And the whole set-up in surgery is to double check things and avoid making mistakes. There are multiple people in the room.

I gotta tell ya, guys - no doc is risking his license and lawsuits by doing 2 or 3 just so you can have a slightly bigger dick! There is zero benefit to them to do that.

But what they are doing is telling you “don’t worry - we’re gonna maximize your size” or whatever and then just following the instructions. There is no harm in implying that they will get you the maximum safe length. But they are not doing anything outside of normal, well established and well understood procedures. There is no secret way to get you a bigger dick, your doc is just leaving you with the implication that he is.