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Dermal Matrix Graft (Girth)

Clinical Lead

Meva Clinic Clinical Care Team

Meva Clinic · Istanbul
Published: 2025-11-12
Last Updated: 2026-05-18

Dermal Matrix Graft (Girth)

A long-lasting surgical girth option using an acellular dermal matrix graft.

Meva Clinic Clinical Care Team

Patient Care Information

Patient Care Information

"Our clinical approach prioritizes patient safety, individualized treatment planning, realistic expectations, and long-term follow-up throughout the international care journey."

About This Procedure

Why Choose Meva Clinic?

A long-lasting surgical girth option using an acellular dermal matrix graft.

A dermal matrix graft is a surgical girth option for men who want an even increase in circumference rather than a filler the body gradually absorbs. The surgeon places a sheet of acellular dermal matrix, donor tissue processed so that cells are removed and a collagen framework remains, around the shaft beneath the skin. In Turkey this is performed under general anaesthesia at a partner hospital, with one hospital night and about six partner-hotel nights according to the confirmed care plan. Desk work usually resumes after 10–14 days; exercise and sexual activity wait for surgeon clearance, typically at 4–6 weeks. Healing, swelling and final contour differ between patients. Every case begins with a confidential online review. A non-surgical alternative is HA filler for girth.

MC

Patient Care Information

Meva Clinic Clinical Care Team

Clinical Governance & Specialist Pathway Standards

This content is maintained by Meva Clinic’s Clinical Care Team for patient guidance and clinical transparency. Final treatment suitability, operating physician assignment, surgical planning, and medical decisions are confirmed only after medical history review, in-person consultation, diagnostic tests, anesthesia evaluation, and doctor availability.

Meva Clinic Clinical Care

Is This Treatment for Me?

Seeking a long-lasting surgical girth option

Preferring a graft over repeated fillers

Fit for general anesthesia

Comprehensive International Patient Care Plan

Private airport transfer according to the confirmed care plan

Bosphorus-view partner hotel, according to the confirmed care plan

24/7 nursing care during your hospital stay

Dedicated patient support during the confirmed care pathway

Aftercare guidance or materials according to the confirmed treatment plan

Follow-up guidance according to individual medical recommendations

The Clinical Procedure

Under general anaesthesia, the surgeon makes a small incision, usually near the base of the penis or along the circumcision line, creates a plane beneath the penile skin and wraps a measured sheet of acellular dermal matrix around the shaft, fixing it so that it lies evenly. The skin is closed and a compression dressing holds the graft in position. You stay one night at the partner hospital, then recover at the partner hotel with a wound check before you fly home.

1

Specialist Assessment

Anatomy, medical history and goals are reviewed, together with your suitability for surgery under general anesthesia.

2

Surgical Planning

Graft size, incision, risks, limitations and aftercare are discussed and agreed before the day of surgery.

3

Graft Placement

Under general anesthesia, an acellular dermal matrix graft is placed around the shaft beneath the skin.

4

Hospital Stay & Follow-up

After a one-night hospital stay, wound care and dressings are explained, and healing is checked before you fly home.

Recovery & Transformation Journey

1

Phase 1: Hospital Night & Dressing

The acellular dermal matrix is placed under general anaesthesia, followed by one night at the partner hospital. A supportive dressing holds the graft in position, and the wound is checked before you move to the partner hotel.

2

Phase 2: Hotel Stay & Wound Checks

Over about six hotel nights, swelling and bruising are expected and the dressing is managed as instructed. The wound is reviewed again before you fly home.

3

Phase 3: Swelling Settles

Desk work usually resumes after 10–14 days. Swelling and early firmness ease gradually as your own tissue incorporates the graft. Avoid pressure, strenuous exercise and any sexual activity.

4

Phase 4: Surgeon Clearance

Exercise and sexual activity resume only after surgeon clearance, typically at 4–6 weeks. The final contour and feel develop over the following months and are reviewed through remote follow-up.

The Meva Advantage

One surgical session for an even, long-lasting girth increase, planned and performed by a partner specialist at an accredited hospital, with honest expectations from the first message (around 1 cm average gain in published series) and one coordinator through to remote follow-up at 12 months.

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Clinical Standards & Safety

Medical Guidelines & Safety Protocols

Hospital-based procedures are coordinated through accredited partner hospitals, including JCI-accredited institutions where clinically appropriate. Below are the clinical guidelines, safety protocols, and medical reference documentation for this procedure.

Indicated / Suitable For

  • Men seeking a single surgical girth procedure rather than repeated filler sessions
  • Men in good general health who are fit for general anaesthesia and a one-night hospital stay
  • Non-smokers, or men who will stop smoking around surgery, since healing of the penile skin depends on good blood supply
  • Patients able to stay about a week in Istanbul and follow strict wound care and abstinence until surgeon clearance
  • Men who understand that early swelling and firmness are expected and that the final feel develops over months

Contraindications / Not Suitable

  • Body dysmorphic disorder or size anxiety with normal penile dimensions, where counselling comes first
  • Smoking that cannot be stopped, or uncontrolled diabetes, which raise the risk of delayed healing and skin breakdown
  • Active genital infection, penile skin disease, or extensive scarring from previous penile surgery until reviewed by a specialist
  • Previous silicone, paraffin or other permanent injections into the shaft
  • Bleeding disorders or anticoagulant medication that cannot be safely paused before general anaesthesia

Pre-Operative Evaluation & Diagnostic Checks

1

Andrological Examination: Girth and length measurement, assessment of penile skin and any previous scars, and planning of graft size and incision.

2

Erectile Function Review: Questionnaire-based assessment, since comfort during erections after grafting is part of counselling.

3

Laboratory Profile: Blood count, coagulation profile, blood glucose or HbA1c and infection screening before general anaesthesia.

4

Anaesthesia Consultation: In-hospital review of medical history and fitness for general anaesthesia.

5

Expectation & Psychological Assessment: Discussion of the realistic girth change and screening for body dysmorphic concerns.

Potential Risks & Complications

In compliance with transparent clinical reporting, Meva Clinic ensures patients are fully informed of the physiological risks associated with surgical procedures through accredited partner-hospital safety protocols where clinically appropriate.

Swelling & Foreskin Oedema

Marked swelling of the shaft and foreskin is expected in the first weeks; managed with the supportive dressing, elevation and rest.

Haematoma

Blood can collect beneath the skin; careful control of bleeding and the compression dressing reduce this, and drainage is arranged if needed.

Delayed Wound Healing & Skin Necrosis

The skin over the graft can heal slowly or, less commonly, break down; not smoking, avoiding pressure and early wound checks help, with dressings or surgical care when required.

Infection & Graft Removal

Infection is treated with antibiotics; if it does not settle, or the graft becomes exposed, removal of the graft may be necessary.

Tightness During Erection & Firmness

A feeling of tightness during erections and early firmness are commonly reported and usually ease as the graft is incorporated.

Limited or Uneven Girth Change

The increase can be smaller than hoped or irregular; published series report modest gains, which are discussed openly before surgery.

Realistic Expectations & Outcomes

A dermal matrix graft can give an even, long-lasting increase in girth, but the change is moderate and it does not lengthen the penis or improve erections. The shaft looks larger in the first weeks because of swelling and the dressing. As swelling settles and your own tissue grows into the collagen framework, some firmness and a feeling of tightness during erections are common and gradually ease. Published clinical series report an average girth gain of around one centimetre, and a recent meta-analysis rated the certainty of evidence for permanent augmentation materials as very low. The final contour and feel develop over several months and are judged once healing is complete.

Revision & Follow-Up Policy

Wound checks take place at the partner hospital and during your hotel stay before you fly home, followed by remote reviews, typically at 1, 3, 6 and 12 months. Early problems such as delayed healing or infection are managed without delay in coordination with the surgeon. Concerns about contour or feel are assessed only after the graft has been incorporated and swelling has resolved, and any further procedure is decided individually by the surgeon on medical criteria. For 12 months after your treatment you can also send photos to the medical team whenever you wish and receive their feedback, and your questions are answered remotely.

Authoritative Medical References & Studies

  • [1]
    Xu T, Zhang G, Bai W, et al. Complications and Management of Penile Girth Enhancement with Acellular Dermal Matrix. J Sex Med. 2019;16(12):2011-2017.View Study
  • [2]
    Pignanelli M, Williams JM, Fernandez Crespo RE, et al. Complications and management of penile enhancement procedures. Transl Androl Urol. 2025;14(10):3367-3376.View Source
  • [3]
    Fonseca TDF, Querobino SM. Penile augmentation procedures: a systematic review and meta-analysis of techniques, materials, and safety outcomes. Sex Health. 2026;23(4). doi:10.1071/SH26112.View Source

Medical Disclaimer: The information on this page is educational and does not replace medical advice. Skin quality, blood supply, healing and graft incorporation vary between men. Suitability for a dermal matrix graft, the graft size and the expected change are determined only after a confidential consultation and a physical examination by a specialist surgeon at a partner hospital.

Frequently Asked Questions

The graft is designed to be incorporated by your own tissue as it heals, so once healed it is generally soft rather than hard. Swelling and some firmness are common early on, and the final feel varies between patients; the surgeon explains what to expect at consultation.
In a published series of 78 men, penile circumference increased by an average of 1.1 cm at three months (range 0.5–2.1 cm). Length does not change. Your own result depends on skin elasticity, graft size and healing, and the surgeon gives a personal estimate only after examining you.
The graft is a collagen framework that your own tissue grows into, so the effect is designed to be long-lasting, unlike hyaluronic acid filler, which the body absorbs over time. Some of the early fullness is swelling that settles over the first months, and long-term data are still limited.
The most common issue is a feeling of tightness or discomfort during erections in the first months; in one series of 78 men this affected more than half and usually eased with time. Delayed wound healing, haematoma, foreskin swelling and infection can occur, skin breakdown is rare, and 7 of those 78 men eventually needed the graft removed. Careful selection, not smoking and wearing the compression dressing lower the risk.
Plan for about seven nights: one night at the partner hospital after surgery and around six nights at the partner hotel, with a wound check before your flight. Transfers and the hotel are arranged according to your confirmed care plan, and you can stay longer if you wish.
Most men return to desk work after 10–14 days. Gym, cycling and sexual activity wait for the surgeon's clearance, usually at around 4–6 weeks, once the wound has healed and the graft has settled.
HA filler needs no surgery and can be dissolved, but the body gradually absorbs it, so sessions are repeated. A dermal graft is a single operation with a longer-lasting effect, but it means general anaesthesia, a longer recovery and a higher complication risk. Many men start by comparing both options in the online review.
A dermal graft does not improve erectile function and is not a treatment for erectile dysfunction. Tightness during erections is common early on, and temporary changes in skin sensation can occur while the tissue heals. If erections are already a concern, the urologist reviews this first.
Men with normal dimensions whose main concern is size anxiety are usually advised counselling first. Uncontrolled diabetes, smoking that cannot be stopped, active genital infection and previous permanent filler injections or heavy scarring also make surgery less safe or less predictable.
Yes. Your messages and any information you share are handled only by your patient coordinator and the medical team. You can start with a short history and measurement questionnaire; photos are optional and are requested only if the surgeon needs them.

Procedure Details

Hospital Stay

1 Night

Hotel Package

6 Nights

Return to Work

10-14 Days (Desk work only)

Anaesthesia

General

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Medical Disclaimer: The clinical information on this website is for educational and informational purposes only. It does not constitute medical advice, diagnosis, or treatment. Always consult with a qualified physician or healthcare provider regarding any medical condition or surgical procedure in Turkey.

Airport transfers are included in the confirmed package; partner-hotel stays are optional, on request (separate cost).

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