Plastic Surgery/Penile Raphe

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Question
The Raphe line on the underside of my penis is a very distinct colour from the rest of my penis. Whilst the majority of it is 'white' or typically Caucasoid, the raphe line is a dark red/brown. It is not dissimilar to this picture

http://0.tqn.com/w/experts/Urology-Male-issues-989/2013/07/view-2.jpg

My raphe is larger towards the base than the one posted above and blends quite well. However, as it narrows towards the crown and begins to meet the fraenulum, it corkscrews in a thinner line across the underside and is displeasing to me. It bears the appearance of a scar. Would it be possible to surgically reduce the severity of the discolouration here, or even alter it to appear the same colour as the surrounding skin?  There are treatments for vitiligo, acne scarring and other instances of uneven skin tone; would the surgical approach be similar to the methods used to treat those? Most importantly, could this be achieved without it being obvious any surgery had been performed? A bold raphe line is normal even if it is aesthetically displeasing but having to explain you had plastic surgery on your penis would be worse.  

With the utmost respect, I'm not interested in hearing how this is a normal variation and an unhealthy focus. I've had enough sexual partners to know it is a non-issue for women. It is a purely personal motivation. I've had my own arousal drop mid intercourse from glancing at it. Frankly, I really don't like the appearance of it and am very curious if there is a way to change it.

Thank's in advance

Answer
your ending says that you have had enough reassurances,yes surgery is possible you will have a midline scar like a raphe,it is very difficult to control scar formation,and that is the truth,in majority of cases you'll get good results.i have never had a request for this kind of surgery ever.but dont worry if you personally feel unhappy any decent PS can do this surgery with good results usually.scar problems range from hyper or hypopigmentation,hypertrophy or keloid

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Dr.Ayyappan.Thangavel

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CAN ANSWER:Dr.Ayyappan has more than 20yrs of professional experience in Cosmetic&Plastic Surgery.He has been teaching and training Plastic Surgeons in a prestigious teaching institute in India.Dr.Ayyappan can answer ALL TECHNICAL QUESTIONS,Give SECOND OPINION,Perform REVISION SURGERIES,He is an Expert in managing ALL COSMETIC&PLASTIC SURGERIES including complications by vitue of his huge experience in a University teaching institute attached to Government Hospital.Presently he is Director&Head SAL Hospitals International an accredited premier private hospital group.Dr.Ayyappan is gentle,kind and gives time to answer all your questions.

Experience

At present, I am Head ,Department Of PlasticSurgery SAL HOSPITAL&MEDICAL INSTITUTE& Director LaDiva Center ofExcellence for Cosmetic,Plastic,Laser&HairTransplant,MY FOCUS IS ON COSMETIC SURGERY WITH SPECIAL EMPASIS ON LIPOSUCTION,BODY CONTOURING,ANTIAGING SURGERIES,COSMETIC SURGERIES OFBREAST FACELIFT,RHINOPLASTY ETC.I HAD BEEN A CONSULTANT WITH APOLLO HOSPITALS FOR 4YEARS. Prior to that I was an Associate Professor with the Department of Burns & Plastic Surgery at B.J.Medical College & Civil Hospital, Ahmedabad, India. This institute is a 2000 bedded Government funded University Teaching Hospital. The Department has a30 bedded Burns Centre and a 70 bedded Plastic Surgery unit, performing a wide range of Plastic & Reconstructive Surgery including Acute Burns and Post Burn reconstructions ,Polytrauma, lower limb reconstruction , Hand ,Micro & Brachial plexus surgery, Congenital anomalies including Cleft surgery . I was on a sabbatical for a year, working as a Plastic Surgeon with Division of Plastic Reconstructive & Surgery, Prince of Wales Hospital (Chinese University of Hong Kong).During this period I had attended teaching programmes /academic activities and was appointed twice as an Examiner (Undergraduates) for the Chinese University of Hong Kong..I participated in a Curriculum Retreat ( Chinese University of Hong Kong) with the focus on the New Curriculum ,Clinical Assessment Methods& Quality Improvement (Sep 2005). I am Co-investigator for a research project titled “Towards skin reconstitution:a study of epithelial-mesenchymal(bone marrow)cell interactions in a three dimensional acellular dermal matrix” submitted to Research Grants Council (2006/2007). I have gained significant experience on the use of Autologous Bone Marrow in varied clinical situations which I had pioneered and in the process of publishing my experience over a period of 4 years.

Organizations
BJMEDICAL COLLEGE &CIVIL HOSPITAL(INDIA),Associate Professor Department Of PlasticSurgery. PRINCE OF WALES HOSPITAL(HONGKONG),Chinese University of HongKong,Specialist/ClinicalTutor,Division of PlasticSurgery. APOLLO HOSPITALS INTL,SeniorConsultant,Department Of PlasticSurgery. SAL HOSPITAL&MEDICAL INSTITUTE Head ,Department Of PlasticSurgery Director LaDiva Center ofExcellence for Cosmetic,Plastic,Laser&HairTransplant.

Publications
INTERNATIONAL JOURNAL-PUBLICATIONS: • ANTIBIOTIC PROPHYLAXIS -HOBSON’S CHOICE? IN BURNS MANAGEMENT. PUBLISHED IN BURNS JOURNAL (U.K) JULY/AUG1998 • AXIAL APONUERO –FASCIO- CUTANEOUS GROIN FLAP -,AN EXTENDED CONCEPT PUBLISHED IN JOURNAL OF CRANIO FACIAL SURGERY(U.S.A) SEP/2001. • SUPER SURAL FLAPS IN ACUTE TRAUMATIC HEEL RECONSTRUCTIONS PUBLISHED IN PLASTIC&RECONSTRUCTIVE SURGERY JOURNAL(U.S.A) JUNE/2002 • "MICROSURGICAL RECONSTRUCTION IN PAEDIATRIC BURNS .THE BRITISH JOURNAL OF PLASTIC SURGERY(2006) IN PRESS. • PEDIATRIC BURN PREVENTION:AN EPIDEMIOLOGICAL APPROACH Burns, Mar 2006. • DECOMPRESSION NOT ESCHAROTOMY IN ACUTE BURNS Burns, May 2006 . NATIONAL JOURNAL-PUBLICATIONS • NUEROFIBROMATOSIS –AN UNSOLVED RIDDLE PUBLISHED IN THE INDIAN PRACTITIONER.FEB/2001. • TOPICALLY APPLIED AUTOLOGOUS BONE MARROW IN HEALING OF CHRONIC NON HEALING RAW AREAS-INDIAN JOURNAL OF BURNS VOLUME 12/Issue 2001/Dec 2004.

Education/Credentials
Professional Qualification Title M.B.B.S {Bachelor Of Medicine & Bachelor Of Surgery} University University Of Madras Country India Month /Year April 1987 Speciality Professional Qualification Title Master Of Surgery{General Surgery} University Gujarat University Country India Month /Year January 1993 Superspeciality Professional Qualification Title {1} Master Of Chirugiae {Plastic Surgery} University Gujarat University Country India Month /Year March 1996 Superspeciality Professional Qualification Title {2} Diplomat Of National Board{D.N.B}{Plastic Surgery} University National Board Of Examinations Country New Delhi , India Month /Year December 1995 Superspeciality Professional Qualification Title {3} Member National Academy Of Medical Sciences{Plastic Urgery} University National Board Of Examinations Country New Delhi , India Month /Year December 2002

Awards and Honors
GOLD MEDAL CLINICAL SURGERY MADRAS UNIVERSITY 1985 MEMBER NATIONAL ACADEMY OF MEDICAL SCIENCES AWARDED IN 2002 GOLD MEDAL CLINICAL SURGERY MADRAS UNIVERSITY 1985 TOPPER OF MCh(PLASTIC SURGERY)UNIVERSITY EXAMS UNIQUE DISTINCTION OF BEING AWARDED “MEMBER NATIONAL ACADEMY OF MEDICAL SCIENCES(PLASTIC SURGERY)”IN 2002 REVIEWER OF REPUTED INTERNATIONAL JOURNALS…PRS(USA),BJPRAS(UK)

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