Skin flap surgery - How will the skin feel after recovery?

Question

Hi. I had excesses skin removed. Looking to get a skin flap from my scrotum to shaft to restore lenght. Will the skin move the same and will there be any issues like tightness or flexibility. Like to understand how the skin will feel after recovery

Farhan Malik, MD · Answer

Skin flap surgery is a type of surgical procedure where a piece of skin, along with its underlying blood vessels, fat, and sometimes muscle, is partially detached from its original location and moved to cover a nearby defect or wound. The skin flap is usually left partially attached to ensure an adequate blood supply while it heals in its new location.

After the recovery from skin flap surgery, the sensation and texture of the skin in the treated area can vary widely depending on the type of flap used, the location of the surgery, and individual differences in healing. Here are some general points about how the skin might feel after recovery from skin flap surgery:

Numbness: It's common for the skin around the surgical site to feel numb initially. Numbness occurs due to nerve damage during the surgery. Sensation may gradually return over time, but it might not be the same as before the surgery.

Tightness: The skin in the treated area might feel tight or stretched, especially if a large flap was used. This sensation usually improves as the skin heals and stretches to accommodate the new placement.

Sensitivity Changes: Some people experience increased sensitivity in the skin flap area, while others may have decreased sensitivity. These changes in sensitivity can vary from person to person.

Adam De Fazio, MD, JD · Answer

Immediately after the procedure which is referred to as penoscrotal webbing excision, there will likely be some tightness to the tissue. Over the healing phase, the tissue will become more flexible and should feel like normal once healing is complete. The most important things a patient can do to prevent delayed healing are to avoid smoking, hydrate and follow post operative instructions closely.

Victor Liu, MD, FACS, FRCS · Answer

It all depends on where the loss of skin is and how much skin was removed.  If the loss of skin is at the base of the penis next to the scrotum, correction should be relatively simple by mobilizing skin from the scrotum to cover the skin loss.
If the skin loss is near the tip of the penis, the skin from the shaft of the penis can be slide to cover the skin loss and the defect left by the slide can be repaired using the scrotal skin.
Under certain circumstances, a simple skin graft could be done satisfactorily.
Please see a competent plastic surgeon and he should be able to give you the best options for treatment.
Hope that helps.  If you have more questions please contact me at VictorLiuMD@yahoo.com or call me at the office 650-697-8888

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