- Joined
- Jun 2, 2024
It's RFF - radial forearm flap - and this website goes into further detail about using a portion of the buttocks. For lazy Kiwis who want to read about it on-site, I've included the relevant portions below this snip.What on earth? Did they take the gracilis or was the flesh for the dog taken from her arse cheeks? Someone explain this one to me
We use lower buttock skin crease full thickness grafts for the forearm grafts instead of using groin skin, axillary skin or abdominal skin. The scar from buttock skin is easily hidden and the hair quality is fairly fine and appropriate for most forearms.

If a patient has no spare skin anywhere then we take split thickness skin graft from the thigh to cover the forearm. Split thickness skin graft is hairless, very sensitive to sunlight damage and also contracts more which may impair arm function. However we have not had many seriously significant problems with our patients in the long term. Full thickness skin does grow hair, is thicker, stretches more and looks and feels better. In addition it takes tattoo ink better if patients want to tattoo the graft. We suggest waiting a year for the scar to stabilise before starting a tattoo. We recommend that patients avoid sunlight exposure to the skin grafts for about two years. It is also important to use skin moisturisers as often as possible to hydrate the grafted skin and maintain pliability
The standard forearm skin length measurement of the phallus is 14 cm but if the forearm is of small size then we make a smaller phallus (12-13 cm) to aid skin closure, increase usable radial artery length and reduce forearm morbidity. This gives a very acceptable cosmetic result. The length and girth of the phallus once made depends on the weight of the fat and skin elasticity so patients end up with range of sizes (some bigger, some smaller). We aim for a girth of about 13 cm which leaves enough space for the erectile device. We connect normal sensory as well as erogenous nerves to the phallus and about 90% of our patients to date have at least some touch/sexual sensation in the phallus. The forearm flap usually has 3 nerves that come with it and is therefore more likely to develop sensation than any other kind of phalloplasty. Nerves do grow slowly and it can take a couple of years for sensation to appear.


If a patient has no spare skin anywhere then we take split thickness skin graft from the thigh to cover the forearm. Split thickness skin graft is hairless, very sensitive to sunlight damage and also contracts more which may impair arm function. However we have not had many seriously significant problems with our patients in the long term. Full thickness skin does grow hair, is thicker, stretches more and looks and feels better. In addition it takes tattoo ink better if patients want to tattoo the graft. We suggest waiting a year for the scar to stabilise before starting a tattoo. We recommend that patients avoid sunlight exposure to the skin grafts for about two years. It is also important to use skin moisturisers as often as possible to hydrate the grafted skin and maintain pliability
The standard forearm skin length measurement of the phallus is 14 cm but if the forearm is of small size then we make a smaller phallus (12-13 cm) to aid skin closure, increase usable radial artery length and reduce forearm morbidity. This gives a very acceptable cosmetic result. The length and girth of the phallus once made depends on the weight of the fat and skin elasticity so patients end up with range of sizes (some bigger, some smaller). We aim for a girth of about 13 cm which leaves enough space for the erectile device. We connect normal sensory as well as erogenous nerves to the phallus and about 90% of our patients to date have at least some touch/sexual sensation in the phallus. The forearm flap usually has 3 nerves that come with it and is therefore more likely to develop sensation than any other kind of phalloplasty. Nerves do grow slowly and it can take a couple of years for sensation to appear.

This abdominal phalloplasty (which involves saline skin-stretching, if I recall correctly) is from an unnamed provider in France and strongly reminds me of Snuffalupagus.
Link | Archive
And this vaginoplasty is courtesy of Dr. Tim Larner, who seems like he may have been a Star Wars fan with the way he designed this dude's sarlacc pit.
Link | Archive