Neophallus micropigmentation

What is neophallus micropigmentation?

It is important to mention that in a radial forearm flap phalloplasty, the neophallus is constructed using the skin and fat of the patient’s forearm, so the new phallus will have a distinct colouring and will lack the anatomical venous structures that an XY male has on their genitalia. On this point, the patient’s and their sexual partners’ aesthetic appreciation of the new phallus is of vital importance for the male transsexual patient’s psyche and social life.

In recent years, the field of aesthetic medicine has included micropigmentation with the aim of correcting defects in skin colouring or recreating anatomical structures. This is how certain medical entities have managed to improve hypo/hyperpigmentation such as in cases of vitiligo or secondary scarring defects from trauma or surgery.

The operation

Micro-pigmentation is undertaken in the outpatient clinic without the need for analgesia. It seeks to harmonise the colouring of the genital area while recreating anatomical structures typical of an XY male (for example, the penis’s dorsal vein)

Possible complications

Complications after micropigmentation are highly infrequent and described below:

  • hypersensitivity to the pigment,
  • local infection from pricking the skin,
  • transmission of infectious diseases due to a lack of sterilisation.

So micropigmentation has been shown to be a non-surgical therapeutic option that, through the use of specific pigments to create a tattoo, may be useful in minimising the neophallus’s aesthetic defects.