![](https://static.wixstatic.com/media/56a0809e4c97404291a848762fdd6e58.jpg/v1/fill/w_288,h_288,al_c,q_80,usm_0.66_1.00_0.01,blur_2,enc_auto/56a0809e4c97404291a848762fdd6e58.jpg)
Implants BEFORE & AFTER Photographs
Malleable Penile Prostheses (MPPs) and Inflatable Penile Prostheses (IPPs) are inserted about 9-12 months after phalloplasty. Testis implants can be inserted at the same time of IPP/MPP or can be placed earlier at time of glanplasty.
![Patient A: Before IPP and Testis implant insertion](https://static.wixstatic.com/media/c92344_b3dd744673c74f0697025493124c7734~mv2.jpg/v1/fill/w_147,h_139,al_c,q_80,usm_0.66_1.00_0.01,blur_2,enc_auto/c92344_b3dd744673c74f0697025493124c7734~mv2.jpg)
![Patient A: After IPP and Testis implant insertion](https://static.wixstatic.com/media/c92344_1501370c84c2407d82a301c68acf33fc~mv2.jpg/v1/fill/w_147,h_111,al_c,q_80,usm_0.66_1.00_0.01,blur_2,enc_auto/c92344_1501370c84c2407d82a301c68acf33fc~mv2.jpg)
![Patient B: Before IPP and Testis implant insertion](https://static.wixstatic.com/media/c92344_45ea4ad4064b42198f439acaf15d8475~mv2.jpg/v1/fill/w_147,h_137,al_c,q_80,usm_0.66_1.00_0.01,blur_2,enc_auto/c92344_45ea4ad4064b42198f439acaf15d8475~mv2.jpg)
![Patient B: After IPP and Testis implant insertion](https://static.wixstatic.com/media/c92344_d60ebf9f748f42fd8abf838f0e063381~mv2.jpg/v1/fill/w_147,h_133,al_c,q_80,usm_0.66_1.00_0.01,blur_2,enc_auto/c92344_d60ebf9f748f42fd8abf838f0e063381~mv2.jpg)
![Patient C: Before IPP and Testis implant insertion](https://static.wixstatic.com/media/c92344_5738a5b1649045b0967b3490a49ff82b~mv2.jpg/v1/fill/w_137,h_137,al_c,q_80,usm_0.66_1.00_0.01,blur_2,enc_auto/c92344_5738a5b1649045b0967b3490a49ff82b~mv2.jpg)
Patient C had RF phalloplasty (1 yr prior) and glansplasty with testis implants (6 months prior)
![Patient C: After IPP and Testis implant insertion](https://static.wixstatic.com/media/c92344_05c2a9302ba94015a8bf2d473fa31fdd~mv2.jpg/v1/fill/w_147,h_139,al_c,q_80,usm_0.66_1.00_0.01,blur_2,enc_auto/c92344_05c2a9302ba94015a8bf2d473fa31fdd~mv2.jpg)
Patient C implant is fully inflated and then deflated after surgery to make sure the implant is functioning properly
![Patient D: Before IPP inflation](https://static.wixstatic.com/media/c92344_ba1702b67f1a4d6e95d10c3b43f2d246~mv2.jpg/v1/fill/w_147,h_165,al_c,q_80,usm_0.66_1.00_0.01,blur_2,enc_auto/c92344_ba1702b67f1a4d6e95d10c3b43f2d246~mv2.jpg)
![Patient D: After IPP and Testis implant insertion](https://static.wixstatic.com/media/c92344_0922e5eb9732494481fc5b303c1c0f12~mv2.jpg/v1/fill/w_147,h_144,al_c,q_80,usm_0.66_1.00_0.01,blur_2,enc_auto/c92344_0922e5eb9732494481fc5b303c1c0f12~mv2.jpg)
Patient D implant is fully inflated and then deflated after surgery to make sure the implant is functioning properly
![Patient E: Before IPP insertion and monsplasty](https://static.wixstatic.com/media/c92344_89d9b067a0234e40b7c69e2e029817ca~mv2.jpg/v1/fill/w_147,h_188,al_c,q_80,usm_0.66_1.00_0.01,blur_2,enc_auto/c92344_89d9b067a0234e40b7c69e2e029817ca~mv2.jpg)
Monsplasty done at time of inflatable implant surgery makes placing the implant easier in many circumstances
![Patient E: After IPP and Monsplasty](https://static.wixstatic.com/media/c92344_8985d04e20a84e21bd3cabc89bac2ac7~mv2.jpg/v1/fill/w_147,h_190,al_c,q_80,usm_0.66_1.00_0.01,blur_2,enc_auto/c92344_8985d04e20a84e21bd3cabc89bac2ac7~mv2.jpg)
The inflatable implant is fully inflated and the mons incision is closed, lifting the genitals to a more anatomic location and allowing a more straight erection.
![Patient F: Before MPP and Testis implant insertion](https://static.wixstatic.com/media/c92344_8bf5475d363e49f3a1eb8f6765aa32d7~mv2.jpg/v1/fill/w_147,h_105,al_c,q_80,usm_0.66_1.00_0.01,blur_2,enc_auto/c92344_8bf5475d363e49f3a1eb8f6765aa32d7~mv2.jpg)
Patient F had phalloplasty elsewhere and wanted us to place a malleable penile prosthesis (MPP) aka semirigid and testis implants.
![Patient F: After MPP and Testis implant insertion](https://static.wixstatic.com/media/c92344_8b824fa2579e4a0e859e7f2f60733526~mv2.jpg/v1/fill/w_147,h_128,al_c,q_80,usm_0.66_1.00_0.01,blur_2,enc_auto/c92344_8b824fa2579e4a0e859e7f2f60733526~mv2.jpg)
Penis girth has been enhanced by the MPP and there is less wrinkling of the penile skin.
![Patient G: Before IPP and Testis implant insertion](https://static.wixstatic.com/media/c92344_ebad5c9ce4744c2681beb5bf103e8d2f~mv2.jpg/v1/fill/w_147,h_132,al_c,q_80,usm_0.66_1.00_0.01,blur_2,enc_auto/c92344_ebad5c9ce4744c2681beb5bf103e8d2f~mv2.jpg)
![Patient G: After IPP and testis implant insertion](https://static.wixstatic.com/media/c92344_93bdc2731a414833b3cf8fc756aedbc8~mv2.jpg/v1/fill/w_147,h_165,al_c,q_80,usm_0.66_1.00_0.01,blur_2,enc_auto/c92344_93bdc2731a414833b3cf8fc756aedbc8~mv2.jpg)
Side view demonstrating >90 degree erection. Erection angles vary depending on anatomy of each individual.
![Patient G: After IPP and testis implant insertion](https://static.wixstatic.com/media/c92344_a39a881418ef413eabc7013db624d0a8~mv2.jpg/v1/fill/w_147,h_157,al_c,q_80,usm_0.66_1.00_0.01,blur_2,enc_auto/c92344_a39a881418ef413eabc7013db624d0a8~mv2.jpg)
Underside view demonstrating pouchlike scrotum
![Patient H: Before IPP and Testis implant insertion and Monsplasty](https://static.wixstatic.com/media/c92344_eee84a65bfe8494aaf6ee7626a03d149~mv2.jpg/v1/fill/w_147,h_196,al_c,q_80,usm_0.66_1.00_0.01,blur_2,enc_auto/c92344_eee84a65bfe8494aaf6ee7626a03d149~mv2.jpg)
Shiny fluid is antiseptic prep fluid used to minimize risk of infection. Mons marking delineates tissue to be excised.
![Patient H: After IPP and testis implant insertion with monsplasty](https://static.wixstatic.com/media/c92344_2690237786c342fd94e048a565fb961a~mv2.jpg/v1/fill/w_147,h_196,al_c,q_80,usm_0.66_1.00_0.01,blur_2,enc_auto/c92344_2690237786c342fd94e048a565fb961a~mv2.jpg)
![Patient H: After IPP and testis implant insertion with monsplasty](https://static.wixstatic.com/media/c92344_971cfc43abf44cacab91f63bf9e3b759~mv2.jpg/v1/fill/w_147,h_196,al_c,q_80,usm_0.66_1.00_0.01,blur_2,enc_auto/c92344_971cfc43abf44cacab91f63bf9e3b759~mv2.jpg)
Better view of scrotum with anterior incision for palcement of medium sized testis implant.