One of the biggest deterrents to undergoing male intimate surgery is not the desire for aesthetic or functional improvement, but the fear of pain and the immediate recovery period. It is natural for doubts to arise: How will I feel when I wake up? Will I be able to walk? Is it a traumatic experience?
At Clínica NEF we advocate absolute transparency. Therefore, beyond explaining the surgical technique, we consider it vital to show the patient's reality just a few minutes after leaving the operating room. Without filters and with the sensations at the surface of the skin.
In the following video, Dr. César Noval talks to a patient just 30 minutes after his penis enlargement and thickening procedure. His testimony is a clear example of how, thanks to a refined and minimally invasive technique, the immediate postoperative period can be much more bearable than popular myths dictate.
The immediate reality after surgery: Why is the patient awake?
As can be seen in the testimony, the patient is «great, great and very cheerful» just half an hour after the operation. This is not a coincidence, but the result of the anesthetic and surgical protocol of the NEF Technique.
Unlike older surgeries that required deep general anesthesia and long hospital stays, our technique allows, in the vast majority of cases, the use of monitored sedation combined with local anesthesia. This makes it easier for the patient:
- Wake up quickly without the heaviness or nausea typical of general anesthesia.
- Maintain consciousness during parts of the process if desired (as mentioned by the patient, who admits to being «very nosy» and wanting to see the procedure).
- You are able to leave the clinic on your own after a short period of observation, resuming a relatively normal life almost immediately.
Inflammation vs. Bottom Line: Managing Expectations
In the video, the patient is impressed («Wow!») when he sees the initial volume. However, Dr. Noval quickly intervenes to moderate this euphoria with medical rigor: «What you see now is swollen... and it will swell more tonight».
It is crucial to understand the difference between post-surgical swelling and the actual anatomical outcome:
1. The immediate visual effect
After the surgery, the penis presents an increased volume not only due to the graft of Nanofat (fatty tissue rich in stem cells), but also by edema (fluid) and tissue manipulation. This initial volume will decrease as the swelling goes down.
2. The evolution of thickening
In the NEF Thickening Technique, we use the Coleman protocol to inject stem cells and fatty tissue in deep planes (between Buck's fascia and the albuginea), avoiding superficial bulges. Although some of this initial volume is reabsorbed, the goal is to achieve an average thickening of 1.17 cm in circumference (with usual ranges between 0.5 and 1.8 cm) in a permanent and natural way, far from the artificial or temporary results of hyaluronic acid.
3. The final result
As the doctor mentions in the video, «the result is going to be at six months». The anatomy needs time to settle, especially after the release of the suspensory ligament and the creation of the flap. Scarpa fascia, an innovation of the NEF Technique designed to prevent the penis from retracting and re-attaching, ensuring that the length gain (average 4.8 cm at rest) is maintained.
Recovery Timeline: From Surgery to Final Discharge
In order to manage the anxiety that the healing process can produce, we have prepared a table of what a patient can expect after leaving the operating room:
| Phase | Weather | What to expect |
|---|---|---|
| Immediate Postoperative | 0 - 24 hours | Euphoria, absence of severe pain, onset of visible inflammation. Compressive bandage. |
| Inflammatory Peak | 48 - 72 hours | The area will present its greatest volume due to edema. This is normal and expected. |
| Withdrawal of Points/Normal Life | 10 - 15 days | The stitches of the skin plasty are removed. Most patients live a normal life (without intense physical exertion). |
| Sexual Activity and Sport | 2 - 4 weeks | Depending on individual evolution and under strict medical authorization. |
| Stable Result | 3 months | Most of the swelling is gone; the real gain is beginning to show. |
| Final Result | 6 months | Fully seated tissues. Final evaluation of the size obtained. |
The importance of medical follow-up
The success of a phalloplasty depends not only on what happens inside the operating room, but on how the patient follows instructions afterwards. In the video, the doctor jokes with the patient about being «heavy,» but constant communication is vital.
At Clínica NEF, distinguished with the Carlos V National Award for Professional Excellence, we accompany the patient throughout the entire process. Breaking the taboo and by speaking clearly about recovery times, we avoid frustration and ensure clinical safety, which is always our priority over esthetics.
Postoperative Frequently Asked Questions (FAQ)
Will I feel pain when I wake up from the lengthening surgery?
Generally no. As seen in the testimony, the use of long-acting local anesthetics allows the patient to wake up pain-free and very cheerful. Subsequent discomfort is usually well managed with conventional oral analgesics.
Is it normal for the penis to look very large on the first day?
Yes, and it is important not to take that measure as definitive. The combination of the actual increase (by the use of cellular tissue and ligamentous release) coupled with inflammation causes a temporarily increased volume that will normalize over the weeks.
When will I see the final length and thickness result?
Although the improvement is visible from the first moment (especially the length at rest), the definitive aesthetic result is evaluated at 6 months, when all the swelling has subsided and the tissues, including the Scarpa fascia flap, have completely settled.
If you would like to have a personalized assessment of your case and receive an honest and professional diagnosis, contact Dr. César Noval's team.
WhatsApp: +34 674 650 220
Email: info@clinicanef.com
