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At the end of the implantation, the surgical wound was closed and sutured using resorbable thread, a manoeuvre of manual “kneading” of the penis was then performed19 to aid in the uniform distribution of the implanted fat and finally a cohesive elastic bandage of adequate thickness was applied. The suspensory ligament of the penis is a deep structure that joins the cavernous bodies of the penis to the pubic symphysis; its section entails the forward translation of the internal portion of the penis with the consequent increase in the length of the visible penile volume. In line with data shown in the literature2,5,7, penis dimensions at rest were the most critical (78%) for patients but the circumference of the penis was more determinant than length (69%). 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