There's talk of undergoing Auxetic cuts or Tunica Expansion Procedure and upsizing implants on revision.
What I don't understand here is that the surgical capsule is formed on the first implantation (as there was obviously no foreign body there before). Upon creation, I understand once fully formed it can no longer be modified.
So then how can it be possible that any further expansion can happen whether by surgical cuts or by a larger implant? Surely, after first implant, whatever you achieve in those first few months is what the surgical capsule will be limited to and what your maximum size is forever?
TEP, Auxetic, upsizing
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splitpeach
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- Joined: Fri Nov 22, 2024 7:43 pm
TEP, Auxetic, upsizing
Mid 30s. UK. ED since mid teens. Tried pills, injections, P Shot, Gainswave, ESWT shockwave, Vertica, VED, traction, MUSE, Vitaros.
Implanted by Professor Ralph at UCLH on 1st April 2026 with Rigicon Infla10 AX 22cm + 1 RTE. Penuscrotal approach.
Implanted by Professor Ralph at UCLH on 1st April 2026 with Rigicon Infla10 AX 22cm + 1 RTE. Penuscrotal approach.
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Desperado
- Posts: 60
- Joined: Sat Sep 20, 2025 1:15 pm
Re: TEP, Auxetic, upsizing
IIRC, it’s micro incisions that expand like an accordion. Don’t matter if it’s the first implant or revision. The tissue is cut, stretched, heals.
So yes, an corpus cavernousum forms
with its implant, but upon a revision, whole new opportunity.
Been a while, but I do recall watching that procedure when I was down that rabbit hole…or was it a research paper? Think it was a paper.
So yes, an corpus cavernousum forms
with its implant, but upon a revision, whole new opportunity.
Been a while, but I do recall watching that procedure when I was down that rabbit hole…or was it a research paper? Think it was a paper.
56. Prostrate cancer (gone), 2022 Brachytherapy, ED hourglass PD, pills/shots failed. Prepping for IPP 2027, Restorex, VED, Shockwave, Supplements.
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whatevery
- Posts: 125
- Joined: Fri Oct 31, 2025 3:10 pm
Re: TEP, Auxetic, upsizing
I used to think that Auxetic cuts and Tunica Expansion Procedure are one and the same. Nop. Don't know the exact difference but not the same thing according to Hakky. I think Valenzuela is the only doctor in the US that does the later.
Funny, I read a lot of great things about Valenzuela but only second hand. It seems that not a single person on this forum was implanted by him, neither here nor on FB. Makes you wonder, doesn't it?
Funny, I read a lot of great things about Valenzuela but only second hand. It seems that not a single person on this forum was implanted by him, neither here nor on FB. Makes you wonder, doesn't it?
65 yrs old.
ED since about 2000.
Just moved to Trimix from Edex.
Implant doctor shopping now.
ED since about 2000.
Just moved to Trimix from Edex.
Implant doctor shopping now.
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edjohn
- Posts: 412
- Joined: Mon Aug 14, 2023 11:10 am
Re: TEP, Auxetic, upsizing
splitpeach wrote:There's talk of undergoing Auxetic cuts or Tunica Expansion Procedure and upsizing implants on revision.
What I don't understand here is that the surgical capsule is formed on the first implantation (as there was obviously no foreign body there before). Upon creation, I understand once fully formed it can no longer be modified.
So then how can it be possible that any further expansion can happen whether by surgical cuts or by a larger implant? Surely, after first implant, whatever you achieve in those first few months is what the surgical capsule will be limited to and what your maximum size is forever?
Who told you a surgical capsule can’t be modified?? do you think it’s made of titanium?
A capsule starts forming in days, but it is just connect tissue. Just like yoga for the ligaments cycling stretches out of your capsule. That’s the whole point.
Oct 7, 2025 - Coloplast Titan Touch XL - 26cm + 0.5cm RTE from Jonathan Clavell
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splitpeach
- Posts: 410
- Joined: Fri Nov 22, 2024 7:43 pm
Re: TEP, Auxetic, upsizing
edjohn wrote:splitpeach wrote:There's talk of undergoing Auxetic cuts or Tunica Expansion Procedure and upsizing implants on revision.
What I don't understand here is that the surgical capsule is formed on the first implantation (as there was obviously no foreign body there before). Upon creation, I understand once fully formed it can no longer be modified.
So then how can it be possible that any further expansion can happen whether by surgical cuts or by a larger implant? Surely, after first implant, whatever you achieve in those first few months is what the surgical capsule will be limited to and what your maximum size is forever?
Who told you a surgical capsule can’t be modified?? do you think it’s made of titanium?
A capsule starts forming in days, but it is just connect tissue. Just like yoga for the ligaments cycling stretches out of your capsule. That’s the whole point.
This contradicts everything I've read and seen about implants. It seems unanimous that the advice is that cycling in the initial months is crucial and that any further gains is limited after the first six months because of the formation of the surgical capsule.
Why would there be such focus on early cycling if the surgical capsule is permanently modifiable. The previous explanations make more sense if anything
Mid 30s. UK. ED since mid teens. Tried pills, injections, P Shot, Gainswave, ESWT shockwave, Vertica, VED, traction, MUSE, Vitaros.
Implanted by Professor Ralph at UCLH on 1st April 2026 with Rigicon Infla10 AX 22cm + 1 RTE. Penuscrotal approach.
Implanted by Professor Ralph at UCLH on 1st April 2026 with Rigicon Infla10 AX 22cm + 1 RTE. Penuscrotal approach.
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edjohn
- Posts: 412
- Joined: Mon Aug 14, 2023 11:10 am
Re: TEP, Auxetic, upsizing
splitpeach wrote:Why would there be such focus on early cycling if the surgical capsule is permanently modifiable. The previous explanations make more sense if anything
Unanimous? Nothing is unanimous. There are certainly a lot of parrots here, but regardless, the scientific Titan study recorded size increases on average up to 2 years (and that's when the study ended).
Early cycling makes it easier to reach your potential, but that's all.
Oct 7, 2025 - Coloplast Titan Touch XL - 26cm + 0.5cm RTE from Jonathan Clavell
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splitpeach
- Posts: 410
- Joined: Fri Nov 22, 2024 7:43 pm
Re: TEP, Auxetic, upsizing
edjohn wrote:splitpeach wrote:Why would there be such focus on early cycling if the surgical capsule is permanently modifiable. The previous explanations make more sense if anything
Unanimous? Nothing is unanimous. There are certainly a lot of parrots here, but regardless, the scientific Titan study recorded size increases on average up to 2 years (and that's when the study ended).
Early cycling makes it easier to reach your potential, but that's all.
"Early cycling makes it easier to reach your potential, but that's all"
Yes and why is that? Because the surgical cylinder hasn't fully formed at that point. So once more established and it at best limits further expansion down the line what difference do you think cuts to the Tunica will do against that? The capsule would surely be the limiting factor not the Tunica.
I hope that's wrong as I'm already implanted and want Auxetic cuts on revision but I don't see the logic
Mid 30s. UK. ED since mid teens. Tried pills, injections, P Shot, Gainswave, ESWT shockwave, Vertica, VED, traction, MUSE, Vitaros.
Implanted by Professor Ralph at UCLH on 1st April 2026 with Rigicon Infla10 AX 22cm + 1 RTE. Penuscrotal approach.
Implanted by Professor Ralph at UCLH on 1st April 2026 with Rigicon Infla10 AX 22cm + 1 RTE. Penuscrotal approach.
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edjohn
- Posts: 412
- Joined: Mon Aug 14, 2023 11:10 am
Re: TEP, Auxetic, upsizing
splitpeach wrote:Yes and why is that? Because the surgical cylinder hasn't fully formed at that point. So once more established and it at best limits further expansion down the line what difference do you think cuts to the Tunica will do against that? The capsule would surely be the limiting factor not the Tunica.
Not trying to get personal, but just for context- have you ever felt breast implants? Every breast implant has the same exact healing response as our IPPs do, and besides the .000 whatever percent who experience capsular contracture, the result is a very pliable encapsulation of the foreign body merely to protect the body from it. There is no chance that the capsule itself is limiting your size.
Just like breast implants can be tight and need to be massaged to soften up, the IPP capsule can stiffen in rare cases, but it is negligible. If you didn't cycle for a year, cycling would probably be a little more work than for the rest of us... but you could still get there. The implant can handle 7000 psi... more than enough to stretch a tunica, let alone a surgical capsule.
Lots of guys enlarge their dicks with VED pumping alone, and you cannot go above roughly 5 psi without seriously damaging your skin... so just think about that for context.
Oct 7, 2025 - Coloplast Titan Touch XL - 26cm + 0.5cm RTE from Jonathan Clavell
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