Escutcheonectomy (Pubic Lift) Cost: A Complete Guide to Pricing and Procedure Options With Dr. Mark Solomon’s 30+ Years of Expertise

Escutcheonectomy is often discussed as a treatment option for a buried penis, particularly by urology-focused practices. However, when considering this procedure, it’s important to look beyond the listed surgical fee and consider the broader clinical implications.

In most adult cases, Dr. Solomon does not recommend escutcheonectomy as a definitive repair.

Escutcheonectomy typically involves the extensive removal of pubic skin, often near-total removal of the pubic skin tissue. While this reduces surface tissue, it does not address the underlying contributors to a buried penis, such as excess pubic fat, lax or redundant skin, and loss of structural support.

Some surgeons will remove all the skin of the penile shaft as the main procedure or in addition to the removal of pubic skin.  This removal of penile skin will remove all sensation from the penile shaft and remove the lymphatics and blood vessels that are part of the normal penile skin.

Because lymphatics are essential for fluid balance and waste removal, their loss may lead to chronic swelling, discomfort, or long-term dissatisfaction after surgery.

If you’ve explored surgery for a hidden penis condition, including escutcheonectomy, but hesitated because of cost or uncertainty, you’re not alone. Choosing surgery is deeply personal, and it’s natural to want reassurance that the investment will lead to lasting improvement.

This is why so many men seek care from Dr. Mark P. Solomon for buried penis surgery. His credentials include:

• 30+ years of specialized experience in male enhancement and reconstructive surgery
• Double board-certification from the American Board of Plastic Surgery and the American Board of Surgery
• Pioneering expertise in advanced buried penis techniques, including pubic lift surgery, abdominoplasty, suction lipectomy, correction of loose shaft skin, and scrotal web correction
• With more than 35 peer-reviewed publications shaping the field of male reconstructive surgery

Dr. Solomon understands not only the medical complexities of buried penis repair but also the practical concerns patients face, including costs, recovery, and long-term outcomes.

If pricing or paperwork feels overwhelming, we aim to make the process clear and straightforward. Every patient receives a personalized cost breakdown after consultation. 

While combining procedures may increase upfront costs, it often reduces the need for additional surgeries and recovery periods, saving time, expense, and frustration in the long run. Most importantly, this comprehensive approach helps reduce the risk of recurrence.

If you’re looking for honest guidance on whether surgery is truly worth it, a consultation is the best place to start. With internationally recognized expertise, Dr. Solomon provides personalized care and durable results you can feel confident in.

Call our office at 310-299-3553 to schedule your private consultation.

How Much Does an Escutcheonectomy Cost With Dr. Mark Solomon’s Expert Care?

Talking about cost can feel overwhelming, especially when surgery involves such a personal and private part of your life. Like others, you may delay treatment because you’re worried about potential treatment costs.

Simply put, there’s no single, fixed price for concealed penis repair procedures, including escutcheonectomy.

Every case is unique, which is why treatment plans and pricing are discussed only after a private consultation with Dr. Solomon.

That said, there are several cost components to consider when planning for buried penis surgery:

• Surgeon’s fee: Reflects Dr. Solomon’s training, expertise, and surgical planning, as well as office expenses, staff support, and insurance.
• Facility fees: Cover nursing support, as well as the equipment and medications used throughout your surgery
• Anesthesia costs: Include the services of a highly skilled physician-anesthesiologist who administers anesthesia and closely monitors your safety during the entire procedure
• Post-operative care costs: Cover follow-up appointments, wound care, dressing changes, and additional treatment if any complications arise

If you’ve consulted more than one surgeon about escutcheonectomy, you may have noticed that costs can vary widely. The nature and complexity of the case often drive these differences. 

Dr. Solomon uses several methods to correct a buried penis.  Each of these addresses a different cause of the problem. Some men require only one maneuver, while others require several. The complexity of these maneuvers and the time required in the operating room will affect the cost.  Each patient is given a fee quotation based on their needs.

For instance, in some cases, buried penis repair may involve a penile implant removal procedure in addition to an escutcheonectomy.

Dr. Solomon works with a urologist for those patients who have or need a penile implant. Those devices increase the complexity of any necessary surgery. 

Surgeons may combine these procedures when adult-acquired buried penis (AABP) exists alongside prosthesis complications.

Explantation (removal) addresses device-related issues, such as implant erosion and device fracture, while the escutcheonectomy focuses on unburying the shaft by removing excess tissue in the pubic region.

What Factors Influence Escutcheonectomy Pricing?

The final price of an escutcheonectomy depends on several important factors, each of which plays a role in your safety, outcome, and overall experience. Exact fees are provided after consultation.

• Geographical Location

Surgical costs can vary depending on where your surgeon performs the procedure. Dr. Solomon practices in Beverly Hills, California, where prices are generally higher than in smaller cities. 

This reflects the region’s higher operating expenses, regulatory standards, and strong demand for top-tier medical care. As a result, the cost of surgical treatments, like buried penis surgery, varies by location.

• Surgeon’s Expertise and Experience

A significant portion of the total cost is the surgeon’s fee. 

This cost factor covers not only operating room time but also years of training, advanced education, and the expense of maintaining a safe, fully equipped practice.

Dr. Solomon earned his medical degree from the New York University School of Medicine (one of the top medical schools worldwide). Then, he completed his residency at the Hospital of the University of Pennsylvania, an Ivy League institution, and advanced fellowship training at Hôpital Necker–Enfants Malades in Paris.

Overall, Dr. Solomon has spent more than 30 years specializing in male reconstructive and aesthetic surgery. 

His level of specialization may come with higher fees than a generalist’s, but it also offers greater safety, advanced techniques, and long-lasting results.

• Type of Facility

Accredited ambulatory surgery centers often have higher facility fees than basic surgical suites, but for good reason. They follow stricter safety standards, use advanced equipment, and provide specialized care. 

Dr. Solomon operates at K and B Surgical Center, an AAAHC-accredited facility. 

This accreditation from the Accreditation Association for Ambulatory Health Care (AAAHC) is a mark of commitment to patient safety and quality care.

• Surgical Complexity and Techniques Involved

Men with a buried penis may need surgical techniques other than escutcheonectomy.

Some men may also need suction lipectomy (surgical fat removal), while others require more extensive procedures, such as correction of webbed scrotal skin (“turkey neck”) or a tummy tuck (abdominoplasty). 

A key component often overlooked by other surgeons is the proper treatment of the penile shaft skin. This approach helps expose the penis and prevents the shaft skin from telescoping on the head of the penis.

In cases with significant scar tissue or severe obesity, surgery can take longer and use more resources, which can increase the overall cost.

It’s also common to combine buried penis surgery with other treatments, like gynecomastia correction (male breast reduction) or penile lengthening (ligament release). 

While combining procedures may increase the upfront investment, it can streamline recovery by consolidating treatment into a single operation.

Does Insurance Cover Escutcheonectomy and Monsplasty Costs?

Insurance companies draw a hard line between cosmetic and reconstructive (medically necessary) surgery. Penile enlargement or lengthening procedures are almost always considered cosmetic and typically denied.

However, when surgery is required to restore basic function, such as addressing urination problems, recurrent infections, chronic skin breakdown, or persistent pain, a buried penis repair (which may involve an escutcheonectomy or monsplasty) may be reviewed as medically necessary and potentially qualify for coverage.

 Approval usually depends on whether the condition causes meaningful, day-to-day functional problems. Coverage for an escutcheonectomy or monsplasty may be possible if you experience:

• Difficulty urinating (dribbling, spraying, or being unable to go while standing)
• Painful erections or difficulty with sexual activity
• Recurrent urinary tract infections or skin infections
• Ongoing hygiene challenges that lead to irritation or skin breakdown

That said, insurance companies require documentation. Approval is not based on symptoms alone. To strengthen your case, you will typically need:

• Medical records and a formal recommendation from Dr. Solomon or your primary physician
• Photos from your consultation that clearly document the condition
• Proof that conservative measures, like weight loss or improved hygiene, did not resolve the issue

The good news is that you don’t have to navigate the claims process alone while seeking care. Insurance evaluation is included in your consultation fee. 

We’ll help verify your benefits, manage the paperwork, and walk you through your options step by step.

What Is an Escutcheonectomy and When Is It Needed?

Escutcheonectomy is often discussed online as a treatment for a buried penis. However, in most adult cases, Dr. Solomon does not recommend escutcheonectomy as a definitive repair.

An escutcheonectomy procedure removes virtually all of the skin of the pubic area. This is different from a pubic lift that removes only excess skin of the pubic area and contours it to a more normal appearance.

In many cases, urologists perform an escutcheonectomy using a wide incision placed directly across the center of the pubic area. The problem with this approach is that it can leave a noticeable scar and may also create tension that causes pulling or makes the penis appear shorter.

Dr. Solomon treats buried penis repair as both a plastic and reconstructive body-contouring procedure. Drawing on more than 30 years of contour-surgery experience, he removes excess fat and skin, preserves healthy tissue, and redrapes the area to create a natural contour. 

He places incisions low in the crease between the lower abdomen and pubic area (not across the center). This technique helps create a cleaner contour, a discreet scar, and a lower risk of distortion.

Depending on the individual case, buried penis repair may be combined with other procedures. For example, if penile implant complications are present, surgery may include both buried penis reconstruction and implant removal or replacement.

Complications from a silicone penile implant can lead to scarring and distortion of the penile shaft. These issues may contribute to a buried appearance or interfere with function.

In complex cases where implant complications and buried penis repair overlap, Dr. Solomon develops a single, coordinated surgical plan that addresses both reconstruction and implant removal or replacement.

He is one of the few specialists worldwide who can correct complications from subcutaneous silicone penile implants. 

Board-certified and fellowship-trained, with more than 30 years of operating room experience, he focuses on complex male reconstructive and aesthetic surgery.

When complex urinary or sexual concerns arise, he collaborates directly with leading urologists to ensure that both appearance and function are addressed with care and precision.

What Is a Buried Penis and How Does Escutcheonectomy Help?

A buried penis is a normally developed penis that becomes hidden under surrounding skin or fat, making it appear smaller or even invisible. Extra skin, fat, or scar tissue can fold over and cover part, or sometimes all, of the shaft. 

In some men, the skin telescopes down and hides the glans (the head of the penis). In others, fat from the lower abdomen or pubic area pushes down and buries it.

Here are the common causes (etiology) of a buried penis condition and why buried penis procedures like escutcheonectomy matter:

Potential Cause	How It Contributes to a Buried Penis	Why Buried Penis Surgery Matters
Obesity or morbid obesity	Excess fat and skin in the pubic area can conceal the penis.	Once buried, the penis can only be fully uncovered through surgery, which restores both form and function.
Circumcision	Removing too much or too little foreskin can cause the skin to slide and cover the glans (telescoping).	Doing another circumcision often aggravates the issue. Corrective surgery secures the shaft skin in place, preventing the penis from becoming buried again.
Infection	Repeated infections in the hidden, moist genital area can cause persistent irritation, tissue damage, scarring, and skin tightening.	When persistent infections like filariasis (a parasitic disease) cause scarring, surgery may be necessary to clear the infection and rebuild the penile structure.
Genital lymphedema (lymphedema in the penis and scrotum area)	The accumulation of lymphatic fluid in the scrotum can cause the penis to become buried.	If scarring from rare conditions such as lymphedema occurs, the damaged skin must be removed and the penile shaft rebuilt.
Lichen sclerosus	Inflammation can scar the penile skin, causing it to tighten and trap the penis.	Lichen sclerosus can develop together with a buried penis, and in these cases, genital reconstruction may be necessary to restore urinary and sexual function and improve quality of life.

Buried penis treatment often involves more than one surgical repair procedure. An escutcheonectomy is one technique used to uncover the shaft.

This procedure removes overhanging tissue from the suprapubic area, exposing the shaft and restoring its natural projection. The incision is placed low, similar to a C-section scar, to maintain a clean, discreet appearance.

It’s important to understand that this surgery doesn’t create new length. Instead, it reveals the length that is already present but hidden. 

To ensure long-term stability, Dr. Solomon places fixation sutures. These special stitches anchor the skin and prevent it from sliding forward again, helping to reduce the risk of recurrence. 

Men seeking extra projection can combine this with a suspensory ligament release, potentially adding one to two inches of visible length.

Meanwhile, some penile cosmetic devices, such as silicone penile implants, can lead to infection, erosion, and scarring. These complications can alter the tissue and lead to tethering around the shaft.

When scarring is combined with a large suprapubic fat pad, the penis may become hidden again. If infection develops, implant removal (explantation) is the standard treatment. 

Dr. Solomon is one of the few specialists in the United States experienced in treating complications from subcutaneous penile implant procedures. In complex cases, he develops a coordinated surgical plan to address both reconstruction and implant removal or replacement.

A buried penis isn’t just a cosmetic concern. It is a complex condition that can affect urination, hygiene, sexual function, and quality of life. 

Dr. Solomon, a board-certified plastic surgeon with more than 30 years of experience in male enhancement and reconstructive procedures, is recognized for treating these complex cases. His individualized approach focuses on restoring both form and function. 

For men dealing with a buried penis, treatment is not just about appearance. It’s about rebuilding structure, improving daily function, and restoring confidence in a lasting way.

What Symptoms Can a Buried Penis Cause?

Living with a buried penis can affect more than appearance. For many men, it creates ongoing physical, functional, and emotional challenges that impact daily life. 

Here are some of the symptoms men commonly experience:

• Urination Difficulties: 

When the penis is hidden under extra skin or fat, even urinating can be challenging. The stream may be difficult to control, leading to dribbling or spraying that can leave underwear damp. 

In some cases, the flow is blocked or misdirected, so the bladder never feels empty. Trapped urine can create a warm, moist environment that promotes bacterial growth, increasing the risk of infection.

• Hygiene challenges and chronic skin inflammation or infection: 

When the penis is concealed, urine and sweat can collect in the surrounding folds of skin. This constant moisture promotes bacterial growth and may lead to urinary tract infections. 

Extra skin or fat also makes cleaning more challenging. Over time, this may result in irritation, odor, discoloration, and even skin breakdown (maceration, or softening of the skin).

Persistent moisture and inflammation can cause tissue damage and scarring. Although rare, chronic inflammation may slightly increase the risk of penile cancer.

• Sexual Dysfunction: 

A buried or nearly invisible penis can interfere mechanically with erections. Tight or excess skin may cause tension that makes erections uncomfortable or even painful. 

In more severe cases, the tissue coverage can make intercourse extremely difficult or even impossible.

• Psychological Issues

The physical symptoms often carry an emotional burden as well. Many men experience:

• Deep self-esteem challenges that can contribute to anxiety or depression
• Strain in intimate relationships due to sexual difficulties or embarrassment
• Social withdrawal or delayed medical care, which can increase the emotional toll

A buried penis can cause major functional, medical, and emotional problems, and without proper treatment, symptoms often worsen over time.

• Cycle of damage: Trapped moisture and skin irritation often lead to infections, scarring, and tissue tightening.
• Progressive symptoms: What starts as mild concealment or irritation can lead to significant anatomical changes, loss of functional length, recurrent infections, and chronic pain.
• Emotional strain: The longer the condition persists, the greater the psychological burden. 

Frustration and poor self-image can grow into depression or anxiety, especially when intimacy and everyday activities become difficult.

In mild cases, weight loss or improved hygiene may offer some relief. 

However, once the condition advances, moderate-to-severe cases rarely improve without surgery. Nonsurgical methods cannot remove excess skin, reduce structural fat overhang, or correct scarring that physically buries the penis. 

The good news is that appropriate surgical treatment can address these problems, restoring function, improving hygiene, and helping men regain both comfort and confidence.

Why Might You Need Escutcheonectomy After Penile Implant Issues?

Penile implant complications may lead to additional tissue issues, such as redundant fat or skin in the pubic region. Over time, this tissue may obscure the shaft and reduce visible length, making the penis appear buried. 

There are two primary types of implants to consider. The first is an implant used to treat erectile dysfunction. In men with a buried penis, these devices may not improve visible length due to how they are positioned within already concealed anatomy. 

In these cases, correction often requires replacing the implant at the time of buried penis reconstruction. Dr. Solomon collaborates closely with a urologist who manages the implant component, while he focuses on restoring proper external anatomy.

The second type is a subcutaneous implant placed for cosmetic enlargement. These implants can lead to significant scar tissue formation, which may pull the penis inward and worsen concealment. Addressing these complications typically requires surgery on both the penile shaft and the surrounding pubic region to release scar tissue and correct structural distortion.

Rather than relying on a “one-size-fits-all” solution, such as removing all shaft skin and grafting it back, Dr. Solomon addresses the true drivers of a buried appearance: typically, excess pubic skin and fat combined with implant-related tissue damage.

With decades of experience in removing cosmetic penile implants and injection-related complications, Dr. Solomon has developed techniques that go well beyond standard penile surgery.

For men with buried penis and penile implant problems, Dr. Solomon’s refined methods deliver precision and long-term results that few surgeons are equipped to provide.

What Types of Escutcheonectomy Procedures Are Available?

Approach	Reason To Use Treatment	Key Steps
Simple escutcheonectomy	Overhanging fat pad above the pubic area	Removal of excess fat and skin
Combination Procedures	A large pannus (overhanging abdominal fat or skin), scrotal disease, urethral strictures (narrowing of the urethra), or  penile prosthesis complications	Additional procedures may include a panniculectomy (removal of excess lower abdominal skin and fat), scrotoplasty (reshaping the scrotum), or urethral reconstruction.Penile implant revision surgery may be necessary to remove, replace, or repair a penile implant.

If you’re still undecided about care options, it’s normal to try nonsurgical options first. In some cases, they may offer modest improvement. However, they rarely correct the underlying cause of a buried penis. 

Here’s how conservative measures compare to surgery:

• Weight loss: Losing weight can reduce fat in the pubic area and ease concealment, but once the penis is buried, weight loss alone rarely solves the problem. 

In fact, significant weight loss often leaves behind loose skin that sags over the penis and hides it further. In those cases, surgery is needed to remove or reposition the extra skin.

• Topical steroid creams: Steroid creams may be used when inflammation is a factor, such as with balanitis (inflammation of the penile head) or lichen sclerosus (a skin condition that causes white patches and scarring). 

These treatments can reduce irritation and help limit scarring, but they don’t fix the main issues, such as excess fat, extra skin, or weak tissue support. At best, they serve as supportive care, not a cure.

• Skin incisions (circumcision revision or dorsal slit): Some men think their problem is just a “bad circumcision” and are advised to get a revision circumcision or a dorsal slit (a cut along the top of the foreskin). 

Dr. Solomon cautions against this approach. Removing more skin near the glans (head of the) penis often backfires, as the remaining shaft skin can slide down and bury the penis even further.

Do conservative measures help? Yes. Weight loss boosts overall health.

But can they really fix a buried penis? No. The core problem is excess skin, fat, or weak tissue support, and that can only be corrected with surgery.

You may be wondering how Dr. Solomon determines the best approach. The answer is simple: the plan is built around your specific anatomy and goals.

During your consultation, Dr. Solomon carefully evaluates every factor that hides the penis, including suprapubic fat, loose or telescoping shaft skin, scrotal webbing, an overhanging lower belly (abdominal pannus), scars, and any issues with urination, erections, or hygiene.From there, he matches each anatomical issue with a targeted surgical solution. For instance, if excess pubic skin or fat is the primary cause, he may recommend a low, discreet pubic lift (escutcheonectomy), placing the scar in a C-section-like crease.

How Is Escutcheonectomy Combined With Other Surgeries?

Buried penis surgery can usually be combined with other procedures. When appropriate, Dr. Solomon addresses multiple concerns in a single operation, so patients undergo only one surgery and one recovery. 

This approach not only saves time and money but also delivers more complete results: better penile exposure, improved length, and a smoother scrotal contour, all achieved in one surgical plan. 

While a combined procedure may involve a higher upfront cost, it typically reduces overall downtime and minimizes the need for multiple surgical appointments or separate procedures.

Depending on your anatomy and goals, escutcheonectomy may be combined with the following techniques:

• Suction lipectomy (surgical fat removal): If excess fat contributes to concealment, targeted fat removal can improve exposure and contour.
• Abdominoplasty or panniculectomy: If an overhanging abdomen (abdominal pannus) worsens concealment, tightening or removing excess lower abdominal tissue may be recommended.
• Fixation sutures: In cases of telescoping shaft skin, specialized sutures anchor the skin in place to prevent painful reburying.
• Scrotal web release: For men with scrotal “turkey neck,” Dr. Solomon performs a modern web release technique designed to avoid heavy or highly visible scarring.
• Suspensory ligament release: For men seeking additional projection (not new anatomical length), this optional procedure can add approximately one to two inches of external projection when appropriate.

Dr. Solomon does not use traditional skin grafts. When additional tissue coverage is necessary, he prefers techniques that use tissue that functions similarly to natural penile skin, such as a scrotal flap.

What Is Split-Thickness Skin Grafting in Escutcheonectomy?

A split-thickness skin graft (STSG) involves the removal of the outer skin layer (epidermis) and part of the layer beneath it (dermis) from a donor site, often the lateral thigh. 

In an escutcheonectomy, split-thickness skin grafting uses a thin layer of the patient’s own skin to resurface the penile shaft. This procedure is done after removing the overhanging fat pad and excising diseased skin.

A study published in the Journal of Urology showed that 90% of grafts healed successfully in 52 out of 54 patients treated for conditions like buried penis, lymphedema, and infection, with acceptable outcomes for both urination and sexual function. 

While reported success rates with skin grafting procedures were high, the study also noted several complications. 

Of 54 patients, 16 complications occurred: 13 within the first year and 3 later. 

In one case, a patient developed invasive squamous cell carcinoma, a type of skin cancer, which required chemotherapy and ultimately a penectomy (surgical removal of the penis). 

Other complications can sometimes arise. For example, patients with morbid obesity may experience poor graft take healing. Other reported issues include wound infections, bleeding that required surgical correction, and tissue tethering that needed repeat grafting.

Removing all of the penile skin and replacing it with a skin graft may seem straightforward, but this approach doesn’t solve the underlying drivers of a buried penis, such as excess pubic skin and fat. 

Skin grafts are typically intended for situations where there is too little skin (such as burns or traumatic wounds). In buried penis cases, however, the problem is usually the opposite: too much skin, not too little.

Completely removing the penile skin and replacing it with a graft can also reduce or eliminate sensation, which is essential for sexual function. 

Instead, Dr. Solomon uses advanced methods that reposition and preserve the native penile skin, maintaining its natural nerves, vessels, and lymphatic channels. Once the skin is repositioned, only the true excess from the pubic area is removed, keeping the penile skin intact.

By avoiding unnecessary grafts, Dr. Solomon prevents complications such as loss of sensation, unnatural skin texture, or disruption of lymphatic flow.

How Do You Prepare for Escutcheonectomy Surgery?

No two men experience a buried penis the same way, which is why Dr. Mark Solomon begins every case with a complete preoperative evaluation. The evaluation typically includes:

• Medical clearance: Reviewing your overall health to make sure you’re fit for anesthesia and proper healing
• Testing: Completing blood work and, when indicated, an ECG or EKG (electrocardiogram) to check heart rhythm
• Medication review: Guiding on pausing blood thinners, aspirin, or supplements that may increase bleeding risk
• BMI and body weight: Evaluating whether your body mass index (a measure of weight relative to height) is stable and appropriate for safe surgery, with weight loss recommended when needed

What Medical Tests Are Required Before Surgery?

Before surgery, you may need to complete a full medical evaluation to confirm you’re ready for anesthesia and proper healing. These requisites typically include:

• Blood work to check your overall health
• Blood pressure review, since hypertension must be well controlled
• Diabetes screening to confirm that blood sugar is stable
• Medication review to stop you from taking blood thinners, aspirin, and ibuprofen to help prevent excessive blood loss
• Electrocardiogram (ECG or EKG) if you’re age 50 or older, to assess heart rhythm

How Should You Prepare Your Body for the Procedure?

Preparing for surgery can feel overwhelming, which is why Dr. Solomon and his team provide clear, step-by-step guidance to help you feel confident and prepared.

• Keep weight stable: Maintaining a healthy, stable weight makes surgery and recovery safer and more predictable.
• Manage medical conditions: Chronic conditions such as diabetes or high blood pressure should be well-controlled before your procedure.
• Adjust medications: You’ll receive instructions on when to stop blood thinners, aspirin, or certain supplements that increase bleeding risk.
• Follow fasting instructions: Dr. Solomon’s team will let you know precisely when to stop eating and drinking before surgery.
• Skip shaving: Avoid shaving any body area to reduce the risk of infection.
• Stay clean: A regular shower the night before or morning of surgery is all that’s needed.

What to Expect on the Day of My Surgery: What Happens During Buried Penis Surgery With Dr. Solomon’s Advanced Techniques?

Deciding on an escutcheonectomy (pubic lift) can feel overwhelming, especially if you’re unsure what to expect. 

But you’re not alone. We’ll guide you through the process and give you clear support at every step:

1. Preoperative Marking and Photos

When you arrive at our accredited outpatient facility, Dr. Solomon will make precise surgical markings and take clinical photos for planning and documentation. 

Once that’s completed, our staff will guide you to the operating room.

2. Administering Anesthesia

The care team will place an IV (intravenous line), the anesthesiologist will meet with you, and the procedure will take place under general anesthesia.

Most patients don’t remember anything from the operating room.

 If you have questions or concerns about anesthesia, you’re encouraged to discuss them directly with the anesthesiologist beforehand.

3. Incision

For buried penis surgery, Dr. Solomon makes an incision placed just above the pubic area, similar in position to a C-section scar.

Some techniques place the scar in the middle of the pubic area, which can shorten or distort the penis. To avoid these problems, Dr. Solomon’s unique approach uses advanced plastic surgery techniques to achieve a natural, balanced result.

4. Surgical Correction

During surgery, Dr. Solomon removes excess pubic skin and fat and may add liposuction or fixation sutures, using precise techniques to restore form and function.

Dr. Solomon focuses on preserving native penile skin. He doesn’t use aggressive skin removal techniques and generally avoids routine grafting. 

When diseased skin must be removed, such as in cases of tumors or skin cancer, he performs reconstruction, excising only the nonviable tissue when clearly indicated. 

And instead of a standard skin graft, Dr. Solomon may use a scrotal skin flap. Scrotal skin behaves more like penile skin, so results look and feel more natural.

5. Additional Procedures

Depending on your individual needs, Dr. Solomon may combine procedures during the same surgical session. 

For example, if you have gynecomastia (enlarged breast tissue), this can often be treated at the same time. 

Scrotal or penile enlargement procedures may also be performed concurrently, if desired, and are ideally done alongside buried penis surgery.

6. Closure of Surgical Wound

In some cases, small surgical drains (thin rubber tubes with a bulb that collect excess fluid) are placed. 

If you need drains, Dr. Solomon will explain precisely how to care for them and remove them within a few days. 

The good news is that he uses dissolvable stitches, so there’s no need to come back for suture removal.

Surgery time may vary depending on the nature of the surgery and the complexity of your case.

That said, surgery is usually performed on an outpatient basis, meaning most men go home the same day.

With more than 30 years of experience and double board certification, Dr. Solomon is uniquely qualified to manage complex cases of buried penis syndrome.

His expertise covers complications from trauma and past surgeries, including scarring, penile curvature, fat graft problems, and implant removals. 

Your journey to renewed confidence begins well before you step into the operating room. Dr. Solomon and our team carefully plan each step to prioritize safety, minimize risk, and support a smooth recovery.

What Type of Anesthesia Is Used?

Dr. Solomon typically performs an adult buried penis repair while the patient is under general anesthesia. 

As part of preparation, patients must follow strict anesthesia safety guidelines. When you arrive at the facility, you’ll meet our anesthesiologist, who will go over your anesthesia plan and answer any questions you may have.

What Should You Expect During Recovery With Dr. Solomon’s Zero-Cost Follow-Up Care?

Knowing what to expect can help you feel more prepared and confident as you heal. Dr. Solomon and his team provide structured guidance and close follow-up to support a safe and steady recovery.

Recovery Timeline and Expectations

• Days one to two: Most patients are able to shower during this period.
• Early recovery: Pain is expected but controlled with prescribed medication. 

Dr. Solomon prescribes antibiotics and pain relievers for after surgery. In addition, he prescribes diazepam to help minimize the risk of nighttime erections after surgery that can be painful.

He also typically conducts daily visits for the first three to five days, allowing patients to remain nearby and receive surgeon-led care without needing to travel back and forth to the office.

• First days and weeks: Bruising and swelling gradually improve.

In some cases, Dr. Solomon places drains to prevent fluid buildup, shows you how to care for them, and removes them within a few days. 

• Around four weeks: Most men can safely resume both exercise and sexual intercourse.
• Months after: Scars mature and fade. Dr. Solomon provides aftercare instructions for scar management. 

Complete healing takes a few months, with final results typically visible once the swelling has completely subsided. Follow-up care is included for at least 12 months after surgery, and patients can continue to receive no-charge visits beyond one year for concerns related to their procedure.

Wound Care and Incision Appearance

• Incisions: The pubic lift incision is placed low, similar to a C-section scar, where the abdomen meets the pubic area.
• Stitches: Dr. Solomon uses dissolvable sutures, so no stitch removal is necessary.
• Scar healing: Scars typically flatten and fade gradually over several months. Dr. Solomon provides clear scar-care guidance to support healing and improve long-term appearance.
• Hygiene: Maintaining good hygiene before and after surgery is crucial to reducing the risk of infection and supporting proper healing.

Activity Restrictions

• Immediately after surgery: Rest and limit movement.
• No shaving: Avoid shaving the area around the surgical site before and immediately after surgery, as this increases the risk of infection.
• Sex and exercise: Avoid sexual activity and strenuous exercise for approximately four weeks, or until Dr. Solomon advises it is safe to resume.
• Driving: Wait until you’re no longer taking pain medication and have been cleared by Dr. Solomon.

After your procedure, we’ll schedule early check-ins to monitor the removal of the drain, assess incision healing, and watch for any signs of infection. 

Your follow-up care will continue as your scars mature, helping ensure lasting results and supporting your confidence throughout the recovery process.

Where Will I Stay After Surgery?

Most men undergo buried penis surgery on an outpatient basis so that they can return home the same day without a hospital stay.

That said, for more complex cases, such as genital lymphedema, a large pubic fat pad, or a history of skin infections, longer in-person monitoring may be needed. 

Dr. Solomon can treat more complex patients at Cedars-Sinai Medical Center in Los Angeles if needed.

What Medications Will You Need After Surgery?

Most men are surprised to learn that buried penis surgery is less painful than they expect. 

Discomfort is usually well controlled with prescribed medication and proper follow-up. 

Dr. Solomon uses a tailored combination of medicines to make recovery easier:

• Pain relievers (analgesics): To ease soreness around the incisions
• Antibiotics: To lower the risk of infection during healing
• Diazepam: To reduce discomfort from nighttime erections in the early recovery phase

When Will I Need to Come Back to See My Plastic Surgeon?

Your first follow-up visit is the day after surgery, when Dr. Solomon will come to see you. There is no need to travel after surgery. He will see you daily until you are ready to go home, generally three to five days after surgery.      

Suppose your condition involves complex urology concerns like urinary retention or sexual dysfunction. In that case, a urologist working alongside Dr. Solomon may monitor you over the next few months.

What Are the Risks and Complications of Escutcheonectomy?

Escutcheonectomy (pubic lift) is an effective way to address adult-acquired buried penis. But like other surgical procedures, it carries risks (especially when combined with skin grafting), including: 

• Infection and wound issues: Less than 1% of patients experience low-grade complications, such as minor wound separation (dehiscence) or infection.
• Bleeding and hematoma: While uncommon, a hematoma may develop after any surgical procedure
• Skin graft or flap failure: Diabetes, vascular disease, or poor wound care can increase the risk of partial or complete graft or flap loss.
• Scarring and altered sensation: Grafted skin can contract, change texture, and sometimes alter sensation. 
• Nerve (neurologic) injuries: While rare, nerve damage may occur, especially during longer surgeries or when positioning is improper. 
• Injury to nearby structures: Escutcheonectomy is a complex buried penis reconstruction procedure. Surrounding tissues can be injured during the process.
• Recurrence (reburying): Partial or limited removal of the escutcheon (suprapubic fat pad) may rarely lead to the reburying of the penis, as can a significant weight change.

For men who undergo implant removal alongside reconstruction, recovery can be more complex. Potential issues may include:

• Surgical complications such as seroma (fluid buildup), hematoma (bleeding under the skin), or prosthesis displacement
• Post-operative infections
• Complications linked to not following post-surgery instructions

While no surgery is entirely risk-free, Dr. Solomon’s techniques are designed to minimize complications and support durable results.

As a board-certified plastic and reconstructive surgeon, he applies body-contouring techniques to the pubic area, creating a natural contour while placing scars low along the abdominal–pubic crease for discretion. 

He also uses fixation sutures to anchor penile skin to the deeper fascial layers, a crucial step that prevents “telescoping” and reburying of the shaft.

Unlike traditional approaches that can leave visible or problematic scars, Dr. Solomon employs a low-incision strategy, minimizing deformity and reducing wound complications.

When urinary or sexual function is involved, he works directly with urologists to ensure complete care. 

With more than 30 years of experience as a surgeon and researcher, Dr. Solomon has helped shape how surgeons worldwide approach these complex reconstructions.

How Common Are Serious Complications?

Serious complications after adult buried-penis repair are uncommon, though they can happen. Life-threatening events are rare. 

Most post-operative issues involve minor wound concerns that heal with standard care, and revision surgery is required only occasionally. 

Overall, despite these risks, patients consistently report meaningful improvements in comfort, function, and quality of life following surgery. surgery.

How Will I Know If I’m Having a Problem With My Surgery?

Any surgery that involves an incision carries a risk of infection, so it’s essential to know the warning signs. Watch for:

• Fever above 101°F (38.333°C)
• Increasing redness
• Swelling that worsens
• Pus or cloudy drainage
• Pain that gets worse instead of better
• Skin separation

What Results Can You Expect From Escutcheonectomy With Dr. Solomon’s Results?

Success is measured by more than just the technical result. For many men, the impact extends well beyond physical changes, improving daily comfort, function, and overall confidence. 

Men who undergo buried penis surgical procedures often report functional and cosmetic benefits, including:

Physical and Functional Benefits

• Urinating while standing without mess or dribbling
• Easier hygiene with fewer rashes, odors, or infections
• Relief from painful erections and the ability to return to regular sexual activity

Aesthetic Results

• Restored visible length as the shaft, once hidden under fat or skin, is revealed
• A natural contour, maintained by preserving native skin instead of relying on grafts

Success Rates and Long-Term Outcome Measures

• Enduring Results: For most men, results are permanent when fat removal, skin excision, and shaft fixation are correctly done.
• Patient Satisfaction: Many describe the surgery as life-changing—restoring both function and confidence.
• Stability: In most cases, results remain stable unless new challenges arise, such as significant weight gain, which can cause the concealment to return.

When Will I Know if I Am Cured, and How Long Before I See Final Results?

The change in appearance is immediate, but full recovery takes time. Most men continue healing over two to three months, as swelling resolves and tissues settle into their final position. 

Here’s what recovery may look like:

• Pain eases over the first few weeks, but it may take a few months for the skin and tissues to settle fully.
• You’ll know you’re healed when:
  • Urination is comfortable again (no pain or dribbling).
  • Sexual activity feels more natural, with improved sensitivity and less frustration.
  • You feel more at ease with your body, without the burden of a hidden penis. Your body finally feels right.
  • Hygiene becomes easier. No more infections, irritation, or daily struggles with trapped moisture.

Are Escutcheonectomy (Pubic Lift) Results Permanent?

For most men, the results of buried penis surgery are permanent when the underlying causes are fully addressed. 

Dr. Solomon designs a structural repair to restore visibility and deliver stable, permanent results.

That said, several factors can affect long-term results:

• Weight changes: Gaining weight can add fat to the pubic area, while significant weight loss may leave loose skin that still requires removal.
• Medical conditions: Health issues such as poorly controlled diabetes, high blood pressure, or bleeding disorders can slow the healing process and affect how scars form.
• Post-op compliance: Carefully following instructions is key, such as avoiding shaving to lower infection risk, caring for drains properly, and waiting about four weeks before resuming sex or heavy activity.

Dr. Solomon stresses structured aftercare, which includes early visits for drain removal and wound checks, mid-phase visits to monitor scars and penile function, and long-term visits to confirm stability. 

This comprehensive approach helps ensure that results remain both natural in appearance and durable over time.

How Do You Choose the Right Surgeon for Escutcheonectomy?

Choosing the right surgeon for buried penis surgery is just as critical as the decision to have the procedure itself. 

Real results depend on experience, surgical skill, and attention to detail, and not every self-proclaimed “expert” can deliver on those.

Referrals and online searches are a good starting point, but remember, your health, appearance, and quality of life are at stake. 

For long-term results that restore both function and confidence, it’s best to work with a board-certified plastic surgeon like Dr. Solomon, an internationally recognized leader in male enhancement and reconstructive surgery.

As you compare surgeons, keep the three Cs in mind: competence, compassion, and consistent results.

Dr. Mark Solomon embodies all three. With more than 30 years of surgical experience, he pairs technical precision with genuine patient care, achieving results that are both effective and lasting.

Why Choose Dr. Mark Solomon for Your Escutcheonectomy Procedure?

When it comes to something as personal and life-changing as buried penis surgery, choosing a surgeon with extensive, real-world experience is essential.

Dr. Solomon offers more than credentials. He brings decades of surgical expertise, refined techniques, and a reputation recognized internationally:

• Double Board-Certified Plastic Surgeon: Recognized as a male aesthetic and reconstructive surgeon by the American Board of Plastic Surgery and the American Board of Surgery
• With 30+ Years of Experience: Decades of hands-on experience performing male enhancement and reconstruction surgery
• Ivy League and Fellowship Trained: Earned his medical degree at New York University School of Medicine in New York City, completed residency at the Hospital of the University of Pennsylvania, an Ivy League institution, and pursued fellowship training at Hôpital Necker-Enfants Malades in Paris, France.
• Complex Case Expertise: World-class expert in treating buried penis syndrome and failed cosmetic penile implants
• Contributor to Surgical Literature: Editor of Male Aesthetic Surgery, a landmark textbook in the field
• Published Authority: Author of more than 35 peer-reviewed papers in surgical journals
• International Reputation: Patients travel from across the United States and internationally (often after failed surgeries elsewhere) for his expertise in complex penile reconstruction.
• Media Features: Featured in national media, including Fox, CNN, Business Insider, and U.S. News and World Report
• Dr. Solomon’s Advanced Surgical Management
  • Native skin preservation: Instead of removing the shaft skin and replacing it with grafts, Dr. Solomon repositions natural skin. This approach protects sensation, maintains blood and lymph flow, and creates a more natural look.
  • Fixation sutures: He pioneered methods to anchor penile skin to the fascial layer, preventing “telescoping” (skin sliding forward over the glans), which often causes concealment and painful erections.
  • Modern scrotal web release: Dr. Solomon uses updated techniques instead of outdated z-plasty, freeing the penoscrotal angle with cleaner, less visible scarring.
  • Low-incision pubic lift: The traditional urology approach of removing all pubic skin can distort or shorten the penis. Instead, Dr. Solomon places a discreet low abdominal incision for a more natural contour.
  • Dissolvable sutures: Absorbable sutures help reduce wound complications by eliminating the need for external stitch removal.
  • Comprehensive planning: Each surgery is customized after evaluating fat, abdominal pannus, penile skin stability, and scrotal anatomy to address all factors contributing to concealment.
  • Durable, lasting results: Dr. Solomon’s techniques address the root cause, not just the appearance, resulting in stable, life-changing outcomes for most men.

What Questions Should You Ask Your Surgeon?

A thorough consultation should provide clarity on your candidacy, the surgical plan, and what to expect before and after treatment.  

Confirm You’re a Candidate: Begin by understanding whether surgery is appropriate for your situation and what factors could influence your outcome:

• Am I a good candidate for buried penis surgery with escutcheonectomy?
• Should conditions such as diabetes or high blood pressure be controlled before surgery?
• Does my BMI affect eligibility, and will weight loss be recommended?
• How do you determine whether my condition is caused by fat, skin, scarring, or other factors?

Ask About Experience and Expertise: A surgeon’s experience can significantly influence both safety and results:

• How many buried penis and escutcheonectomy procedures have you performed?
• How do your years of experience and specialization shape your approach?
• How does your method differ from that of urologists who remove all pubic skin or rely heavily on grafts?
• Do you treat complex or revision cases, and do you see patients from outside the United States?

Understand the Surgical Plan: Buried penis repair is highly individualized, so it’s important to understand what your procedure may involve:

• Might I need liposuction, a pubic lift (escutcheonectomy), panniculectomy, abdominoplasty, or scrotal web release? Can these be combined?
• When do you use fixation sutures to stop skin from sliding back over the glans?
• Will surgery increase size, or primarily reveal hidden length?

Discuss Risks and Safety: Make sure you understand potential complications and how they are managed:

• Beyond infection or bleeding, what are the most common risks of escutcheonectomy?
• How do you reduce the chance of poor healing or loss of sensation?
• How often do your patients need revision surgery?
• What warning signs should I watch for after surgery?

Plan for Recovery: Knowing the recovery timeline helps you prepare practically and emotionally:

• How long will the drains remain in place, and when will they be removed?
• Will I need a catheter?
• How much time should I take off work, exercise, and sexual activity?
• What medications are typically prescribed for pain control and infection prevention?
• What’s the expected timeline for bruising, swelling, and scar healing?
• How many follow-up visits are usually required?

Clarify Costs and Insurance: Financial transparency is an important part of planning:

• How much will my surgery cost, and what factors determine the final price?
• Does insurance cover buried penis surgery, and if so, what documentation is required?
• Are financing or payment plans available if insurance does not apply?

Set Realistic Expectations: Understanding likely outcomes helps you make an informed decision:

• Are results permanent, and what could affect them over time?
• What will scars look like, and how can I support optimal healing?
• What improvements in urination, sexual function, and comfort do most patients experience?
• If my weight changes later, how might that affect my results?

Ready to move forward with greater comfort, function, and confidence? An escutcheonectomy may be the first step toward addressing the underlying causes of a buried penis and restoring a sense of ease in your daily life.

Call 310-299-3553 today to schedule your private virtual or in-person consultation at our Beverly Hills office and learn more about your personalized treatment options.