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Miami, FL
305-204-9598

Miami, FL

Testicular Enhancement

Testicle Reconstruction Introduction

Losing a testicle—or living with an implant that feels unnatural, sits incorrectly, or does not match the remaining testicle—can have a significant physical and emotional impact. At Gallagher Plastic Surgery in Miami, Dr. Sidhbh Gallagher offers advanced testicle reconstruction designed to restore natural appearance, balance, position, and comfort.

Our approach goes beyond simply placing a standard testicular prosthesis. Dr. Gallagher uses soft silicone implants, custom sizing options, discreet incisions, and specialized internal scrotoplasty techniques to create a result that looks and feels as natural as possible.

We also frequently perform revision surgery for patients whose original testicular implants were placed elsewhere.

Who May Benefit From Testicle Reconstruction?

Testicular reconstruction may be appropriate for patients who have lost one or both testicles due to:

  • Testicular cancer or orchiectomy
  • Testicular torsion
  • Trauma or injury
  • Infection
  • Congenital absence or underdevelopment
  • Gender-affirming surgery
  • Previous implant complications
  • An implant that is too small, too firm, painful, high-riding, or poorly positioned

Some patients seek reconstruction soon after losing a testicle, while others come to us many years later. There is no single “correct” time to pursue reconstruction. Treatment is customized to your anatomy, medical history, goals, and existing scar tissue.

Soft Silicone Testicular Implants

Many traditional testicular prostheses are saline-filled. Although these implants work well for some patients, they can feel considerably firmer than a natural testicle and may not provide the softness or movement a patient expects.

When clinically appropriate, Dr. Gallagher uses soft silicone testicular implants designed to provide a more natural feel and contour. Implant selection is individualized based on:

  • The size and shape of the remaining testicle
  • The available scrotal space
  • Skin and soft-tissue quality
  • Previous surgery or radiation
  • Existing scar tissue or implant capsule
  • The patient’s desired size and appearance

The goal is not simply to fill an empty space. It is to reconstruct a testicle that looks proportionate, rests naturally within the scrotum, and feels comfortable during everyday activity.

Dr. Gallagher, smiling with long blonde wavy hair, wearing a gray sleeveless dress, holds two egg-shaped objects (one white, one blue) toward the camera. Behind her, part of a wall with the stylized words "GALLAGHER SURGERY" is visible in the background. - Testicular Enhancement in Miami, Fl A bright, minimalist, and artistic photo with a white corner wall against a turquoise sky, featuring the strong, diagonal shadow of a palm frond cast on the wall and a dark green palm frond hanging into the frame from the top.

Custom Testicular Implants for Better Size Matching

After one testicle is removed, the remaining testicle may enlarge over time to compensate. This is known as compensatory hypertrophy. As a result, standard off-the-shelf testicular implants may be too small to achieve an accurate match.

Custom testicular implants allow us to more closely reproduce the size and shape of the remaining testicle. This can be particularly helpful for patients who:

  • Have a naturally large remaining testicle
  • Have experienced compensatory enlargement
  • Are dissatisfied with a small standard implant
  • Have significant asymmetry after previous reconstruction
  • Require an implant size not available in standard ranges

Dr. Gallagher will evaluate whether a custom implant is appropriate and discuss the available options during consultation.

A Specialized Technique for Natural Implant Position

Testicular implant reconstruction is not only about implant size. Position is equally important.

An implant may look or feel unnatural if it rides too high, remains fixed in one location, sits behind the remaining testicle, or crosses toward the opposite side of the scrotum. Dr. Gallagher uses specialized internal scrotoplasty and implant-pocket techniques to help control where the implant sits.

Depending on the anatomy, this may include:

  • Creating a carefully positioned implant pocket
  • Releasing scar tissue or a tight capsule
  • Tightening an oversized implant capsule
  • Reshaping the internal scrotal space
  • Moving an implant forward if it sits behind the opposite testicle
  • Lowering a high-riding implant
  • Improving separation between two implants
  • Adjusting the pocket to reduce recurrent malposition

This internal work allows Dr. Gallagher to address the structures responsible for poor positioning rather than merely exchanging one implant for another.

Internal Scrotoplasty and Capsular Revision

The body naturally forms a layer of scar tissue, called a capsule, around an implant. In some patients, this capsule can tighten, stretch, or form in an unfavorable position.

During testicular implant revision, Dr. Gallagher may perform capsular work to reshape the pocket:

  • Capsular release or scoring: A tight capsule can be carefully released to create more space and allow the implant to sit lower or move more naturally.
  • Capsular tightening or capsulorrhaphy: An enlarged or poorly positioned pocket can be tightened with internal sutures to guide the implant into a better position.
  • Internal scrotoplasty: The internal scrotal anatomy can be reconstructed to improve implant support, separation, symmetry, and alignment.

For example, if one implant repeatedly slips behind the other testicle, internal capsular tightening may be used to bring it forward and maintain a more natural side-by-side position.

Testicular Implant Revision in Miami

Dr. Gallagher, a blonde woman with long curly hair, is seated at a desk in her office with a large window overlooking a cityscape. She is smiling and looking off to the side while holding documents and a pen.

Dr. Gallagher commonly treats patients who have undergone testicular implant surgery elsewhere and remain unhappy with the result.

Reasons for revision may include:

  • An implant that feels too hard
  • An implant that is too small or too large
  • High-riding implant position
  • Implant displacement or migration
  • One implant sitting behind the other
  • Pain or chronic discomfort
  • Visible asymmetry
  • Tight or abnormal scar tissue
  • Implant exposure or infection
  • Dissatisfaction with the incision or scarring

Revision may involve removing and replacing the implant, changing the implant size or material, performing internal scrotoplasty, revising the capsule, or using a custom implant for improved symmetry.

Every revision is different. Previous surgery may alter the scrotal anatomy and blood supply, so a detailed examination and individualized surgical plan are essential.

Discreet Scrotal Incisions

Dr. Gallagher, a blonde woman in a white lab coat over a grey dress, is seated and smiling warmly while speaking and gesturing with her hands to a patient in a light blue patterned hospital gown. They are in a well-lit exam room next to a wall with a pink and blue abstract painting.

Whenever possible, Dr. Gallagher places the incision low on the median raphe—the natural line where the two sides of the scrotum fuse.

This approach allows the scar to blend into a normal anatomical crease rather than creating a more visible incision on the front of the scrotum. The precise incision location may vary in revision cases depending on previous scars, skin quality, infection risk, and the procedure required.

Why Choose Dr. Gallagher for Testicle Reconstruction?

Dr. Sidhbh Gallagher is a board-certified plastic and reconstructive surgeon with extensive experience in genital reconstruction, implant surgery, complex revision procedures, and soft-tissue reconstruction.

Patients travel to Gallagher Plastic Surgery in Miami for:

  • Access to soft silicone and custom testicular implant options
  • A personalized approach to implant size, shape, and position
  • Specialized internal scrotoplasty and capsular techniques
  • Experience revising implants originally placed elsewhere
  • Careful attention to symmetry and natural movement
  • Discreet incision placement along the median raphe when appropriate
  • Treatment in a private, respectful, and inclusive environment
  • Assistance working with PPO insurance plans

The objective is not simply to place an implant. It is to reconstruct a natural-looking and comfortable scrotum that helps the patient feel whole again.

PPO Insurance for Testicle Reconstruction

Gallagher Plastic Surgery can work with most PPO insurance plans for medically indicated testicle reconstruction and revision surgery.

If you would like to determine whether we may be able to work directly with your insurance, submit photographs of the front and back of your insurance card through our secure inquiry process. Our billing team will review your benefits and let you know whether your plan may offer coverage.

Insurance verification does not guarantee authorization or payment. Coverage depends on your individual benefits, medical history, diagnosis, and the requirements of your insurance company.

Testicle Reconstruction FAQ’S

See what our Patients Say

Patient Reviews

  • Dr. Gallagher, wearing a surgical cap and mask, is shown from the back of the head and shoulder, dressed in a blue surgical gown, looking down toward a bright operating area.

    I had an amazing experience with Dr.Gallagher and her team, the whole experience from the procedure (top surgery) to the post-op care has been fantastic. Dr.Gallagher was able to address any concerns I had with my chest before the procedure and made me feel comfortable the whole way through, and then the attentiveness post-op is all the better.

    Alfio Oliveira (Jay)

  • Dr. Gallagher (left), in a white lab coat, and a blonde patient (right), in a blue patterned hospital gown, smile and look up at the camera. The patient is holding up a peace sign with one hand. A piece of art with the colors of the transgender flag is visible on the wall behind them.

    Thank you so much Dr. Gallagher for your amazing work! I appreciated the great support from your team at the surgical centre and your office. Everyone was so wonderful! I am extremely happy with my results and had a very positive experience. I had followed Dr. Gallagher for several years on Instagram prior to my surgery, and learned so much from her detailed explanations about various aspects of the surgical procedures, what to expect on the day, recovery, etc. I had complete trust, felt safe, felt listened to. I also appreciate the follow-ups, and answers to all my questions. The support, warmth, care is top notch!

    Gill B.

  • Dr. Suzanne Gallagher, a blonde woman in light green scrubs, stands next to a patient lying on a bed (only the patient's arm is visible) behind a blue curtain in what appears to be a clinical or operating room setting. She is smiling and gesturing with her right hand while her left hand is on her hip.

    Dr. Gallagher and her whole team, from Neasa to Daryl Ann and everyone else in between, are absolutely fantastic, kind hearted, hard working people. Dr. Gallagher truly amazed me and I’m so grateful to have had her on my team.

    I was able to get keyhole top surgery about three weeks ago and I’m loving my results already! I’m muscular and heavier set as well but always had a smaller chest, and I’m so glad Dr. Gallagher was the one who could do this for me.

    Right now I am still experiencing swelling, but I am using compression dressings every day, throughout the day which helps tons! I know that when the swelling subsides months from now, and everything is “back to normal”, I am going to love even more what I see in the mirror because I can finally see me.

    Morgan F.

  • Dr. Gallagher, wearing a surgical cap and mask, is shown from the back of the head and shoulder, dressed in a blue surgical gown, looking down toward a bright operating area.

    So glad I found Dr. Gallagher. I would not have elected to pursue my surgery had I not found a qualified and competent medical provider that I felt I could trust and have confidence in their ability to offer a high-quality, low-risk result. As a result of my initial contacts and consultations with Gallagher Plastic Surgery practice, I was willing to pursue my desired surgery and even travel half-way across the country to their offices. I’m so glad I did. The results are outstanding, more than I even anticipated. This was the 3rd practice I had dealt with and so I was learning what to look for and knew Dr. Gallagher was a good fit. The medical expertise and professionalism are what I based my decision on to proceed. They were calmly confident for a reason. I realized at the surgery event and through to the 3 week post-op checkin the excellence in their personal care (bed side manner). The office and Dr. Gallagher communicated very well. Everything went smoothly and as planned. As nervous as I was about an unnecessary surgery, Dr. Gallagher and her team were able to build enough trust that I was able to receive a very beneficial result.

    Tim F.

  • Dr. Gallagher (left), in a white lab coat, and a blonde patient (right), in a blue patterned hospital gown, smile and look up at the camera. The patient is holding up a peace sign with one hand. A piece of art with the colors of the transgender flag is visible on the wall behind them.

    Dr. Gallagher and her team are the absolute best! She completed my brachioplasty on Tuesday and when I saw the initial results at my post op appointment two days later I literally had tears of joy streaming down my face. My weight loss journey has been a road of many ups and downs, and I was so nervous about whether this surgery could even work for me. Even with the swelling that is normal after brachioplasty, there is an enormous difference, and I am still in disbelief that even this early on, my arms look this great. My husband was even in disbelief, and we’re so excited to see what I’ll look like in two weeks time. Dr. Gallagher is so kind and patient, and walked me through all of the phases of healing/expectations, and was great to call and check in. If you are looking for a highly skilled surgeon that will give you optimal results along with a compassionate approach, it is well worth your time and money to consider a consultation with her. I am forever thankful for her and for her team! This is life changing for me. Thank you, Dr. Gallagher! I appreciate you so much!

    Melissa E.

Schedule a Testicle Reconstruction Consultation in Miami

Whether you are considering your first testicular implant or need revision of a painful, firm, undersized, or poorly positioned implant, Dr. Gallagher can develop a reconstruction plan based on your anatomy and goals.

To get started, contact Gallagher Plastic Surgery in Miami or submit the front and back of your PPO insurance card for review by our billing team.

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