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Foreskin restoration is the process of expanding the residual skin on the penis, via surgical or non-surgical methods. It can be performed for several reasons, among them being a desire to create the appearance of a natural foreskin (prepuce) covering the glans penis, or to increase sexual sensitivity of the glans and the interior of the restored foreskin, or to reduce discomfort due to exposure of sensitive areas during everyday activities. Foreskin restoration techniques are most commonly undertaken by men who have been circumcised or who have sustained an injury, but are also used by men who desire a longer foreskin and by men who have phimosis.

In classical Greek times the exposure of the glans of the penis was considered offensive and men with short foreskin would wear the kynodesme to prevent its accidental exposure.

A form of foreskin restoration, historically known as epispasm, was practiced among some Jews in Hellenistic and Roman societies.

Some European Jews sought out underground foreskin restoration operations during World War II as a method to escape Nazi persecution.

The practice was revived in the late twentieth century using modern materials and techniques. In 1982 a group called Brothers United for Future Foreskins (BUFF) was formed, which publicized the use of tape in non-surgical restoration methods. Later in 1991, another group called UNCircumcising Information and Resources Centers (UNCIRC) was formed.

The National Organization of Restoring Men (NORM) was founded in 1989 in San Francisco, as a non-profit support group for men restoring the appearance of a foreskin. It was originally known as RECAP, an acronym for the phrase Recover A Penis. In 1994 UNCIRC was incorporated into this group. Since its founding, several NORM chapters have been founded throughout the United States, as well as internationally in Canada, the United Kingdom, Australia, New Zealand, and Germany.

Surgical techniques

Surgical methods of foreskin restoration, sometimes known as foreskin reconstruction, usually involve a method of grafting skin onto the distal portion of the penile shaft. The grafted skin is typically taken from the scrotum, which contains the same smooth muscle (known as dartos fascia) as does the skin of the penis. One method involves a four stage procedure in which the penile shaft is buried in the scrotum for a period of time. Such techniques are costly, and have the potential to produce unsatisfactory results or serious complications related to the skin graft.

British Columbia resident Paul Tinari was held down and circumcised at eight years old, in what he stated was "a routine form of punishment" for masturbation at residential schools. Following a lawsuit Tinari's surgical foreskin restoration was covered by the British Columbia Ministry of Health. The plastic surgeon who performed the restoration was the first in Canada to have done such an operation, and used a technique similar to that described above.

Nonsurgical techniques

Restoration by using combination of cross-taping and modified T-taping method.

Nonsurgical foreskin restoration, accomplished through tissue expansion, is the more commonly used method of foreskin restoration. Both the skin of the penile shaft and the mucosal inner lining of the foreskin, if any remains after circumcision, may be expanded.

Dual Tension Restorer applied to a circumcised penis for non-surgical foreskin restoration.

The skin is pulled forward over the glans, and tension is applied manually, by using weights or elastic straps. In the second two cases a device must be attached to the skin; surgical tape is often used. An example of a device using elastic straps is the T-Tape method, which was developed in the 1990s with the idea of enabling restoration to take place more rapidly. Many specialized foreskin restoration devices (like Dual Tension Restorer shown in the picture) that grip the skin with or without tape are also commercially available. Tension from these devices may be applied by weights or elastic straps, by pushing the skin forward on the penis, or by a combination of these methods.

The amount of tension produced by any method must be adjusted to avoid causing injury, pain or discomfort, and provides a limit on the rate at which new skin can be grown. There is a risk of damaging tissues from the use of excessive tension or applying tension for too long. Websites about foreskin restoration vary in their recommendations, from suggesting a regimen of moderate amounts of tension applied for several hours a day, to recommending periods of higher tension applied for only a few minutes per day, as with manual techniques.

Tissue stretching has long been known to stimulate mitosis, and research shows that regenerated human tissues have the attributes of the original tissue.Unlike conventional skin expansion techniques, however, the process of nonsurgical foreskin restoration may take several years to complete. The time required depends on the amount of skin available to expand, the amount of skin desired in the end, and the regimen of stretching methods used. Patience and dedication are needed; support groups exist to help with these (see External links section). The act of stretching the skin is often described informally as "tugging" in these groups, especially those on the internet. (Source Wikipedia Foreskin restoration)

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