It looks better than the initial frankenstein pic but you can clearly see where the skin was taken on the thigh. And that mock penis raises so many questions. Does it always stay that big? How do you wear any kind of pants? What are the insides made from, and how does that affect the urethra and vaginal functions? Do I even want to know?
I recall seeing another horrible bottom surgery pic possibly on this site. It literally was shaped like a meat tube. Is this really better than a packer or strap on?
If you’re talking about >>951066
, this is after it has healed. There are no signs of inflammation like redness and you can see that the scars are healed. That person is actually stuck with that for life.
It always stays that big because ofc neophalluses don't work like real dicks, they cannot get engorged with blood in a state of arousal. They need a pump-like contraption installed in the "balls" that pumps the "penis" full of air so it can remain "erect" for intercourse. I also would not be surprised if they choose it so big because of autoandrophilia.
Oh, and in most of the cases, the neophallus is actually not properly irrigated in blood (because that's what happens when you graft some piece of flesh where it doesn't belong), so it necrotizes and it falls off.