Circumcision Revision: A Second Chance at a Refined Result

For many men, a prior circumcision, often performed for medical or cultural reasons, leaves behind more than just a scar.

It leaves behind disappointment, frustration, and in some cases, embarrassment about the appearance of one’s most personal piece of anatomy.

At Miami Men’s, circumcision revision is one of the most rewarding procedures we perform. Not because it’s easy, but because it offers men a chance to reclaim confidence, aesthetic balance, and comfort after an unsatisfactory surgical outcome.

Why Do Men Seek Circumcision Revision?

The most common reasons include:

• Lumpy, wart-like scarring
• Railroad track stitch marks from overly aggressive or poorly spaced sutures
• Unbalanced or asymmetrical appearance
• Excessive skin removal, resulting in penoscrotal webbing (where scrotal skin encroaches onto the shaft)

These are typical results of traditional, non-cosmetic circumcisions, where the focus is strictly on function not form.

What We Can (and Can’t) Revise

Revision circumcision is not always straightforward. While many issues can be corrected, some anatomical limitations may prevent a full correction. Here’s a closer look:

What We Can Fix:

If the original incision sits at least 1 cm proximal to the glans, we can typically:

• Excise the old scar
• Re-approximate the skin with precise, fine sutures
• Create a new, balanced and linear incision line for a cleaner cosmetic result
• If there are isolated lumps or bumps, we can often remove them through targeted focal excision followed by careful re-closure

What May Not Be Fixable:

• If the original circumcision scar sits very close to the glans, we may not have enough distal penile skin to safely anchor new sutures
• In these cases, attempting a revision may create tension, asymmetry, or complications, and we’ll often advise against it

Penoscrotal Webbing: A Common and Correctable Issue

One of the more distressing complications of overly aggressive circumcision is the creation of a penoscrotal web, where scrotal skin is pulled up onto the underside of the shaft often obscuring much of a guy’s penile length.

At Miami Men’s, we offer a direct excisional technique to address this:

• We excise the web, rather than simply reposition it
• We establish a clear, distinct junction between the penis and the scrotum
• From a lateral view, this often creates a visible increase in penile length and a much more refined silhouette

This is an elegant, effective solution for a problem that can feel difficult to talk about but is extremely common and treatable.