Alex's "purse string" surgery
This page will feature a DTR user from Europe known as Alex who had a second touchup surgery known as a "purse string"
Alex is truly a pioneer with trying to get the most realistic restored foreskin.He had a touchup surgery in the summer of last year 2012. Last winter 2012 he decided to do another surgery called a purse string. Again this is another surgery that is sometimes talked about but very rarely is any information available online about it. I can't thank him enough for allowing me to share this information with all of you.
A brief description on how the purse string touch up surgery works is a suture is inserted at the end of the foreskin.  The suture acts just like a cinch on a pouch.  The suture is pulled tight and then tied off.This creates a ring inside the skin at the very end of the foreskin.
The suture will dissolve after about six weeks. During this period the body reacts to the suture as a foreign object and begins to grow skin tissue around the suture.  This is the same thing that happens with body piercings such as a simple ear piercing.  The body reacts by making a skin tube around the foreign object so it is no longer inside the body.Even though the suture dissolves the skin tube will remain.
The end result is very close to a rigid band that most intact men have.
Day one:  swelling from the procedure as expected.
Date 10: as days passed the swelling went down. Alex did tell me that nocturnal erections were a slight problem since it did cause discomfort due to the erection putting pressure on the wound.
Possibly if Alex had more overhang this might be avoided. Because the skin would not be as tight with an erection, although because of swelling this might be temporarily unavoidable.
As the swelling went down some bruising did appear.
With the suture still in place and healing continuing the results start looking better as each day passes.
This is a picture with the suture dissolved, the skin tube that was created around the suture is still intact.
Another picture of Alex fully erect and the skin staying over the glands all on its own.
Flaccid you can see how the end of the foreskin  has a much tighter tip.
The blue line shows we're the " rigid band " created by this touch up surgery is located.
Alex told me the cost of the surgery was $550 US.He will be providing me with updates as the months pass.
Touchup surgeries are not mandatory for anyone restoring but it does give somebody more options if they're looking for a more tapered tip to their foreskin if they are not satisfied with their results from restoring.
My only caution for anyone thinking about doing a touchup surgery is to be sure to have enough skin to do so. It's always better to have more skin than not enough.  I think even better results would be seen when somebody has enough skin where they have overhang.
Alex has informed me that he has done another pursestring surgery. This time with a suture that takes up to six months to dissolve and is much thicker. The end result should produce a thicker rigid band.
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This is after 2 1/2 months worth of healing
Another picture at 2 1/2 months of healing.
It refers to the letter from the patient about this circumferential purse string method. This concerns to tight the foreskin by using an absorbable thread like a circular suture between the outer and inner foreskin layers. This is granted on the condition that he himself is responsible for any consequences of the procedure By sterile washing and local infiltration anesthesia, one Vicryl 2.0 thread on needle be insert about 12 o'cl position on the foreskin and enters the distal part of the skin so that the needle cuts through the outer and inner layers in the circumference around. Thighten and then making it a usable but tight opening compared to earlier.

To the left is some of the doctors notes and information at where the surgical procedure was performed. The Doctor that preformed this procedure is retired now.
These were sent to me jan 2015 for an update.