High & Tight Circumcision

Offered at our convenient location in San Diego

Adult Circumcision is an Opportunity to Shape Your Own Fate

Many of the dimensions with which we are born are beyond our control. Height, for example, is set in stone after adolescence. There are other details that we assume are unchangeable, but medical science always seems to find a way to make improvements.

Adult circumcision allows patients a chance to empower their aesthetics. There are numerous approaches to the procedure, but Dr. Bidair will only pursue the one that is best for you. Your anatomy dictates many of the parameters of your circumcision, but you have the final say in how you want to look and feel. Contact California Adult Circumcision, conveniently located in La Mesa. We proudly serve the needs of San Diego and beyond. 

Dr. Bidair also provides virtual consultations for those who are unable to visit us in person. No matter where you log on, we want to connect with you

What Is High and Tight Circumcision?

High and tight circumcision is a description of how the foreskin is altered according to the patient’s specifications. Circumcision is not a “one size fits all” procedure, so Dr. Bidair is careful to honor his patients’ wishes and deliver the best results in Southern California. 

Styles of Circumcision

In the course of a circumcision, the foreskin is not simply removed; it is skillfully repositioned and reduced. To create the best results, Dr. Bidair considers the final outcome. He can alter the foreskin in one of four ways: low and loose, low and tight, high and loose, or high and tight. The dimensions refer to how the foreskin will sit against the shaft of the penis after the circumcision surgery is complete.

With a high and tight circumcision, for example, the foreskin is retracted until its interior wall is now facing the exterior, cradling the shaft supportively.[1] The surgeon removes tissue that was previously along the exterior of the foreskin and then carefully sutures the incision to preserve the contours of this “high and tight” acclimation. The subtle scar will be positioned high up the shaft when the penis is flaccid, and the feel of the final result will be secure and supportive.

Benefits of Adult Circumcision

The main benefit of adult circumcision is how it allows men to craft their own fate. The foreskin with which you were born may not bring you the proper pleasure or appearance. By consulting with Dr. Bidair, you can achieve a more optimal look and feel for your penis.

High and Tight Circumcision Benefits

  • Produces the precise results you seek
  • Creates a firm cohesion along the shaft of the penis
  • The skin remains tighter and more supportive when erect
  • Bolsters your confidence in intimate situations

To experience the benefits of a high and tight circumcision for yourself, contact Dr. Bidair. If you are outside the San Diego vicinity, or if an in-person visit is not conducive to your current lifestyle, the doctor also offers virtual consultations

Eligible Candidates

The human body is an intelligent machine. It performs thousands of functions every microsecond, and it knows what it needs to continue surviving and thriving. 

When it comes to high and tight circumcisions, your body will determine your eligibility for such a procedure. Dr. Bidair can assess your needs and goals during an informative consultation. From there, the doctor will create a strategy and explain whether or not you are an ideal candidate for adult circumcision. Specifically, Dr. Bidair will provide you with an in-depth analysis of which contours work best for your health and wellness. If high and tight fits your body, then he can proceed along that route. Otherwise, Dr. Bidair will advise which type of procedure is most appropriate for your situation.

Private Consultation in La Mesa

Healthcare is the ultimate process of communication. You must tell the doctor what you need in order to get better. When you consult with Dr. Bidair, he will encourage you to share your medical history as well as your future goals. If high and tight are the contours you want for your circumcision, please let him know so that you can have an informed conversation about your realistic yet transformative options.

In a continued effort to communicate our insights and information to our SoCal community, we have started a blog. Feel free to peruse our posts and bring any questions that may arise to your consultation with Dr. Bidair. Call (619) 486-5005 to schedule an appointment and begin your journey toward improvement. 

Preparation and Procedure

During your consultation, the staff at California Adult Circumcision will provide you with detailed instructions to prepare you for surgery. These directions will be specific to your health and anatomy, so please follow them closely.

To accomplish the high, tight look and feel, Dr. Bidair must consider the dimensions of the patient’s foreskin. The way the prepuce (foreskin) aligns with the glans (penile head) will inform the doctor which surgical approach to pursue.

Dorsal Slit Technique

If the foreskin sits tight against the penis, it may require a dorsal slit method of circumcision. The procedure begins with the appropriate anesthesia to keep you safe and comfortable. From there, Dr. Bidair gently makes an incision perpendicular to the outer ridge of the foreskin. This allows him to retract the prepuce back to its ideal position. Dr. Bidair can then create a “high and tight” look and feel by securing the inner lining of the foreskin securely against the lower shaft of the penis.

Sleeve Method

When the foreskin hangs loose away from the penis, a sleeve technique may be the optimal approach. Dr. Bidair skillfully removes prepuce tissue along the circumference of the foreskin, like a tailor hems a sleeve (hence the name). The doctor then closes the incision to create the contours specified during the patient’s consultation. 

Proximal Circumcision

You can enjoy the benefits of circumcision while leaving the foreskin intact. Proximal circumcision removes skin along the base of the penis and pulls the material along the shaft back to cover the incision. This, in turn, retracts the foreskin until the head of the penis is exposed. The base is then sutured gently, allowing the new contours of the penis to recuperate. 

To achieve a high and tight reconfiguration, Dr. Bidair will most likely opt for either a dorsal slit approach or the sleeve technique. The exact nature of your circumcision is ultimately your decision, and Dr. Bidair will explain all of your options during a comprehensive consultation

Healthy Recovery

Immediately following your procedure, a trained medical professional will monitor your progress until you are ready to resume the recovery process from the comfort of your own home. Please assign a caregiver to drive you to and from the clinic, as you will not be allowed to operate a motor vehicle after surgery.

Refrain from strenuous activities for the first 1-2 weeks of your recovery and avoid sexual intercourse for at least 2-4 weeks. Great results are worth the wait, so please do not rush the healing process.

Remarkable Results

In addition to the multiple aesthetic rewards that adult circumcision can deliver, there are a host of other benefits from the procedure. Circumcised men have a statistically lower risk of contracting certain STDs (sexually transmitted diseases) than uncircumcised men. Also, the sensitivity of the penis is not significantly altered by circumcision.[2] In fact, the removal and/or reduction of the foreskin can actually enhance sexual gratification in many cases.

To get a glimpse of your happy, healthy future, take a look at our stellar reviews. Dr. Bidair is proud to provide 5-star service to San Diego, La Mesa, Santee, Lakeside and our surrounding California communities. 


How much does adult circumcision cost in San Diego?

You deserve the right care at the right price. Circumcision is delicate and precise, which is why its cost must be as contoured as its approach. Dr. Bidair spends approximately 90 minutes on every procedure, which is double the amount of time that a typical urologist would dedicate to the circumcision process. That is because you demand more than a functional improvement; you want overall enhancement. Call (619) 486-5005 to discuss the pricing associated with a high and tight adult circumcision. 

What options do I have for my circumcision?

There are four general categories for circumcision dimensions: low and tight, low and loose, high and tight, or high and loose. The descriptions correspond to how you want the contours of your penis to look and feel after the circumcision procedure. “High and tight” means the foreskin will be retracted fully and secured high up the shaft, then wrapped snugly against the perimeter of the penis. To discuss which option works best for your anatomy and goals, please contact California Adult Circumcision


  1. Morris, B. J. & Eley, C. (2011). Male circumcision: An appraisal of current instrumentation. Biomedical Engineering, University of Rijeka, Rijeka, 315-354. DOI: 10.5772/18543 
  2. Morris, B. J. (2007). Why circumcision is a biomedical imperative for the 21st century. Bio Essays. 29(11)1147-1158. https://doi.org/10.1002/bies.20654