Puffy swelling

[Pixlooker]

I disagree. You have to have a very tight foreskin to be at risk of getting paraphimosis (which is the dangerous trapping of blood in the glans by the foreskin, not in the foreskin itself). A different than usual fold in the skin can cause some harmless fluid retention in the inner foreskin but that won't make the ridged band tighter. If you can retract your foreskin easily when erect then you don't really need to worry about the puffyness when first staying pulled back.

You can disagree all you want but you don't need "very tight" foreskin to get paraphimosis. Paraphimosis is a "run away" effect with a little swelling that can lead to lots of swelling and tightness. That's the point.
Guys here need to listen to their bodies or they can end up in the emergency room. If they're American, doctors would be gleefully waiting to circumcise them for any reason including paraphimosis.

[soundsgreat87]

Despite all the dire warnings I see online, I have never heard of a single case of paraphimosis occurring in an adult male.

[Aftskin]

You can disagree all you want but you don't need "very tight" foreskin to get paraphimosis. Paraphimosis is a "run away" effect with a little swelling that can lead to lots of swelling and tightness. That's the point.
Guys here need to listen to their bodies or they can end up in the emergency room. If they're American, doctors would be gleefully waiting to circumcise them for any reason including paraphimosis.

That "run away" effect is impossible if there is no substantial tightness of the ridged band to start with.

Obviously listening to your body is good advice though.

[Pixlooker]

Despite all the dire warnings I see online, I have never heard of a single case of paraphimosis occurring in an adult male.

But it's the first results on a google image search. It's a foreskin problem not a pediatric problem. Red flags are "puffy swelling" like the name of this very thread. How it's going to happen is someone has prior swelling, they retract their foreskin, go to bed and wake up with a bad case of paraphimosis.