Most often, men think about penis enlargement for psychological reasons. The pressure of socio-cultural factors or negative experiences of intimacy encourage representatives of the stronger sex to seek help from a clinic.
Note that in most cases, dissatisfaction with the size of the penis is successfully resolved with psychotherapy. However, there are also medical indications for such an operation. The feasibility of the procedure is determined by the doctor based on examination and medical history, after which he makes recommendations to the patient.
As for the normal length of the penis, there are no clear answers on this matter. Much depends on measurement methods, racial differences, and other factors. For example, for Europeans it is 12-18 centimeters in an erect state. In this case, the measurement should be taken from the pubic bone, since the fat folds around the penis make it visually smaller.
A reason to consult a doctor about enlarging your manhood may be a size of less than 12 cm, as well as a change in its shape. In addition to lengthening surgery, penis thickening is also practiced. Such results are achieved in various ways, which will be discussed below.
Types of operations
Modern plastic surgery has several methods of penis enlargement. Doctors often resort to combined methods, involving both surgical intervention and the use of special devices - extenders. The latter are installed on the penis and help to stretch it in length. Let's look at the most common penis enlargement surgeries that are practiced in clinics today.
This is one of the most popular penis lengthening surgeries. The essence of this intervention is to intersect the ligaments that support the penis (ligamentum suspensorium penis).
The ligaments that hold the penis go deep into the pelvis and are attached to the pelvic bones. If you cut them, the penis extends by 3-5 centimeters. This is achieved with the help of an extender, which is prescribed to a man after surgery. At the same time, protocols exist without the use of additional devices. The choice of technique is determined by the doctor based on the indications and capabilities of the clinic.
Initially, the division of the suspensory ligaments was carried out through the pubic bone. However, after such an operation the patient is left with noticeable scars. A more modern method is access through a small incision in the scrotum. This procedure takes only 15-20 minutes, and rehabilitation requires no more than 14 days. The procedure is completed by applying absorbable suture material.
In fact, this surgical intervention does not add a single millimeter to the penis. The operation only redistributes its length, pulling out the perineal part of the reproductive organ.
Increasing the thickness of the penis can be achieved through lipofilling. For this purpose, the patient's adipose tissue is used, which is transplanted subcutaneously into the penis. One of the advantages of using your own tissue is that there is no rejection reaction from the immune system.
This operation is performed under general anesthesia. At the first stage, adipose tissue is collected. Incisions are made on the patient's thighs or abdomen, through which a certain amount of fat is removed using a syringe. Then the fat mass is cleaned of blood impurities and placed in a thin layer under the skin of the penis through microscopic punctures.
At the end of the operation, plasters are applied to the puncture sites.This procedure increases the thickness of the penis by about 0. 5-1. 5 cm.
Increasing the diameter of the penis is also possible through muscle tissue transplantation. A muscle flap is taken from the patient's abdomen or armpit and placed around the genitals.
This operation is considered complex and is associated with postoperative complications. In particular, the likelihood of a hernia occurring is high.
Hyaluronic acid injections
Many clinics practice penis enlargement with hyaluronic acid injections. This component has long been used for contouring, including the genitals. Fillers (fillers) with hyaluronic acid smooth out wrinkles, making the skin elastic. The substance combines well with fabrics and does not cause rejection or an allergic reaction.
When introduced into the penis, hyaluronic acid is evenly distributed over the entire surface, thereby achieving a proportional enlargement of the organ. If necessary, only the head can be enlarged separately.
This procedure does not require a hospital stay. At the same time, the technique also has its disadvantages. So, unlike surgical methods of lengthening the penis, the effect of hyaluronic acid is temporary. After about 12-18 months, the substance is completely absorbed, after which the procedure can be repeated.
Advantages of ligamentotomy
Among the existing surgical methods for penis enlargement, doctors prefer ligamentotomy. This technique is considered the safest and least traumatic for the patient. Here are the main advantages of this operation:
- The intervention does not require general anesthesia. Local anesthesia is sufficient to eliminate pain.
- The man spends only 2-3 days in the clinic.
- Rehabilitation after surgery is only 2 weeks. Intimate life can be resumed after 1-1. 5 months. In this case, the first few contacts may be accompanied by discomfort, but this quickly passes. Otherwise, you should consult a doctor.
- Unlike other methods of penis lengthening, the reproductive organ itself is not subjected to any traumatic effects. The operation is performed only on ligaments.
- In addition to lengthening, this intervention also partially eliminates other defects, such as curvature.
The disadvantages of the method include the inability to accurately determine the effect of the operation in advance. It all depends on the individual characteristics of the man. In some patients, the size of the reproductive organ increases by 4-5 cm, and in others - by 2-3. Another consequence of penis lengthening is a change in the angle of erection. However, this does not affect the hardness of the erect organ in any way.
Indications for ligamentotomy
There are both aesthetic and medical indications for penis enlargement surgery. The latter include:
- Peyronie's disease is a pathological curvature of the penis that occurs due to fibrosis in the area of the cavernous bodies;
- Penis length is too short (micropenis);
- compaction of the cavernous bodies due to their replacement with connective tissue.
Often this operation is performed for aesthetic and/or psychological reasons:
- a man’s desire to increase self-esteem and attractiveness;
- getting rid of psychological discomfort and complexes;
- Penile dysmorphophobia is a pathological dissatisfaction with the appearance of one’s genitals.
Before undergoing penis enlargement surgery, diagnostics are carried out, which include:
- consultations with an andrologist (or urologist) and a plastic surgeon;
- consultation with a psychotherapist (if necessary);
- blood chemistry;
- blood test for infections - HIV, syphilis, hepatitis virus;
- consultation with an anesthesiologist;
- other types of studies (at the discretion of the doctor).
Some of these contraindications are temporary. After they are eliminated, the procedure can be carried out.
Plastic surgery to lengthen the penis is contraindicated if:
- under 18 years of age (genitalia are still developing);
- severe diseases of internal organs;
- acute inflammatory processes in the genitourinary system;
- blood clotting disorders;
- arterial hypertension;
- erectile dysfunction;
- mental illness;
- malignant neoplasms;
- serious pathologies of the cardiovascular system;
- endocrine pathologies;
- local infectious and/or purulent foci.
Immediately after surgical correction, swelling and hematoma form in the intervention area, which lasts for several days. Such postoperative complications are normal and disappear within a few days. In very rare cases, bleeding and suppuration of postoperative sutures are possible.
The first few days after surgery, the patient is prescribed painkillers and antibiotics (to avoid infectious complications). Every 2 days you need to go to the clinic for dressings. If non-absorbable sutures were placed on the wound, they are removed after 14 days.
To consolidate the result after the operation to cut the ligaments, the man is advised to use an extender for 2-4 months. The device must be worn for several hours a day and removed at night.
If the extender is not worn, the operation may be useless. The fact is that the crossed ligament grows together, pulling the reproductive organ into its original position.
What determines the result of penis enlargement?
First of all, the result of surgical intervention depends on the individual physiological characteristics of the patient. In particular, this is the length of the perineal part of the penis (which can be stretched when crossing the ligaments), as well as the elasticity of the tissue.
Much depends on the capabilities of the clinic, the experience of the doctors, as well as the man’s compliance with the recommendations. Remember that if you follow medical instructions, the effect lasts for life.