Often, men think about penis enlargement for psychological reasons. The pressure of socio-cultural factors or negative experiences in the vicinity prompt the representatives of the stronger sex to seek help from the clinic.
It should be noted that in most cases, dissatisfaction with the size of the penis can be 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 gives recommendations to the patient.
As for the normal length of the penis, there are no clear answers. Much depends on measurement methods, racial differences, and other factors. For example, for Europeans, it is 12-18 centimeters in an upright position. In this case, the measurement should be taken from the pubic bone, because the fat layers around the penis make it visually smaller.
A size less than 12 cm, as well as a change in shape, may be the reason to consult a doctor to enlarge your penis. Along with lengthening surgery, penis thickening is also applied. Such results are achieved in various ways, which will be discussed below.
Types of operations
Modern plastic surgery has several methods for penis enlargement. Doctors often resort to combined methods, which include both surgical intervention and the use of special devices - expanders. The latter are installed on the penis and help to extend its length. Let's take a look at the penis enlargement surgeries applied in clinics today.
Ligamentotomy
This is one of the most popular penis enlargement surgeries. The essence of this intervention is to cut the ligaments supporting the penis (ligamentum suspensorium penis).
The ligaments that hold the penis go deep into the pelvic cavity and attach to the pelvic bones. If you cut them, the penis will lengthen by 3-5 centimeters. This is achieved with the help of an expander, which is assigned to a man after the operation. At the same time, the protocols are available without the use of additional devices. The choice of the technique is determined by the doctor based on the clinic's indications and capabilities.
Initially, division of the suspensory ligaments was done 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 does not exceed 14 days. The procedure is completed with the application of absorbable suture material.
In fact, this surgical intervention does not add a single millimeter to the penis. The operation redistributes the length of the reproductive organ by removing only the perineal part.
Lipofilling
Increasing the thickness of the penis can be achieved through lipofilling. For this purpose, the patient's adipose tissue is used, which is transferred subcutaneously to the genital organ. 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. In the first stage, adipose tissue is accumulated. Incisions are made on the patient's thigh 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.
Surgical thickening
Increasing the diameter of the penis is also possible with muscle tissue transplantation. A muscle flap is taken from the patient's abdomen or armpit and placed around the genitals.
This operation is considered complicated and is associated with postoperative complications. In particular, there is a high probability of rupture.
Hyaluronic acid injections
In many clinics, penis enlargement is applied with hyaluronic acid injections. This component has long been used for contouring, including the genitals. Hyaluronic acid fillers (fillers) smooth out wrinkles and make the skin elastic. The substance combines well with fabrics and does not cause rejection or allergic reactions.
When inserted into the penis, hyaluronic acid is evenly distributed over the entire surface, thereby achieving a proportional expansion 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 has its disadvantages. So, unlike surgical methods of penis enlargement, 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 available surgical methods for penis enlargement, doctors prefer ligamentotomy.This technique is considered the safest and least traumatic for the patient. The main advantages of this operation are:
- The intervention does not require general anesthesia. Local anesthesia is enough to relieve pain.
- The man stays in the clinic for only 2-3 days.
- Rehabilitation after surgery is only 2 weeks. Intimate life can be restored after 1-1, 5 months. In this case, the first few contacts may be accompanied by anxiety, but this passes quickly. Otherwise, you should consult a doctor.
- Unlike other methods of penis enlargement, 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 removes 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 person. In some patients, the size of the reproductive organ increases by 4-5 cm, and in others by 2-3. Another consequence of penis enlargement is a change in the angle of erection. However, this does not affect the stiffness of the erector in any way.
Indications for ligamentotomy
Penis enlargement surgery has both aesthetic and medical indications. The latter include:
- Peyronie's disease is a pathological curvature of the penis due to fibrosis in the area of the cavernous bodies;
- Penis length is too short (micropenis);
- compression due to replacement of cavernous bodies with connective tissue.
Often this operation is performed for aesthetic and/or psychological reasons:
- the desire to increase a man's self-esteem and attractiveness;
- getting rid of psychological anxiety and complexes;
- Penile dysmorphophobia is a pathological dissatisfaction with the appearance of the genitals.
Diagnostics
Before the 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);
- UAC;
- blood chemistry;
- blood test for infections - HIV, syphilis, hepatitis virus;
- consultation with anesthesiologist;
- ECG;
- other types of research (at the discretion of the doctor).
Some of these side effects are temporary. After they are eliminated, the procedure can be carried out.
Contraindications
Plastic surgery to lengthen the penis is contraindicated in the following cases:
- Under 18 years of age (sexual organs are still developing);
- severe diseases of internal organs;
- acute inflammatory processes in the genitourinary system;
- blood coagulation disorders;
- arterial hypertension;
- erectile dysfunction;
- mental illness;
- malignant neoplasms;
- serious pathologies of the cardiovascular system;
- endocrine pathologies;
- local infectious and/or purulent foci.
Possible complications
Immediately after surgical correction, swelling and hematoma appear in the intervention area, which lasts for several days. Such post-operative complications are normal and disappear within a few days. Very rarely, bleeding and suppuration of postoperative sutures are possible.
Recovery time
In the first days after the operation, the patient is prescribed painkillers and antibiotics (to prevent infectious complications). You have to go to the clinic for a bandage every 2 days. If non-absorbable sutures are applied to the wound, they are removed after 14 days.
After surgery to cut the ligaments, a man is recommended to use an expander for 2-4 months to consolidate the result. The device should be used for several hours a day and removed at night.
If the expander is not worn out, the operation may be useless. The fact is that the cruciate ligament grows together, pulling the reproductive organ to its original position.
What determines the outcome 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 (it can stretch when passing the ligaments), as well as the elasticity of the tissue.
A lot depends on the capabilities of the clinic, the experience of doctors, as well as whether the man follows the recommendations. Remember that if you follow medical instructions, the effect lasts a lifetime.