Most often, men think about penis enlargement for psychological reasons. The pressure of sociocultural 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 penis size is successfully resolved through psychotherapy. However, there are also medical indications for such an operation. The feasibility of the intervention is determined by the doctor based on the examination and medical history, after which he makes recommendations to the patient.
As for the normal penis length, there are no clear answers on this subject. Much depends on measurement methods, racial differences and other factors. For example, for Europeans it is 12 to 18 centimeters erect. In this case, the measurement should be taken from the pubic bone, because the fatty folds around the penis make it visually smaller.
A reason to consult a doctor regarding the enlargement of your manhood may be a size less than 12 cm, as well as a change in shape. In addition to lengthening surgery, penis thickening is also performed. Such results are achieved in different 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. These sit on the penis and help stretch it in length. Let's look at the most common penis enlargement surgeries performed in clinics today.
Ligamentotomy
This is one of the most popular penis enlargement operations. The essence of this procedure is to cut the ligaments that support the penis (ligamentum suspensorium penis).
The ligaments that hold the penis extend deep into the pelvis and are attached to the pelvic bones. If you cut them, the penis lengthens by 3 to 5 centimeters. This is achieved using an extender, which is prescribed to a man after surgery. At the same time, protocols exist without using 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 performed through the pubic bone. However, after such an operation, the patient is left with visible scars. A more modern method involves 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 the application of absorbable suture material.
In fact, this surgical procedure does not add a single millimeter to the penis. The operation only redistributes its length, tearing off the perineal part of the reproductive organ.
Lipofilling
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. First, the 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 fatty 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, dressings are applied to the puncture sites.This procedure increases the thickness of the penis by approximately 0. 5 to 1. 5 cm.
Surgical thickening
Increasing the diameter of the penis is also possible through a muscle tissue transplant. 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 remodeling, including the genitals. Fillers based on hyaluronic acid smooth wrinkles, making the skin elastic. The substance combines well with tissues and does not cause rejection or allergic reactions.
When introduced into the penis, hyaluronic acid is evenly distributed over the entire surface, thereby achieving proportional enlargement of the organ. If necessary, only the head can be enlarged separately.
This procedure does not require hospitalization. At the same time, the technique also has disadvantages. So, unlike surgical methods of penis enlargement, the effect of hyaluronic acid is temporary. After about 12 to 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 procedure does not require general anesthesia. Local anesthesia is enough to eliminate the pain.
- The man only spends 2 to 3 days at the clinic.
- Rehabilitation after surgery lasts only 2 weeks. Intimate life can resume after 1 to 1. 5 months. In this case, the first contacts may be accompanied by discomfort, but this passes quickly. Otherwise, you should consult a doctor.
- Unlike other methods of penis enlargement, the reproductive organ itself is not subject to any traumatic effects. The operation is performed only on the ligaments.
- In addition to lengthening, this procedure also partially eliminates other defects, such as curvature.
The disadvantages of the method include the inability to accurately determine in advance the effect of the operation. It all depends on the individual characteristics of a person. In some patients, the size of the reproductive organ increases by 4 to 5 cm, and in others by 2 to 3. Another consequence of penis lengthening is a change in the erection angle. However, this does not affect the hardness of the erect organ.
Indications for ligamentotomy
There are both aesthetic and medical indications for penis enlargement surgery. These include:
- Peyronie's disease is a pathological curvature of the penis due to fibrosis in the corpora cavernosa;
- The length of the penis is too short (micropenis);
- compaction of the corpora cavernosa due to their replacement by connective tissue.
Often this operation is carried out for aesthetic and/or psychological reasons:
- a man’s desire to increase his self-esteem and attractiveness;
- get rid of psychological discomfort and complexes;
- Penile dysmorphophobia is a pathological dissatisfaction with the appearance of the genitals.
Diagnostic
Before undergoing penis enlargement surgery, diagnostics are carried out, including:
- 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 an anesthesiologist;
- ECG;
- other types of studies (at the discretion of the doctor).
Some of these contraindications are temporary. After their elimination, the procedure can be carried out.
Contraindications
Plastic surgery to lengthen the penis is contraindicated if:
- under 18 years old (genitals are still developing);
- serious diseases of internal organs;
- acute inflammatory processes in the genitourinary system;
- blood clotting disorders;
- high blood pressure;
- 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 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.
Recovery period
The first 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 have been placed on the wound, they are removed after 14 days.
To consolidate the result after the ligament cutting operation, the man is advised to use an extender for 2 to 4 months. The device should be worn for several hours a day and removed at night.
If the expander is not worn, the operation may be unnecessary. The fact is that the cruciate ligament grows together, pulling the reproductive organ to 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. These include the length of the perineal part of the penis (which can stretch when ligaments cross), as well as the elasticity of the tissue.
It all depends on the capabilities of the clinic, the experience of the doctors, as well as whether the person follows the recommendations. Remember that if you follow medical instructions, the effect lasts for life.