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 dissatisfaction with the size of the penis in most cases is 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 to this question. Much depends on measurement methods, racial differences and other factors. For example, for Europeans it is 12-18 centimeters in the upright position. In this case, the measurement must be taken from the pubic bone, as the folds of fat around the penis make it visually smaller.
A reason to consult a doctor about enlarging your manhood can be a size of less than 12 cm, as well as a change in its shape. In addition to extending the operation, 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 that involve both surgical intervention and the use of special devices - extenders. The latter is installed on the penis and helps to stretch it in length. Let's look at the most common penis enlargement surgeries practiced in clinics today.
Ligamentotomy
This is one of the most popular penis enlargement surgeries. The essence of this intervention is to cut 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 will stretch by 3-5 centimeters. This is achieved with the help of an extender, which is prescribed to a man after the operation. At the same time, protocols exist without the use of additional devices. The choice of technique is determined by the doctor based on the clinic's indications and possibilities.
Initially, the division of the suspensory ligaments was performed through the pubic bone. After such an operation, however, 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 require more than 14 days. The procedure is completed by applying absorbable suture material.
In fact, this surgical procedure does not add a single millimeter to the penis. The operation only redistributes its length and pulls out 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 fat tissue is used, which is transplanted subcutaneously into the penis. One of the advantages of using one's own tissue is that there is no rejection reaction from the immune system.
This operation is performed under general anesthesia. In the first phase, 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. The fat mass is then 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
It is also possible to increase the diameter of the penis 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 probability 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 with hyaluronic acid smooth out wrinkles, which makes the skin elastic. The substance goes well with drugs and does not cause rejection or allergic reaction.
When introduced 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 also has its disadvantages. So unlike surgical methods to lengthen the penis, the effect of hyaluronic acid is temporary. After approximately 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 to be 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 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 enlargement, the reproductive organ itself is not exposed 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 enlargement is a change in the angle of erection. However, this does not affect the hardness of the erect body in any way.
Indications for ligamentotomy
There are both aesthetic and medical indications for penile enlargement surgery. The latter includes:
- Peyronie's disease is a pathological curvature of the penis that occurs due to fibrosis in the area of the corpora cavernosa;
- Penis length is too short (micropenis);
- compression of the cavernous bodies due to their replacement by connective tissue.
Often this operation is performed for aesthetic and/or psychological reasons:
- a man's desire to increase self-esteem and attractiveness;
- get rid of psychological discomfort and complexes;
- Penile dysmorphophobia is a pathological dissatisfaction with the appearance of one's genitals.
Diagnostics
Before undergoing penis enlargement surgery, diagnostics are performed, 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 an anesthesiologist;
- EKG;
- other types of examinations (at the doctor's discretion).
Some of these contraindications are temporary. After they are eliminated, the procedure can be carried out.
Contraindications
Plastic surgery to lengthen the penis is contraindicated if:
- under 18 years of age (genitalia are still developing);
- serious 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 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 is possible.
Refund period
In the first days after the operation, the patient is prescribed painkillers and antibiotics (to avoid infectious complications). Every 2nd day you have to go to the clinic for bandages. 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 during the 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 and pulls 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. This is especially 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 clinic's capabilities, the doctors' experience and the man's compliance with the recommendations. Remember that if you follow medical instructions, the effect will last a lifetime.