Very often men think about penis enlargement for psychological reasons. The pressure of sociocultural factors or negative experiences of intimacy push representatives of the stronger sex to seek help from a clinic.
Note that in most cases dissatisfaction with penis size 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 on the basis of examination and anamnesis, after which he makes recommendations to the patient.
As for the normal length of the penis, there are no clear answers about it. Much depends on measurement methods, racial differences, and other factors. For example, for Europeans it is 12-18 centimeters when erect. In this case the measurement should be taken from the pubic bone, since the folds of fat around the penis make it visually smaller.
A reason for consulting a doctor to enlarge your manhood can be a size less than 12 cm, as well as a change in its shape. In addition to the lengthening surgery, penis thickening is also performed. These 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 involve both surgical intervention and the use of special devices - extenders. The latter are installed on the penis and help to lengthen it. Let's take a look at the most common penis enlargement surgeries performed in clinics today.
Ligamentotomy
This is one of the most popular penis enlargement surgeries. The essence of this surgery is the intersection of the ligaments that support the penis (suspension ligament of the penis).
The ligaments that support the penis reach deep into the pelvis and are attached to the pelvic bones. If you cut them, the penis lengthens 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, the 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 has noticeable scars. A more modern method is access through a small incision in the scrotum. This procedure takes only 15-20 minutes, and rehabilitation takes no more than 14 days. The procedure is completed by applying absorbable suture material.
In fact, this surgery does not add a single millimeter to the penis. The operation only redistributes its length, extracting 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 own 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 by the immune system.
This operation is performed under general anesthesia. In the first phase, 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, plasters are applied to the puncture sites.This procedure increases the thickness of the penis by approximately 0. 5-1. 5 cm.
Surgical thickening
Increasing the diameter of the penis is also possible through the transplant of muscle tissue. 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 (fillers) with hyaluronic acid smooth wrinkles, making the skin elastic. The substance combines well with tissues and does not cause rejection or allergic reaction.
When introduced into the penis, hyaluronic acid is distributed evenly over the entire surface, thus obtaining 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 penis enlargement, 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 the safest and least traumatic for the patient. Here are the main advantages of this operation:
- The surgery 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 lasts only 2 weeks. Intimate life can be resumed after 1-1. 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 elongation, 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 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 the change in the erection angle. However, this in no way affects the hardness of the erect organ.
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 corpora cavernosa;
- The length of the penis is too short (micropenis);
- compaction of the corpora cavernosa due to their replacement with connective tissue.
This operation is often 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 anesthetist;
- ECG;
- other types of studies (at the doctor's discretion).
Some of these contraindications are temporary. After they are deleted, you can perform the procedure.
Contraindications
Plastic surgery to lengthen the penis is contraindicated if:
- under 18 (genitals are still developing);
- serious diseases of internal organs;
- acute inflammatory processes in the genitourinary system;
- blood clotting disorders;
- hypertension;
- erectile dysfunction;
- mental disease;
- malignant neoplasms;
- serious pathologies of the cardiovascular system;
- endocrine pathologies;
- local and/or purulent infectious foci.
Possible complications
Immediately after surgical correction, swelling and hematoma form in the surgery area and last 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 have to go to the clinic for dressings. If non-absorbable sutures have been placed on the wound, these will be removed after 14 days.
To consolidate the result after the ligament cutting operation, the man is recommended 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, returning 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. In particular, this is the length of the perineal part of the penis (which can be stretched when crossing ligaments), as well as the elasticity of the tissue.
Much depends on the capabilities of the clinic, the experience of doctors and compliance with the recommendations by humans. Remember that if you follow medical instructions, the effect lasts for life.