Most of the time, men think about penis enlargement for psychological reasons. Pressure from sociocultural factors or negative intimate experiences encourage the stronger sex to seek help at a clinic.
Please 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 based on the examination and medical history, after which he makes recommendations to the patient.
As for normal penis length, there are no clear answers on the matter. Much depends on measurement methods, racial differences and other factors. For example, for Europeans it is 12 to 18 centimeters in an erect state. In this case, the measurement should be taken from the pubic bone, since the folds of fat surrounding the penis make it visually smaller.
A reason to consult a doctor about enlarging your manhood may be a size less than 12 cm, as well as a change in its shape. In addition to lengthening surgery, penis thickening is also performed. These results are achieved in several ways, which will be discussed below.
Types of operations
Modern plastic surgery has several methods to enlarge the penis. Doctors often resort to combined methods, which involve both surgical intervention and the use of special devices - extenders. The latter are installed in the penis and help to 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 surgeries. The essence of this intervention is to cross the ligaments that support the penis (ligamentum suspensorium penis).
The ligaments that support the penis penetrate deep into the pelvis and are attached to the pelvic bones. If you cut them, the penis extends between 3 and 5 centimeters. This is achieved with the help of an extender that is prescribed to a man after surgery. At the same time, there are protocols 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 visible scars. A more modern method is access through a small incision in the scrotum. This procedure lasts only 15 to 20 minutes and rehabilitation does not require 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, removing the perineal part of the reproductive organ.
lipofilling
The thickness of the penis can be increased through lipofilling. For this, the patient's adipose tissue is used, which is transplanted subcutaneously to 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 stage, adipose tissue is collected. Incisions are made in the patient's thighs or abdomen, through which a certain amount of fat is extracted with a syringe. The fatty mass is then cleaned of blood impurities and placed in a thin layer under the skin of the penis using microscopic punctures.
At the end of the operation, plasters are applied to the puncture sites.This procedure increases the thickness of the penis between 0. 5 and 1. 5 cm.
Surgical thickening
It is also possible to increase the diameter of the penis 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 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 out wrinkles and make the skin elastic. The substance combines well with tissues and does not cause rejection or an allergic reaction.
When introduced into the penis, hyaluronic acid is distributed evenly over the entire surface, thus achieving a proportional enlargement of the organ. If necessary, you can only expand the head separately.
This procedure does not require hospitalization. At the same time, the technique also has its disadvantages. So, unlike surgical methods to enlarge the penis, 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 to enlarge the penis, doctors prefer ligamentotomy. This technique is considered the safest and least traumatic for the patient. These 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 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 does not suffer 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 impossibility of accurately determining 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 to 5 cm, and in others - from 2 to 3. Another consequence of penis lengthening is a change in the angle of erection. However, this does not in any way affect 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 is caused by fibrosis in the area of the corpora cavernosa;
- The length of the penis is too short (micropenis);
- Compaction 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 discomfort and psychological complexes;
- Penile dysmorphophobia is a pathological dissatisfaction with the appearance of the genitals.
Diagnosis
Before undergoing penis enlargement surgery, diagnostics are performed, 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 doctor's discretion).
Some of these contraindications are temporary. Once removed, 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;
- 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. These postoperative complications are normal and disappear within a few days. In very rare cases, postoperative bleeding and suppuration of sutures may occur.
Recovery period
The first days after surgery, the patient is prescribed pain relievers and antibiotics (to avoid infectious complications). Every 2 days it is necessary to go to the clinic to have bandages made. If nonabsorbable sutures were placed in the wound, they are removed after 14 days.
To consolidate the result after the ligament cutting operation, a man is recommended 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 extender is not used, 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 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 by crossing the ligaments), as well as the elasticity of the tissue.
Much depends on the capabilities of the clinic, the experience of the doctors and the man's compliance with the recommendations. Remember that if you follow medical instructions, the effect lasts a lifetime.