Penis Enlargement

Introduction: Understanding Penis Size and Enlargement

Discussions about penis size are common, and it's important to approach the topic with factual information. Many clinical studies have researched penis size across different ages and populations. According to world averages, the typical adult penis is about 9.16 cm (3.6 inches) when not erect and 13.12 cm (5.16 inches) when erect. A condition where the erect penis length is shorter than 7 cm is medically defined as "micropenia," which affects approximately 0.6% of men worldwide. For adult men (over the age of 20) who are dissatisfied with the size of their penis for personal or psychological reasons, medical and aesthetic procedures exist. These procedures, collectively known as penis enlargement, are permanent solutions that consist of two main categories: penis lengthening and penis thickening. It is critical to understand that non-surgical penis enlargement is not possible with current technology. Products marketed as penis enlargement pills, creams, or teas have no scientific basis and can have negative effects on one's health. Similarly, devices like pumps do not provide lasting benefits and can pose a risk of irritation and infection. The only proven methods for penis enlargement are medical and surgical procedures performed by qualified doctors.

Who is a Candidate for These Procedures?

This procedure can be performed for both aesthetic and functional reasons and is applicable to adult men who are unhappy with the length or thickness of their penis. Common reasons for seeking these procedures include:

• Psychological distress or feelings of shame.
• Loss of self-confidence.
• Dissatisfaction with one's sexual life.
• Having a penis length of 7 cm or less when erect (micropenia).

While doctors typically recommend the procedure for medical reasons in cases of micropenia, men with a penis size within the average range who are still not satisfied can also be candidates, provided they have realistic expectations that are discussed and agreed upon with their doctor. Since the penis can continue to develop until the age of 20, these procedures are not performed on anyone younger.

Penis Enlargement Procedures: A Detailed Look

The most satisfying and aesthetically proportional results are often obtained by combining lengthening and thickening procedures. A specialist will determine the appropriate method during a consultation.

1. Penis Lengthening Surgery (Phalloplasty)

This is a microsurgical procedure designed to increase the visible length of the penis.

• Method 1: Ligament Release Surgery: The primary surgical technique involves making a small, 3 cm triangular incision at the base of the penis. The surgeon then cuts the anterior suspensory ligaments that connect the penis to the pubic bone. This allows the internal portion of the penis to shift outward, resulting in a visible elongation without adding any external materials.
• Method 2: Pubic Fat Removal (Liposuction): For men who have excess fat tissue at the base of the penis, liposuction can be used to remove this fat. This procedure doesn't lengthen the penis itself but increases its visible length, achieving a natural-looking result.

2. Penis Thickening (Girth Enhancement)

These procedures are designed to increase the circumference of the penis.

• Method 1: Autologous Fat Injection: This effective and permanent method uses the patient's own fat tissue. Fat is harvested from another part of the body, processed and purified, and then injected evenly into the penis shaft using micro-cannulas. Over a few weeks, the fat tissue integrates and becomes a permanent part of the penis, potentially increasing the thickness by about 40%.
• Method 2: Dermal Filler Injection: In this method, a medical-grade filler material specifically prepared for this purpose is injected into the penis. This procedure provides visible and satisfactory results and takes approximately 20 to 40 minutes.
• Method 3: Tissue Transfer (Dermal Fat Graft): This process involves taking a strip of fat tissue with its blood supply from another part of the body and grafting it into the penis to add thickness.

Corrective Procedures: Penis Curvature Surgery

Separate from enhancement, corrective surgery is available for men with penile curvature (Peyronie's disease) that is either congenital or acquired. If medication therapy is unsuccessful, microsurgical methods can be used to correct upward, downward, or lateral curvatures.

The Surgical Process and Recovery

Before the Procedure

• Avoid alcohol, smoking, and blood-thinning medications for 1-2 days prior.
• The area to be operated on should be shaved and cleaned properly.

The Procedure Itself

• These operations are performed under general or local anesthesia, so no pain is felt during the procedure.
• The average length of the surgery varies but is typically between 20 minutes and 1 hour.

After the Procedure (Recovery)

Following the doctor's recommendations is key to a short and successful recovery.

• A visible improvement is often seen after the first month. For procedures involving an incision, full recovery with the fading of scars can take about 3 months.
• Avoid activities that increase blood pressure, such as sports and exercise, for 2 weeks.
• Refrain from bathing for the first week.
• Do not wear tight clothing. Your doctor may recommend a compression bandage or special underwear.
• Avoid sexual intercourse for at least 4 weeks.
• It is beneficial to stay away from alcohol and cigarettes during the initial recovery period.

Permanence, Risks, and Final Considerations

Permanence: Penis lengthening surgery, fat injections, and tissue transfers are permanent methods. Thickening achieved with dermal fillers may need to be repeated over time, as the body gradually absorbs the filler material. Success Rate & Risks: When performed by a specialist in a well-equipped clinic, these procedures have a high success rate and the risks are minimal. Rare side effects like swelling, redness, or itching may occur but typically disappear on their own. If post-operative instructions are not followed, there is a risk of infection, as with any surgery. Cost: The cost of penis aesthetic procedures varies depending on the specific methods required for the individual's needs. A final price is determined after a consultation with a doctor.