Men usually 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 in the clinic.
Keep in mind that in most cases, dissatisfaction with the size of the penis 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 gives 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 an upright position. In this case, the measurement should be taken from the pubic bone, because the fat folds around the penis make it visually smaller.
The reason to consult a doctor about male enhancement may be a size smaller than 12 cm, as well as a change in its shape. In addition to lengthening surgery, penis thickening is also practiced. Such results are achieved in different 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 include surgical intervention and the use of special devices - extenders. The latter are installed on the penis and help to stretch it in length. Let's take a 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 cross 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 is lengthened by 3-5 centimeters. This is achieved with the help of an extender, which is prescribed to the man after the operation. 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 possibilities of the clinic.
Initially, the suspensory ligaments were divided through the pubic bone. However, after such an operation, the patient remains with visible 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 last longer than 14 days. The procedure ends with the application of absorbent suture material.
In fact, this surgical intervention does not add a millimeter to the penis. The operation only redistributes its length, pulling out the perineal part of the reproductive organ.
Lipofilling
Increasing the thickness of the penis can be achieved by lipofilling. For this purpose, the patient's fat 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, adipose tissue is collected. Cuts 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 with 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
Increasing the diameter of the penis is also possible by transplanting 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. The probability of a hernia is particularly 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, making the skin elastic. The substance combines well with fabrics and does not cause rejection or an allergic reaction.
When introduced into the penis, hyaluronic acid is evenly distributed over the entire surface, which achieves 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 has its drawbacks. 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 intervention does not require general anesthesia. Local anesthesia is sufficient to remove the pain.
- A person 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 few contacts may be accompanied by discomfort, but it passes quickly. Otherwise, you should consult a doctor.
- Unlike other methods of penis enlargement, the reproductive organ itself is not subjected to any traumatic effects. The operation is performed only on the ligaments.
- In addition to lengthening, this intervention partially eliminates other defects, such as curvature.
Disadvantages of the method include the inability to accurately determine the effect of the operation in advance. Everything depends on the individual characteristics of a person. In some patients, the size of the reproductive organ increases by 4-5 cm, and in others - by 2-3. Another consequence of penis lengthening is a change in the angle of erection. However, it in no way affects the hardness of the erectile organ.
Indications for ligamentotomy
There are 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 cavernous bodies;
- The length of the penis is too short (micropenis);
- compaction of 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;
- relief from psychological discomfort and complexes;
- Penile dysmorphophobia is a pathological dissatisfaction with the appearance of one's genitals.
Diagnostics
Before the penis enlargement surgery, a diagnosis is carried out, which includes:
- 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 studies (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:
- younger than 18 years (genitals are still developing);
- severe 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 appear 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
For the first few days after the operation, 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 are placed on the wound, they are removed after 14 days.
To consolidate the results after ligament cutting surgery, a man is advised 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 cruciate ligament grows together, pulling the reproductive organ into 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. Specifically, it is the length of the perineal part of the penis (which can be stretched when the ligaments cross), as well as the elasticity of the tissue.
Much depends on the possibilities of the clinic, the experience of the doctor, as well as on how much a person follows the recommendations. Remember that if you follow the medical instructions, the effect lasts a lifetime.