Most often, men think about penis enlargement for psychological reasons. The pressure of sociocultural factors or negative experiences of intimacy encourage representatives of the stronger sex to seek help from a clinic.
Keep in mind 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 an 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 erect state. In this case, the measurement should be taken from the pubic bone, as the fat folds around the penis make it visually smaller.
A reason to consult a doctor to increase your manhood can be a size below 12 cm, as well as a change in its shape. In addition to lengthening surgery, penile 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, including both 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 penile enlargement surgeries practiced in clinics today.
Ligamentotomy
This is one of the most popular penis enlargement surgeries. The essence of this intervention is crossing 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 member is lengthened 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 the capabilities of the clinic.
Initially, the division of the suspensory ligaments is done through the pubic bone. But after such an operation, the patient remains 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 requires no more than 14 days. The procedure ends with the application of an absorbable thread.
In fact, this surgical intervention does not add a single millimeter to the penis. The operation only redistributes its length, pulling 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 adipose 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 by the immune system.
This operation is performed under general anesthesia. In the first stage, adipose tissue is collected. Incisions are made on the patient's thighs or abdomen, through which a certain amount of fat is released with the help of 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 incisions.
At the end of the operation, plasters are placed on 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. In particular, the probability of herniation 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, 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, thereby achieving 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 about 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 eliminate pain.
- The man spends only 2-3 days in the clinic.
- Rehabilitation after surgery is only 2 weeks. Intimate life can resume 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 subjected to any traumatic effects. The operation is performed on links only.
- In addition to lengthening, this intervention partially removes 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 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 enlargement is the change in the angle of erection. However, this in no way affects the hardness of the erect organ.
Indications for ligamentotomy
There are both aesthetic and medical indications for penile 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);
- densification of the cavernous bodies due to their replacement with 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 the genitals.
Diagnosis
Before a penis enlargement operation, 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, viral hepatitis;
- consultation with anesthesiologist;
- EKG;
- other types of research (at the doctor's discretion).
Some of these contraindications are temporary. After their removal, the procedure can be started.
Contraindications
Plastic surgery to lengthen the penis is contraindicated if:
- under 18 years of age (genitals are still developing);
- severe diseases of internal organs;
- acute inflammatory processes in the genitourinary system;
- blood coagulation disorders;
- 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, edema and hematoma form in the intervention area, which 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 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 dressing clinic. If non-absorbable sutures are placed on the wound, they are removed after 14 days.
To consolidate the result after the ligament cutting operation, the man is recommended to use an expander for 2-4 months. The device should 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 to its original position.
What determines the outcome of penis enlargement?
First of all, the result of the surgical intervention depends on the individual physiological characteristics of the patient. In particular, it is the length of the perineal part of the penis (which can stretch when crossing the ligaments), as well as the elasticity of the tissue.
Much depends on the capabilities of the clinic, the experience of the doctors, as well as the man's compliance with the recommendations. Remember that if you follow the medical instructions, the effect remains for life.