Most of the time, men consider 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 from a clinic.
Note 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 makes recommendations to the patient.
As for the normal length of the penis, there are no clear answers on this matter. Much depends on measurement methods, racial differences, and other factors. For example, for Europeans it is 12-18 cm in standing position. In this case, the measurement should be taken from the pubic bone, as the folds of fat around the penis make it visually smaller.
A reason to consult a doctor about the enlargement of your manhood may be a size less than 12 cm, as well as a change in its shape. In addition to lengthening surgery, penile thickening is also applied. Such results are achieved in various ways, which will be discussed below.
Types of functions
Modern plastic surgery has many methods of penis enlargement. Doctors often resort to combined methods, involving both surgery and the use of special devices - expanders. The latter are installed on the penis and help to stretch it lengthwise. Let's look at the most common penis enlargement procedures performed in clinics today.
Ligamentotomy
This is one of the most popular penile lengthening surgeries. The essence of this intervention is the cutting of the ligaments that support the penis (ligamentum suspensorium penis).
The ligaments that hold the penis go deep into the pelvis and attach to the pelvic bones. If you cut them, the penis extends by 3-5 cm. This is achieved with the help of an expander, which is prescribed to a man after the operation. At the same time, 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.
Originally, the division of the suspensory ligaments was 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 takes only 15-20 minutes and recovery does not require more than 14 days. The procedure is completed with the application of absorbable suture material.
In fact, this surgery 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 penile thickness can be achieved through liposuction. For this purpose, the patient's 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 from the immune system.
This operation is performed under general anesthesia. In the first stage, the adipose tissue is collected. Incisions are made in the patient's thighs or abdomen, through which a certain amount of fat is removed using a syringe. The fatty mass is then cleaned of blood impurities and placed in a thin layer under the skin of the penis through tiny punctures.
At the end of the operation plasters are applied to the puncture points.This procedure increases the thickness of the penis by about 0. 5-1. 5 cm.
Surgical fattening
Increasing the diameter of the penis is also possible through muscle tissue transplantation. 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 possibility of a hernia is high.
Hyaluronic acid injections
Many clinics practice penis enlargement with hyaluronic acid injections. This ingredient has long been used for contouring, including the genitals. Fillers (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 inserted into the penis, the hyaluronic acid is evenly distributed over the entire surface, thus 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. Thus, 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 ligature surgery.This technique is considered the safest and least traumatic for the patient. Here are the main advantages of this feature:
- The intervention does not require general anesthesia. Local anesthesia is enough to eliminate pain.
- The man spends only 2-3 days in the clinic.
- Recovery after surgery takes only 2 weeks. Intimate life can resume 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 effect. The operation is done only on ligaments.
- In addition to elongation, this intervention partially eliminates other defects, such as curvature.
The disadvantages of the method include the inability to accurately determine the result 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 4-5 cm, and in others - by 2-3. Another consequence of penis lengthening is the 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 cosmetic 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).
- compression of the corpora cavernosa 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.
- relief from 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 carried out, 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 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 performed.
Contraindications
Plastic surgery to lengthen the penis is contraindicated if:
- under 18 years of age (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. Such postoperative complications are normal and disappear within a few days. In very rare cases, bleeding and swelling of the postoperative sutures are possible.
Recovery period
In 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 bandages. If non-absorbable sutures were placed in the wound, they are removed after 14 days.
To consolidate the result after the ligament cutting operation, the man is recommended to use an extension for 2-4 months. The device must be worn for several hours during the day and removed at night.
If the extension is not worn, the function 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 surgery 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 during the passage of ligaments), as well as the elasticity of the tissue.
A lot 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 result lasts for life.