What is penile plastic surgery and how can it affect organ enlargement?

Today, methods of intimate injection contour plastic surgery have been developed and put into practice, with the help of which you can change the size and shape of the penis without surgery and general anesthesia, a long rehabilitation period and with less money.

In modern medicine, great importance is attached to improving the quality of human life. Moreover, a full sexual life is an important component of this concept. Interestingly, until recently, sexual health was viewed as an integral part of reproductive health, but the 2005 Montreal Declaration of the World Association for Sexual Health recognized the right of all of us to seek sexual pleasure as a component of overall well-being. In the public consciousness, especially in the self-awareness of men themselves, masculinity and sexuality are almost synonymous, which is why today so many representatives of the stronger sex are interested in methods of penis enlargement. The size of the penis has always been of great importance in a man’s perception of his masculinity, sexuality, and the affirmation of his self-esteem. That is why dissatisfaction with the size of the penis causes sexual problems in men, constraint in communicating with women, loss of sexual interests, the development of various complexes and even general lack of confidence in their capabilities. It is these cases that can become indications for male intimate plastic surgery. Due to the high social significance of this problem, the question arises about the need to develop effective methods of penis enlargement that can change the quality of sexual life of men of all age groups.

Today, for this purpose, there are various methods of male intimate plastic surgery, most of which are surgical. Basically, these are expensive operations that require certain conditions, equipment and skills. But in recent years, simpler and more accessible methods have been developed and put into practice. These include methods of intimate injection contouring, which make it possible to achieve penis enlargement and change the shape of the penis without surgery, general anesthesia, a long rehabilitation period and with less money.

Almost every man knows about safe and effective methods of female breast enlargement, about the possibilities of contouring and intimate plastic surgery, which allow women to emphasize and maintain their external attractiveness and sexuality. But many men are not aware of the existence of modern minimally invasive methods of male intimate plastic surgery, which can be used to change the shape of the penis and enlarge the penis, which will certainly help improve the quality of sexual life.

According to the Yutskovsky Professorial Clinic, the number of patients with sexual problems has recently increased. These problems are often associated with insufficient penile size and premature ejaculation).


Analysis of men seeking treatment for problems in the anogenital area for 2008–2010 (n=85)

What it is

The history of successful intimate plastic surgery began several thousand years ago. In those ancient times, craftsmen practiced circumcision and stretching the phallus with weights. To our joy, in the first half of the 20th century, a key turn took place in official medicine.

Today, penis plastic surgery is a complex of operations and procedures, working with or without microsurgical equipment. These are technically complex, subtle, aesthetic and reconstructive interventions, the purpose of which is to correct the thickness, size and shape of the penis.

Kinds

Quietly rubbing their hands, urologists-surgeons carry out a whole range of plastic surgeries on the phallus.

Circumcision of the foreskin

This group includes reconstructive trimming of the frenulum (frenulotomy) and circumcision itself (circumcision). The operations are performed on an outpatient basis; there are no particular difficulties in terms of technique. The process takes about 30 minutes. Recovery is quick and moderately painful.

Sizing correction

Here you can work in two directions - increasing thickness and length. In the first case, the issue can only be resolved surgically with the help of autografts. In the second, the doctor acts either surgically (transplantation is not required) or conservatively (vacuum pumps, extenders).

Such plastic surgery is in demand for micropenis and a man’s own dissatisfaction.

Shape correction

The process is carried out using modern techniques for straightening the phallus. This is plastic surgery that helps poor people with Peyronie's disease, local fibrosis, and congenital curvature. In case of serious anomalies, the surgeon decides to introduce synthetic prostheses.

Reconstructive restoration of the penis (phalloplasty)

The most complex and delicate microsurgical operations. Artificial structures or autografts are implanted on the phallus. Reconstruction involves restoration of the urethra, aesthetics, and functionality .
Reconstruction is part of gender reassignment procedures, an option for men who have lost a penis after surgery, illness, or injury. Have you tried to enlarge your penis?

Not really

Penile prosthetics

A necessary step to obtain a stable artificial erection. The surgeon takes structures - synthetic prostheses - and introduces them into the trunk. They differ in the way the phallus is transferred into a relaxed and excited state.

We talked about procedures, the classification of which is very conditional. In practice, they are often combined with each other and performed sequentially on the same operating table.

Frenuloplasty

This term refers to the procedure for correcting the frenulum of the head of the penis.

The frenuloplasty technique consists of enlarging the penis by filling the frenulum with gel to increase its volume. The drug is injected into the soft tissues under the frenulum in an amount of 0.1–0.3 ml per “step”, needle 25–27 G, administration technique – drip. Injecting the drug directly into the frenulum (ligament) is unacceptable.

All techniques of male injection contouring can be combined and performed in one procedure, while the terms of rehabilitation and the development of complications do not change in any way.

The tissues of the external genital organs in men, as in women, have a very good blood supply, so healing after such procedures occurs without scarring. During the recovery period, which is an average of 2-3 days, active sex life is not recommended.

Methods

Among the top methods, we highlight lipofilling, autologous tissue transplantation, muscle transplantation, and installation of implants.

Lipofilling

The procedure is based on the injection of liquefied fat under the skin of the penis. In order for the trunk to grow in girth, you need general anesthesia and an hour of time. The doctor takes fat from the patient himself, where there is most of it, for example, on the abdomen.


The process then goes like this:

  • lipocytes are purified to produce pure fat;
  • the material is moved with a microneedle along the barrel;
  • A bandage is applied and the lucky person is sent for recovery.

The method is good because there is no risk of rejection or allergic reactions . Full recovery takes 30 days. At this time, you will have to carefully monitor hygiene, drink pharmaceutical drugs and refrain from intimacy. Unfortunately, the effect is not eternal - after 1.5-2 years the procedure is repeated.

Muscle flap transplantation

A more serious, technically complex process, but it works to increase thickness and length.

The point is this:

  • the scalpel is ready for use after the patient has been placed under general anesthesia;
  • strictly according to the markings, so as not to grab anything unnecessary, the surgeon removes a fragment of the abdominal muscle;
  • the flap is cut out together with the supplying veins, arteries, and vascular network;
  • all this goodness is transferred to the groin, rolled up into a tube and fixed on the tissues of the phallus;
  • absorbable sutures are applied in layers.

Then you need to prepare for a long and painful recovery . You can't get out of bed for 4 days. Surely, you will have to suppress the pain with medications and support the body with antibiotics.

Of course, daily dressings are indicated. Full sexual intercourse is possible six months after the intervention.

Ligamentotomy

We are talking about a radical increase in length due to trimming the supporting sling-shaped ligament. After this operation, everything that was kept in reserve is released. Some lucky ones get up to 7 cm plus.

How much do you want to increase?

1-3cm3-5cm

Briefly, it goes like this:

  • immersion in general anesthesia;
  • tissues are dissected in the scrotal area;
  • ligaments are trimmed with a laser or scalpel;
  • Additional plastic corrections are performed according to indications. This is an increase in the length of the skin at the root of the penis (VY-plasty) or removal of excess tissue in the scrotum (Z-plasty).

After plastic surgery, to consolidate the effect, an extender is worn .

Thickening with hyaluronic acid

Injections of hyaluronic acid, biocompatible with our body, are injected into the trunk.
The gel is evenly distributed under the skin and gives an increase in volume of up to 1.5 cm. To survive such a modification, a light general anesthesia and half an hour are required. The recovery will be short and painless.

Prosthetics

The surgeon will update the cavernous bodies by installing prostheses. This is important for those who suffer from vascular, psychogenic impotence, Peyronie's disease, or received an artificial penis. The clinics where we turned for advice provide the most modern plastic prostheses. These things restore full functionality and give the penis a natural appearance.

Meatoplasty

Correction of the external opening of the urethra under general anesthesia. Problems with the urethra are an unpleasant thing; they interfere with ejaculation and normal urination. They can be congenital or acquired. During the process, the urethra is cut with a scalpel, absorbable sutures are applied, and a catheter is inserted.

Frenulotomy

Surgical dissection of the short frenulum. This attack occurs from birth or as a result of injuries, scar changes. The technique is implemented on an outpatient basis. The doctor cuts the frenulum, removes scar tissue, and sutures the incision in the longitudinal direction. After the operation, the patient gets rid of discomfort, pain, ruptures and bleeding.

In what cases is penis enlargement performed?

According to various sources, at least 70% of men want to enlarge their penis. About 60% of them want it to get longer, about 40% want a thicker penis, and no one wants it to get smaller or thinner. Insufficient penis size not only causes a man to feel constrained in communicating with women and general lack of self-confidence, but also has a very negative effect on his ability to produce offspring, that is, fertility. According to WHO, over the past 2-3 decades in all countries of the world, along with low birth rates, there has been an increase in the number of infertile marriages, the cause of which in 40-50% of cases is pathology of the male reproductive system, in the structure of which the proportion of micropenia and penial dysmorphophobia has increased.

In addition, the size of the penis is a reflection of the general health of a man, in particular the state of his endocrine and reproductive systems. The fact is that the size of the penis depends on the amount of sex hormones produced during puberty, that is, when the most intensive growth of the external genitalia is observed. A reduced level of male sex hormones not only leads to a slowdown in the growth of penile tissue, but is often also the cause of male infertility, as it leads to a decrease and sometimes a complete cessation of sperm production. In these cases, it is recommended to consider the possibility of male intimate plastic surgery.

Data regarding the size of the “average” penis varies greatly. Different authors have different estimates of the average size of a normal penis, since their ideas are often determined by the cultural and ethnic characteristics of certain countries and regions. Nevertheless, the normal length of the penis in a calm state is estimated at 7.5–10.5 cm, and in an erect state – at 12–18 cm, while its diameter is usually 3.0–3.5 cm. With statistical data it follows read to anyone who is thinking about penis enlargement.

A fairly large variation in the normal length of the penis (from 12 to 18 cm) can be explained by individual differences in the anatomy of the groin area, namely the ratio of the hidden and free parts of the corpora cavernosa and the membrane surrounding them. There is an opinion that with normal levels of sex hormones and the correct development of the corpora cavernosa in different men, due to their individual characteristics, the dimensions of the hidden part of the cavernous bodies, responsible for attaching the latter to the pubic bones and, accordingly, fixing the penis, are far from the same.

As for various pathologies, about 20 congenital diseases are currently known, characterized by impaired production of sex hormones and manifested by small penis sizes, as well as (in some cases) infertility. Such cases certainly require male intimate plastic surgery. The earlier the diagnosis is made and treatment started, the more reason to talk about its effectiveness.

There is evidence in the literature that with completely normal testicles and fairly well-defined secondary sexual characteristics, a functioning penis in a state of full erection may not exceed 2.5 cm. The term “micropenis” is used for organs of this size. A phenomenon known as “congenital hypoplasia” has also been described, in which the body of the penis is practically absent, and its head is attached to the pubic bone. In this case, injection contouring can help.

Although the size of the penis has virtually no effect on the possibility of normal sexual intercourse provided there is a normal erection, some men have a desire to enlarge their penis. Dissatisfaction with the appearance and size of your penis can cause serious reproductive health problems. One of the most dangerous complications of penial dysmorphophobia is psychogenic erectile dysfunction, which ultimately leads to infertility. Thus, penis size becomes one of the important factors that directly affects fertility and quality of life.

Male intimate plastic surgery continues to be a popular and increasingly common area of ​​plastic surgery.

Based on our own experience and data from the world literature, we can say that more than 70% of interventions performed in male intimate plastic surgery are operations on persons with completely normal anatomical dimensions of the penis. Thus, the main motives of patients who want to increase penis size are:

  • increased self-esteem;
  • increased sexual attractiveness;
  • improving the quality of sexual life;
  • removing the “locker room complex” – reducing the feeling of embarrassment in male companies.

It is known that the length of the penis, to a much lesser extent than its diameter, affects the possibility of a partner achieving vaginal orgasm. Therefore, it is much easier to achieve the desired result not by enlarging the penis, but by correcting the diameter of the penis.

Price

To give you an idea of ​​some of the costs, we'll give you the average price range across the country.

Penis plastic surgery cost:

  • circumcision (circumcision) – 1.0-83 t.r.;
  • meatotomy – 1.7-54 t.r.;
  • prosthetics – 11-600 t.r.;
  • reconstructive plastic surgery (muscle flap) – 2-250 t.r.;
  • correction of excess skin (frenulotomy) – 700-60,000 rubles;
  • hyaluronic acid – from 15 t.r.;
  • ligamentotomy – from 15 rubles;
  • lipofilling – from 35 rub.

Enlargement of the glans penis

Normally, the diameter of the head of the penis in its posterior part should exceed the diameter of the shaft of the penis by 1–2 cm. This contributes to the formation of an “orgastic cuff” during sexual intercourse. If the size of the glans is insufficient, the procedure for penis enlargement involves the introduction of a filler conditionally into its lower third and along the coronary groove. In both cases, the volume of the administered drug per 1 “step” ranges from 0.1–0.4 ml. When working with the coronary groove, as well as when thickening the head itself, filler is introduced using a fan-shaped (on the reverse stroke of the needle) technique (27G needle). The minimum total volume of the drug for correction of the glans penis is 0.8 ml, the estimated maximum is 2.0 ml. To distribute the gel evenly, we recommend pre-hydropreparation of the tissue using a 0.9% NaCl solution in a volume of 10 ml.

Indications for surgery

You can consult a doctor for aesthetic and medical problems.


On the medical side it is:

  • congenital pathologies, disorders of the anatomy of the penis;
  • diseases during which complete dysfunction occurred. These are diabetes mellitus, vascular disorders, hypertrophy of cartilage tissue;
  • consequences of unsuccessful operations on the prostate gland, bladder, rectum.

Aesthetically it is:

  • dissatisfaction with the appearance, size;
  • poor organ performance associated with a psychogenic factor.
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