Penis Enlargement
What is it?For who?
The surgery
The risks
The costs
Penis enlargement surgery (also known as penile augmentation or penile enhancement surgery) consists of two surgical procedures to enlarge the penis, one is used to increase the girth of the penis, the second is used to increase the length of the penis. Typically, patients opt to have both penis enlargement procedures carried out at the same time.
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Candidates for penis enlargement surgery should seek advice from their own doctor and ideally undergo counselling before consulting with surgeons offering these procedures.
Surgeons who perform this surgery say they only perform the operation on men who are mature and emotionally stable. They also caution that the patient should have realistic expectations about the outcome. If you are considering this operation make certain you are fully aware of the risks and make certain that the surgeon is a board certified plastic surgeon who has experience in this area.
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There are two ways to increase the size of the penis. The first involves lengthening of the penis by releasing the ligaments which attach the penis to the pelvis. The tissue in the penis that fills with blood is called the corpora cavernosa. This spongy tissue normally extends from the penis back into the body. In some cases, half of the corpora cavernosa may be "concealed" inside the body. Penis lengthening relies on releasing this concealed tissue which has the effect of increasing the length of the penis. Releasing the concealed part of the penis is done by cutting the suspensory ligaments that keep the corpora cavernosa anchored within the body. This moves the concealed part of the penis forward achieving additional penis length outside the body. This type of penis enlargement surgery can result in substantial flaccid size gains but sometimes only a small increase in the erect penis length.
The second method injects fat suctioned from some other part of the patient's body, usually the abdomen. The procedure, known as fat transfer, bulks-up the penis and can increase the girth of the penis by 1 to 3 inches. One of the possible drawbacks is that the transplanted fat cells feel soft, somewhat like female breast tissue. Additionally, increases in the girth of the penis achieved this way can often disappear as the fat cells are reabsorbed back into the body. Sometimes, the re-absorption of the transplanted fat is uneven and the penis is left looking lumpy and unsightly.
A variant of the fat transfer method called "dermal transfer" may overcome the fat re-absorption problem. Dermal transfer uses strips of skin and fat together. The skin stops the fat from being re-absorbed into the body but because this procedure requires strips of skin and fat to be grafted onto the penis the surgery is more complex and the risk of disfigurement is much greater.
In the first week or two after surgery patients will experience pain and swelling. Sexual activity must be avoided for several weeks.
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The risks include infection, scarring, loss of skin, bleeding, skin irritation, tightness, numbness and loss of penile function.
Risks of the penis lengthening surgery by releasing the ligaments which attach the penis to the pelvis stem from the fact that with the suspensory ligament no longer anchored to the pubic bone, the penis is effectively "floating loose". If the penis is flaccid this will not cause any problems but if the penis is erect then several problems may occur. Floating loose from the pubic bone, the erect penis can slip and shift around during sex. And without the suspensory ligament to hold it, erections can point downwards. Nowadays, more sophisticated surgical techniques mean that this can be minimized but the angle of erection is still likely to be reduced no matter how the surgery is carried out.
As mentioned above the fat transfer method may cause soft feeling of the transplanted tissues and reabsorbation of the fat cells back in to the body. This may leave the patient with a lumpy and unsighty looking penis.
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Since most plastic surgeons don't perform penis enlargement procedures, no information about the costs of this kind of surgery is available.
Men considering this operations would be well advised to look around until they find a specialist with a strong track record in this area. Don’t try and save money by using the cheapest surgeon.
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