Introduction

Men are often subjected to social pressure regarding their virility since adolescence. Comparison with peers during puberty, a period synonymous with great physical changes and the discovery of one’s own body, can lead to true psychological anguish, better known as the ” locker-room syndrome .” A complex set of emotions that often accompanies man into adult life. In the most serious cases, the complexes compromise their social and love relationships. Today, there are several solutions to help a man feel better in his body.

History of penis enlargement

The size of your genital organ has always concerned a large number of men, who since ancient times have sought more or less invasive methods to increase the volume of their members. The oldest testimonies of cosmetic surgery on the penis go back to the Edwin Smith papyrus, which is considered the oldest treatise on medicine (3,000 BC).

The tuck of the male sex organ is particularly used in Japan Imperial where Samurai used to insert small amounts of natural silicones in the foreskin, or glass marbles under the layer of foreskin to increase female pleasure during intercourse.

Nowadays, penis enlargement techniques have evolved considerably, giving the possibility of obtaining excellent and long-lasting results.

What is penis enlargement?

The thickening of the penis, also called phalloplasty thickening, is a surgical procedure that involves increasing the girth of the penis by lipofilling, as we said the French surgeon Marc Abécassis, one of the pioneers in Europe in developing this technique. This procedure has an exclusively aesthetic purpose since it does not improve sexual performance or treat genital disorders.

It is a minimally invasive intervention since the filling that serves to increase the circumference of the penis comes from the patient himself, and is extracted using small liposuction in the donor area.

Men who undergo penis enlargement can expect an increase of up to 2 cm in circumference in the first intervention, and up to 5 cm thanks to several successive touch-ups, according to professionals.

Who can undergo a penis enlargement?

There are no age-related contraindications to undergoing this type of intervention. However, as with other cosmetic surgery procedures, subjects must be in excellent health and free from cardiovascular disease. The experts tell us that this intervention is generally performed on penises that have a circumference of less than 7 cm.

Men who go to a surgeon for penis enlargement often feel profound discomfort regarding the thickness of their members, leading them to doubt their sexual performance. Sometimes the thickening can be a special request from the partner who complains of a drop in pleasure during intercourse. In this particular case, the surgeon may also consider performing a vaginoplasty to narrow the vaginal canal.

The cultural factors greatly influence the generation of an incorrect assessment of the sexual abilities of the man, who focuses attention on the length or girth of your member. Since the psychological component plays a fundamental role in the decision to perform a thickening phalloplasty, surgeons may sometimes require the opinion of a psychologist before proceeding with the operation

How do I choose my doctor?

To perform a penis enlargement, you should go to a cosmetic surgeon specializing in male intimate surgery. We recommend that you verify that your doctor is part of the SECURE (Spanish Society of Aesthetic and Reconstructive Plastic Surgery). If you want to opt for a non-invasive thickening (with injections), you can also go to an aesthetic doctor who specialized in intimate treatments. We also recommend that you look at the following details:

consult online opinions as well as testimonials about the surgeon of your choice
consult several surgeons to choose a professional with whom you feel comfortable
Beware of prices that are too low. Price is certainly an important factor but it should not be your criteria of choice when selecting a healthcare professional.

What happens during the first consultation?

During your first visit, the surgeon will begin by taking your complete medical history to rule out possible contraindications. He will ask you about your motivations and expectations to explain how the procedure is carried out. He will tell you everything about the preparation for surgery, the postoperative period, and the results to expect. They can also show you before and after photos of former patients. Do not be scared if he asks you explicit questions regarding your sexual life, he will need to know all the details of your intimacy to propose you the best solution.

Ultimately, they will give you a complete estimate of the total price of the intervention.

If you decide to carry out the process, your surgeon will call you for a new consultation to resolve your last doubts and prepare the intervention.

How to prepare for the intervention?

We recommend that you follow this list of tips to prepare before your surgery:

stop smoking 1 month before and 1 month after the procedure
stop taking anti-inflammatory medications at least 15 days before surgery
consult your anesthetist at least 48 hours before
shave the genital area
shower with an antiseptic the night and the morning before
your surgeon will prescribe some medications to temporarily inhibit the erection during the postoperative phase.

Anesthesia and hospitalization

The thickening of penis surgery is usually performed under local anesthesia or loco-regional with sedation, so you can go home the same day of the intervention.

What is penis enlargement?

It is usually a short procedure, lasting between 30 minutes and 1 hour. This tells us that in the first step, the surgeon is dedicated to removing fat from the donor site through liposuction by a microcannulas 3 mm in diameter. Generally, the fat is extracted from areas such as the belly, thighs, or buttocks, although it can also come from the suprapubic area, with the advantage of performing a slight lifting of the intimate area.

The donor area is previously infiltrated with a tumescent solution, which allows the area to be anesthetized and at the same time to narrow the blood vessels to limit blood loss. The incisions are small, vary between 3 and 5 mm, and do not cause visible scars.

The aspirated fat is treated and filtered (Coleman method) using a centrifugation process that allows the pure fat to be separated from the blood and the oil. It is this same pure fat that will be reused to thicken the penis.

Then with the help of microcannulas of 2 mm, pure fat is injected into the shaft of the penis thus increasing its circumference. To evenly distribute the fat and thus obtain a natural and harmonious result, the doctor massages the area as the fat is injected. Finally, the doctor sews the incisions and places a bandage around the penis and the donor area.

Postoperative

The experts explain to us how the postoperative period is carried out :

It is normal for the area to appear swollen for days after surgery. The edema gradually disappears, although bruising in donor areas may take longer to fade.
Although this is not a painful procedure, your surgeon will prescribe simple pain relievers to limit pain.
Wear comfortable, loose-fitting underwear
Shower the day after surgery very gently and follow the intimate cleansing routine prescribed by your doctor
Pulling the foreskin can be tricky in the first few days but it is normal.
You will be able to return to the office on the 2nd or 3rd day depending on the nature of your work
Wait 3 weeks to progressively resume sexual activity
Use lubricated condoms at first to avoid friction

Results

As in all cases of lipofilling, the body tends to absorb the injected fat (up to 30% ) during the first 3 months after the procedure.

Therefore, do not worry if you notice a decrease in the thickness of your penis during the first weeks, since it is a natural phenomenon. However, you need to know that results may vary from patient to patient. Some patients choose to have a touch-up several weeks later, or several touch-ups in a row to achieve a fuller penis.

We recommend waiting around 8 weeks before you can judge the final result. The circumference can gain between 1 and 2 cm at rest and in erection and up to 5 cm after several consecutive touch-ups. The results are natural and harmonious, and the scars are invisible so no sexual partner will know that you have undergone intimate treatment.

Although there is no relationship between penis enlargement and sexual performance, patients feel more self-confident, allowing them to lead a
more enjoyable sex life.

Penis thickening with hyaluronic acid

There are medical alternatives for surgery, the most requested is the phalloplasty with hyaluronic acid.

Strengths and weaknesses

Medical phalloplasty, unlike surgical, is a rapid procedure that does not require anesthesia. Only a local anesthetic is applied with topical products to limit discomfort from the injections. However, the results are not definitive. The injected acid is reabsorbed after 6 to 12 months, so the procedure will need to be renewed every year. In addition, the long-term cost is higher, since the average cost of injection is 350 euros and between 5 and 8 syringes are required to obtain a good result.

Contraindications

The surgeon or cosmetic doctor should use a suitable hyaluronic acid to perform the procedure. Macrolane injections are contraindicated as they favor the appearance of small lumps on the penis and can induce erectile dysfunction problems.

Process

The doctor applies an anesthetic cream to the patient 1 hour before the procedure. Then, he performs hyaluronic acid injections throughout the entire penis to naturally thicken it.

Results

The patient instantly gains 3 to 4 cm in circumference and can resume normal activity immediately. It is advisable to wait between 2 and 3 days before resuming sexual activity.

Two-dimensional phalloplasty

Some patients have a desire to increase the length and volume of their penis. In these cases, it is advisable to resort to a two-dimensional phalloplasty procedure that combines lengthening phalloplasty and the aforementioned lipofilling thickening techniques.

Possible complications

Each surgical procedure is subject to various risks and complications. In the case of intimate lipofilling, they are associated with the surgical act itself:

bruises
infection
erectile dysfunction
hypertrophic scar
poor healing

We also count the risks associated with the imperfections of the result :

asymmetries
irregularities
overcorrection

frequently asked questions

Will my partner be able to notice an improvement on a sexual level after a penis enlargement? As we have said previously, penis enlargement has an aesthetic function. Men who undergo this type of surgery usually notice an increase in their confidence in themselves, so they have a better sexual performance, but this surgery does not have a direct relationship with the sexual pleasure of the woman.
How many centimeters in circumference can I gain with penis enlargement? A single intervention allows you to gain up to 2 cm in circumference and repetitive touch-ups up to 5 cm.
Can I lengthen and thicken my penis at the same time? Yes, we are talking about two-dimensional phalloplasty and it is a fairly common procedure.
Will a future sexual partner know that I underwent a penis enlargement? The result of this procedure is very natural and does not leave scars, so a future partner will not be able to know that you have undergone an intervention.
What is the average thickness of a penis? Measurements vary greatly from one subject to another. On average we count a circumference of 9 cm at rest, and 12 cm in erection.
Will the thickening of the penis also affect the thickness of the erection? Yes, this surgery allows gaining centimeters in circumference also in erection