Penis Enlargement Surgery or Penoplasty / Phalloplasty, includes penile enlargement and/or lengthening, where the augmentation is either in the length of the penis, achieved by cutting the ligaments which attach it to the body to allow it to drop down further, or in the girth or width of the penis, with the use of fat transfer techniques.
Candidates for Penile Lengthening / Penile Enlargement Surgery
Surgical sculpting of the penis can help three sets of people.
People who usually suffer from malformations or deformities of the penis. On account of these deformities, the penis is cosmetically and aesthetically unsightly. Besides, in many of these cases, the patient is incapable of normal erectile ability and copulation.
The second group of men is those with normal penises but who desire a longer or thicker penis.
The third group, where a penile enhancement procedure might be required is female transsexuals who desire a female-to-male sex change (gender reassignment) operation.
Things to consider
Here are some key facts about the Penoplasty surgery:
- You can go home the same day as the procedure.
- You’ll need to arrange a ride to and from the procedure.
- The procedure generally takes 1-2 hours to complete.
- Your surgeon will use general anesthesia to keep you asleep during the procedure.
- You’ll return for a follow-up visit two to three days later.
- Your penis will be swollen for a few weeks after the surgery.
- You’ll need to abstain from masturbation and sexual activity for about six weeks.
Penile enhancement procedures range from manual exercises to surgical procedures. At present, there is no consensus in the scientific community of any non-surgical technique that permanently increases either the thickness or length of the erect penis that already falls into the normal range (4 to 6 inches). The surgical alteration of the penis, called Phalloplasty, involves, in almost every instance a change in the length and width or girth of the shaft. The changes are never made to the Corona, or head of the penis. In fact, most of the surgical changes that occur are cosmetic, and not in any manner associated with the biological mechanisms of how the penis works.
Procedures can be performed individually or at the same time, depending on your goals and your body type. All penile enhancement surgical procedures are performed as outpatient procedures in our fully accredited surgical facilities. Procedures can be performed either under local anesthesia or general anesthesia.
The penis is located half outside the body and half inside the body. Inside, the penis is attached to the pubic bone by the suspensory ligament. To permanently achieve a longer penis through surgical male enhancement, a small horizontal incision is made above the penis in the pubic region. The suspensory ligament is cut, allowing the penis to gain an additional 1-2 inches outside the body. Fat in the pubic region can affect the how long the penis appears. It can also affect the amount of ‘usable’ penis. Liposuction can be used during the procedure to remove excess fat in the pubic region to achieve an enhanced result. Stretching the penis after surgery is a very important part of the lengthening process. This can be performed manually as well as by using small weights.
Penile Enlargement Surgery is done once satisfactory penile lengthening is achieved. Penile enlargement is done by multiple sessions of fat grafting / transplant procedure. Fat is harvested from lower abdomen / thighs. Procedure is done under spinal anesthesia as day care procedure. There will be immediate significant enlargement appreciated. There will be some amount of swelling which reduces in 2-3 weeks they can resume normal sexual activity after 1 month. The repeat sessions are done with a gap of 2-3 months till satisfactory enlargement is achieved.
A hidden penis or buried or concealed penis can occur due to multiple causes which include obesity, aging with an overlying fold of abdominal fat and skin, and a shortage of penile skin from chronic inflammation or an overly aggressive circumcision. Some men are born with a congenital fat pad that tends to make the penis indistinct. Various procedures are available to make the penis more visible. If excess skin and fat are present on the lower abdomen and pubis, the skin and fat are excised, elevating the pubic region and giving a more youthful appearance to the penis and genitalia. If fat only is present, liposuction or open surgical removal of the fat is performed. The skin of the pubis is sutured down to the underlying abdominal tissue, which prevents the penis from hiding in the pubic area. The skin at the base of the penis and scrotum is sutured to the erectile bodies, preventing the penis from retracting into fat or into the scrotum. The extent of the operation depends on the severity of the deformity.
Peno scrotal Webbing
In some men, the scrotum extends up the underside of the penis, creating an inconspicuous junction between the penis and scrotum. This peno scrotal webbing makes the penis appear short on it’s under surface. It can also cause discomfort with intercourse or difficulty using a condom. The web may be congenital or due to the removal of too much skin from a circumcision. A mild web is eliminated by rearranging the tissues at the peno scrotal junction, leaving a zigzag incision. A more severe web is eliminated by excision of the web and closure with a linear scar.