Penis Lengthening Surgery
Penis Lengthening Surgery
Traditional Approach Ligamentolysis
You can increase the flaccid length of your penis with traditional ligamentolysis surgery, a common penoplasty procedure in the UK practised by the majority of penis enlargement surgeons.
The penis lengthening operation is called ligamentolysis, and involves cutting the suspensory ligaments (shown in the diagram below), to allow more of the penis to protrude or hang down from the body.
With penile lengthening surgery, is important to consider whether you want to have a penis that is longer when hard (erect); longer when soft (flaccid); or longer in both the erect and flaccid states.
From the image below, you can visualise the impact that cutting some of the suspensory ligament (in yellow) from the penile shaft (in red) and pubic bone (in grey) will have on the length of the visible penis. In short, it will fall forward, increasing the length of the penis that is visible outside the body. The increase in visible penis length in the flaccid state is between 1 and 2.5 cm.
The increase in penis length in the erect state is less (if any increase at all) as the penile shaft (in pink) is not lengthened by the procedure.
Although the penis will hang out lower when flaccid, the actual penile shaft cannot be lengthened by the most common form of penis enlargement surgery: the severing of the suspensory ligaments.
Some men worry about the visible size of their penis in the flaccid state, the so-called ‘locker room effect’, and may feel their length is inadequate when comparing to others. For most men, however, it is the length of the penis when erect that is more important. Penile lengthening surgery does not increase the erect length of the penis, as the penile shaft is not made longer by the approach.
Penis Enlargement Surgery – Increase in Length + Girth
Treatment outcomes are patient dependent, and individual results may vary, however, based on our extensive experience we are able to provide typical figures below. An experienced doctor can inform you of the limits of the procedures, and the fine balance to be achieved between maximum penis length, and optimal penis function.
|Gain in Size * Individual results may vary|
|Added penis length in the flaccid state||1 – 2.5 cm (0.3 inches – 1 inch)|
|Added penis length in the erect state||Ligamentolysis does not result in increased length when erect|
|Penis girth increase with fat transfer||20% – 30% in penis girth (circumference)|
|Penis girth gain with Hyaluronic Acid||20% – 50% + in penis girth (circumference)|
Patients who are realistic about the benefits and risks of penoplasty report higher satisfaction rates than patients who have gone into the procedure with limited or unclear information, or who have overly optimistic expectations. As in other forms of cosmetic surgery (for example breast augmentation) achieving an undetectable natural result is difficult, and the patient must accept risks and compromises. Patients should enquire as to the experience of the surgeon that are seeing during their consultation.
Is penis enlargement surgery really effective?
There is an inordinate amount of misinformation regarding penis enlargement surgery on the internet and in popular culture. We have sought to address some of the most common misconceptions on the page Penis Enlargement Fact vs Fiction.
Penoplasty surgeons will often neglect to inform patients of a number of risks and limitations of penis enlargement surgery.
It is particularly common to gloss over the fact that penis lengthening is only effective in achieving increased penis length in the flaccid state, then in the erect state; where no gains are possible. Our commitment is to provide a wealth of information, and a number of options for increasing penis size, that go from low-risk non-invasive approaches, to the more involved surgical approaches.
In the field of cosmetic surgery, penis enlargement surgery is controversial. It has among the highest rates of reported complications, and, among the lowest rates of long term patient satisfaction when participants are questioned about their outcomes over a long term horizon. Some of the reasons not to go ahead with penis enlargement surgery are outlined in the following links provided by the NHS and various Urology Journals.
European Urology (2008) Link
“…the use of cosmetic surgery to enlarge the penis remains highly controversial. There is a lack of any standardization of all described procedures. Indications and outcome measures are poorly defined, and the reported complications are unacceptably high. In our opinion, until new, reliable, and more objective and reproducible data are available, these procedures should be regarded as investigational and patients should be discouraged from undergoing these invasive treatments.”
UK NHS Link 1
UK NHS Link 2
All prospective patients should read widely on the subject of penis enlargement, particularly the surgical approaches, before committing to a procedure. Our non-surgical procedures may be a better option for those who do not wish to accept the risk of higher than normal levels of reported complications; the invasive aspect of surgery, and the lengthy recovery time.
Information from government sources or industry associations is worth considering, as the information often provides an independent perspective on the pros and cons of penis enlargement surgery. We recommend searching online for cases in which penis enlargement surgery has not been successful, in order to be fully informed of the risks and limitations. The possible downside risks to surgery are real, potentially severe, and occur not infrequently.
Penis enlargement has become safer and more effective in recent years. It is possible to undergo a lower risk enlargement procedure for penis thickening using dermal fillers proven in facial aesthetics, and supported by peer-reviewed research, such as those based on Hyaluronic Acid. This procedure is available at our London Harley Street address.
There is a wealth of information available to those considering undertaking penis enlargement surgery, including in our medical literature section. Our surgeons are experienced in dealing with all aspects of male genital surgery and will clarify any questions you may have.
Factors important to patient satisfaction.
– The medical approach employed: Whether that be penis lengthening surgery, penis fat transfer, or non-surgical Hyaluronic Acid Penis Enlargement.
– Realistic patient expectations: the penis can only be increased by so much – it is not possible to increase the penis length from three inches to seven inches, for example.
– Patient physiology and other individual medical characteristics.
– The surgeon’s experience: Be sure to enquire as to the experience of the surgeon during your consultation.
Penis Enlargement Surgery is completed under general anaesthesia. After the surgery medication is given to control the pain, however, most men do not require it for any longer than 5 days following surgery.
Attention must be paid to post-operative instructions given by the surgeon in order to keep the extra length gained by the surgery. It will be necessary to wear weights or a traction device on the penis and wrap your penis for up to 8 weeks following surgery.
This is required during the day only and will not be visible under normal clothing, for example, an office suit. Patients usually take 1 week off work following surgery, but this can depend on the type of work you do.
Heavy work such as in the building trade may require additional time off. Sex must be avoided for at least 1 month following surgery and high-impact sports should not be engaged in for at least 6 weeks. Penile lengthening is a surgical procedure requiring careful consideration.
Techniques for Penis Lengthening Surgery
From the diagram above, part of penis is not visible in the flaccid state as it retracts inside the body. It is attached to the pelvic bone via suspensory ligaments as they are commonly referred to (in yellow). The role of these ligaments is to pull the penis upwards (towards the ceiling) during an erection, using the pubic bone as an anchor.
Ligamentolysis involves cutting some of the penis ligaments to allow the penis to fall further forward out of the body, lengthening the visible penis in the flaccid state. In reality, the length of the penile shaft is not actually increased, and therefore, the penis will not be longer when erect. The apparent increase in penile length is due to more of the penis being outside of the body, when flaccid.
A number of complications can arise as a result of penis enlargement surgery including the re-attachment of the ligaments which occurs as part of the natural healing process. The use of a penis stretching device can help to prevent reattachments of the ligaments.
As ligamentolysis requires the cutting of the ligaments this inevitably leads to scarring, in respect of both the area treated and the surgical access points. The surgeon’s access point for this procedure is the area above the penis usually hidden by pubic hair. If the pubic hair is shaved after the procedure it will be apparent that surgery has taken place as a 2-3 cm horizontal scar will be left by the procedure. Minimising the scarring in the pubic area depends on the level of skill of the surgeon. Hidden incisions that do not result in visible scarring are possible. Options to minimise scaring can be discussed with the surgeon during your consultation.
A common problem with penis lengthening surgery is the decrease in penis angle during an erection. It is important that not all of the ligaments are severed in order that the penis can still rise somewhat during an erection, and not simply point to the floor. The more ligaments are cut, the greater the increase in the visible penis length in the flaccid state, but the fewer ligaments are left to raise the penis during an erection. If all the ligaments are cut, as is often the case, the penis will simply point to the floor during an erection and may become more difficult to control during sexual intercourse.
* Individual results may vary from patient to patient.
2. Penile implant devices.
Penis implant devices including those made popular abroad (Dr Elist Penis Implant) have attracted considerable attention in recent years. However, the results are not consistent enough, versus the risks, for us to recommend this more invasive approach. For lengthening the penis we continue to recommend ligamentolysis, and for thickening the penis we use both fat transfer and our newer non-invasive approach, Hyaluronic Acid fillers.
3. Complete reconstruction.
We do not recommend this approach to penis lengthening.
The approach involves cutting the penis head away from the shaft and grafting new material to lengthen the penile shaft (in pink in the diagram above). A ligamentolysis is then performed. The result of the two surgical procedures can be a gain of up to 50% in the length of the penis (more so in the flaccid state), with individual results varying considerably. Highly invasive.
4. Removal of the peno-scrotal web and liposuction to remove pubic area fat.
The amount of penis protruding from the body can be increased by reducing the amount of fat in the pubic region.
In a significant number of cases, there has been an accumulation of fat in the pubic region which can be felt by pressing down on the area under the pubic hair above the penis.
In pressing down on this area one may press anywhere from 0.5 inch to 1 inch or more before reaching the firm pubic bone, depending on the degree the patient is overweight. Removing some of this fat through liposuction will increase the amount of visible penis in the flaccid and erect state making the penis appear longer.
Androfill Hyaluronic Acid Non-Surgical Penis Enlargement
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