Penis Lengthening Surgery
Penis Lengthening Surgery (the division of the penile suspensory ligaments) is available at the Androfill Clinic and costs approximately £4,300.
Traditional Penis Lengthening Surgery / Ligamentolysis can only achieve an increase in flaccid penis length.
Explanation of Penis Lengthening Surgery
also known as Ligamentolysis or Flaccid Penis Lengthening Surgery
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 partial severing of the suspensory and fundiform ligaments.
“As the penile shaft is not made longer by the procedure, there will be no increase in erect length.”
“Any increase in erect length is due to the compulsory use of a penis extender device following lengthening surgery, rather than due to the surgery itself.”
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 erect length|
|Penis girth increase with fat transfer||20% – 30% in penis girth (circumference)|
|Penis girth gain with Hyaluronic Acid||20% – 50% + in penis girth (circumference)|
Is penis lengthening surgery 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 some risks and limitations of penis enlargement surgery.
In many instances it is not explained to the patient that penis lengthening by suspensory ligament division is only effective in achieving increased flaccid penis length: in the erect state no gains are possible.
In the field of medicine, penis enlargement surgery remains 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
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 scarring 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), however, the procedure is considered to be highly invasive.
Information about this invasive procedure can be found here.
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 inches 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.
About the author
Clinic Director Dr Gary Horn
Dr Gary Horn is the owner and director of the Androfill Clinic and is responsible for all website content.
Dr Horn is a registered Plastic Surgeon in the UK (GMC 4267803) and Belgium.
Dr Gary Horn is a highly acclaimed Consultant Plastic and Reconstructive Surgeon and Uro-Andrologist with over 25 years of experience.
Dr Horn has published widely in international journals and is regularly invited to give lectures and to perform live surgery and non-surgical procedures.
Dr Horn has been filmed by the BBC for the Plastic Fantastic series.
In 2016 Dr Horn was filmed performing penis enlargement surgery for a BBC documentary The Penis Extension Clinic