More than 11 thousand penis enlargement operations are performed every year in the world and their number is continuously increasing.The surgical intervention itself lasts no more than half an hour, and after three weeks a man can begin an active sex life.Most operations take place in Thailand, the world leader in plastic surgery.This text contains a story about how penis enlargement surgery is performed.
Plastic surgery around the world is more of a psychotherapy than a solution to real problems.This is also true for penis enlargement surgery.Many men believe that their penis is smaller than it should be, while doctors are confident that most men underestimate its size.Why is this happening?Paradoxically, the idea that the penis is too small is often formed in childhood, when mental comparisons with father or older brother can be naturally discouraging.
It is believed that men are often misinformed about the size of their genitals because they measure or estimate them incorrectly.The penis may appear small when viewed from above.To adequately assess the size, it is better to undress in front of a mirror in which you can see your full-length reflection.According to a study conducted on more than 15 thousand people, the average size of an erect penis is about 13 centimeters.Medium size ranges from 11 to 18 centimeters.Doctors diagnose a small penis when its size is less than eight centimeters in an erect state.
How does a patient decide to have surgery?
A wide range of issues can motivate a man to undergo surgery: unsuccessful sexual experiences, internal beliefs, inaccurate information in open sources on the Internet.Plastic surgeon, Doctor of Medical Sciences, Professor of the Department of Plastic Surgery says:
“Now is the age of the Internet: people look at photos without really knowing where they came from and how they correspond to reality. Often, people come to the surgeon with photos from the Internet, pretending that they want "exactly the same photos as shown here."
Just imagine if you constantly receive spam mailings "A hundred more great ways to get an iron erection and enlarge your penis."At this point, even a normal, sane person would start to think: maybe there's something wrong with him if he constantly gets letters saying "You need to do this!"I often remember the movie "The Man from the Boulevard des Capucins", when following a certain culture completely changes people's behavior.First of all they should stop bullying, drink milk and behave like gentlemen.And then, after watching a lot of other movies, they start causing chaos, drunkenness and shootings.And it's the same here: society influences people, and specific people, films, cultural patterns give rise to certain ideas.
In general, male patients who want to enlarge their penis are no different from other plastic surgery patients – for example, from women who want to improve the size or shape of their breasts or undergo intimate plastic surgery to correct the shape of their ears or nose.
Is it possible to do this without surgery?
There are many procedures and products that, according to manufacturers, can increase the length and diameter of the penis: lotions, dietary supplements, exercises, vacuum pumps, polymer gel injections.But most of these treatments have not been proven effective, and some of them may actually harm the penis.If you feel that additional funds are needed, it is better to consult a specialist doctor: a urologist, andrologist or plastic surgeon - to discuss whether this or that method is worth using.
There are pills and lotions.These usually contain vitamins, minerals, herbs, and hormones.However, there are no studies that confirm that any of these work.
There are vacuum pumps that are commonly used to treat erectile dysfunction.They may only temporarily increase size, but too frequent or prolonged use can cause tissue damage and impair erection quality.
There are practices that have been developed over centuries among some peoples: the Jelka method is used by Sudanese boys from the age of 9–11.The movements are simple: you have to move your hand from the base of the penis to the head, while preventing ejaculation.It seems quite safe, but it can actually cause pain, cause sores and change the shape of the genitals.
There are also injections, but the risks are very high and the effectiveness is questionable.Doctors warn that applying polymer, polyacrylamide gels under the skin of the penis can cause near disability.The polymer does not hold - under the influence of gravity, due to physical activity, the gel is displaced, which often leads to inflammation, followed by infection and so on until tissue necrosis with complete or partial loss of the penis.
One way to enlarge the penis is by using lipofilling, when fat tissue is injected under the skin through a puncture.However, the effect is visible only immediately after the procedure, then the fat is absorbed (and often unevenly), turning into compactions and irregularities.The results are corrected in the operating room.
There is only one non-surgical method of enlarging the penis that has shown its effectiveness – long-term wearing of the extender.These are two rods with adjustable lengths that are installed between the head and base of the penis.The barbells need to be moved apart slowly, little by little, pulling the penis - it turns out something like the Ilizarov apparatus, only without the spokes.The extender will have to be worn for a long time;Wearing this will increase the length of the penis by a few centimeters.
Does size matter?
Physically, no.But sex is not a mechanical grind between two partners, it is a whole complex of human experiences.Self-confidence, desire to please your partner, sexual habits and much more play a role there.
"The thing is that in the "norm" the dispersion is quite large. Plastic surgeons say that 11 or 18 centimeters is still a significant difference. - Size matters in the sense that a lot depends on the partner, his adaptation and sexual experience. And it's not about what the size of your partner's previous man's penis was, but also about his reactions and expectations. In women, receptors can be concentrated in different parts of the genital organs: the clitoris.In, the entrance to the vagina, its anterior surface, or somewhere near the cervix. If the receptors are concentrated at the entrance or along the walls of the vagina, the length matters - and this means that a man's skill, position, understanding between partners are as important as anything that can satisfy a woman.
How does the operation work?
“Usually a man comes in and says: “Doctor, I want to have a big baby.”Then we talk, discuss everything in detail and always talk about sexual needs.It happens that people think about surgery because they are unable to realize their dreams or sexual fantasies: for example, having sex with a woman in excellent shape,'' says the doctor.
As with other plastic surgeries, it is very important to adequately assess whether the surgery will help achieve a specific goal.The expert believes that every doctor will try to avoid surgery if he sees that the patient's expectations do not correspond to the real possibilities of the surgery or that the doctor's actions will be ineffective.
With the help of surgery, you can increase both the length and diameter of the penis.
Length is the easiest.This operation is scientifically called ligamentotomy, and it means cutting the suspensory ligament of the penis.
“Today, ligamentotomy is the main operation to lengthen the penis,” says the surgeon."From my point of view, this is optimal in terms of the degree of risk to the patient, the level of trauma and the result achieved. However, in fact, this does not apply to actual length-increasing operations. We simply increase the angle between the penis and the pubis, cutting the ligament. In this way, the penis simply moves forward and creates an enlargement effect."
The effectiveness of this operation largely depends on the elasticity of the tissue, so to increase the chances of success and avoid scarring, the doctor will recommend that the patient wear an extender before and after the operation as well as take medications that affect the stretchability of the tissue.
That is, the timing is as follows: 2 months before the ligamentotomy they begin to wear the device, then a half-hour operation, and then three more weeks with an extender.Total – a little less than 3 months for everything.
With diameter, everything is more complicated for the patient, but more interesting for the reader.
You can increase the diameter of the penis by 2 centimeters, which is quite significant.Two methods are widely used.The first, most common, is from the patient's own tissues.
It works like this: A piece of muscle tissue is taken from the back or rectus abdominis muscle and implanted onto the penis.In fact, the penis is wrapped with a piece of muscle, and then the vessels are sewn together to restore the blood supply - this is called revascularization.
This type of operation is classified as microsurgical.After this the patient needs rest for a week.
The second method looks like this: They take dermofat flaps from the groin area and place them along the cavernous bodies.In other words, they wrap the penis like a muscle tissue transplant, but in this case, doctors do without microsurgical instruments, so the recovery period is easier: strict bed rest is not required, and the patient spends only a few days in the clinic.
One way to increase the thickness of the penis is by using silicone implants – Augmentation Penile Replacement.This is the least traumatic method, and the operation itself resembles breast surgery, only the implants are individual, they are created specifically for the patient.
In all cases, the choice of method depends entirely on the patient's preferences.The doctor is obliged to warn where the scar will be, what complications and consequences are possible, so that the person can make an informed decision.
What are the risks?
Despite the apparent simplicity of the operation and ease of recovery, in addition to the standard risks that accompany any surgical intervention, there is a risk of a serious complication: if the doctor gets too carried away or acts carelessly, he can damage the artery, which can lead to impotence for the patient.Therefore, choosing a clinic and a doctor that guarantees results is the most important part of the operation.
The main thing you should look for when choosing a clinic is a balanced conversation with your doctor.He has no right to promise a threefold increase in penis size or directly tell how many centimeters it will become larger.The doctor's attentiveness is the key to the success of the operation.
Ligamentotomy is often combined with liposuction of the pubic area;Together, it gives the best effect in overweight patients.The doctor says that, based on his personal experience, patients are more likely to be satisfied with penis lengthening surgery.As for the possibility of repeated operations, such a need often arises when long surgery is combined with an increase in diameter, and usually such a desire arises in the patient in the post-operation period.
However, in addition to the health risks, patients are also concerned about their reputation and the anonymity of the operation.The plastic surgeon is convinced that this issue can be easily resolved: “In addition to the law protecting the patient, which states that the doctor cannot advertise any intervention, there is also an important point of contact between the patient and the doctor. Is there trust between you? Do you think that the doctor has worthy moral qualities that would not allow him, in principle, to talk about the operation? Does he tell you in detail about other patients? Does he mention their names? Or just like you.Gives example? By default, your doctor is not allowed to discuss your surgery with anyone. However, from a psychological comfort point of view, he may specifically say that he is not interested in advertising this story.