Also known as phalloplasty or penile enhancement
Penis enlargement, or phalloplasty, is a surgical procedure that can permanently increase the length of the penis, usually by slightly more than an inch. Other penile procedures are available that can increase the circumference, or girth, of the penis. Non-surgical options also exist for penile enhancement, though they may not have permanent results. These procedures focus on a renewed sense of well-being and improved self-assurance.
When to Consider Penis Enlargement
- If you feel that your penis is very small in proportion to your body size or want a larger penis
- If you think you would gain self-confidence or improved sexual function from such a procedure
- If you have been diagnosed as having micropenis (an erect penis of 3 inches or less) or Peyronie’s disease (a bent or painful erection)
Many men who consider enlargement surgery also consider liposuction, gynecomastia (male breast reduction), pectoral implants, or abdominal etching (“six-pack” procedure). Some patients consider glanular enhancement surgery, which enlarges the coronal ridge of the glans penis.
- Increased length and width of your penis
- Increased confidence and self-esteem
- Enhanced sense of masculinity and potency
- Increased sexual function from improved self-confidence
- There may be no significant increase in the size or width of your penis
- There may be scarring, reduced sensation and less rigid erections
- The procedure is irreversible
These are some of the pros and cons to weigh when considering penis enlargement. If you want to focus on those specifically unique to you, please consult with your aesthetic plastic surgeon.
Are you a good candidate for penis enlargement?
Following are some common reasons why you may want to consider penis enhancement:
- You consider your penis length too small for your body frame
- You have been diagnosed with a medical condition that has led to a significantly smaller penis size
- You desire an enhanced sense of masculinity and sexual potency
If you are in good general health and have a positive attitude and realistic expectations, you are most likely a good candidate for this procedure.
Detailed Procedural Info
How is a penis enlargement procedure performed?
Approximately a third of the penis lies inside the body, beneath the pubic bone. In the lengthening surgery, called phalloplasty, the suspensory ligament above the penis is released, which causes the penis to extend further outside the body. This surgical treatment increases both the flaccid length and erect length of the penis. This is done through a small incision in the pubic area and will be covered by pubic hair. Although this procedure will result in erections that point downward, this will not interfere with normal function.
In some individuals the scrotum is attached high up on the penile shaft. Partially disconnecting the scrotum can produce the appearance of a longer phallus. This 20-minute procedure can be done on an outpatient basis.
Increasing penis circumference is most often performed by transferring fat from other areas of the body by liposuction, and placing it through a syringe into the penile shaft. A newer procedure that some surgeons are using is the transfer of platelet-rich plasma (PRP) from your own blood supply. Both of these approaches involve no foreign bodies, and therefore there are no problems of tissue rejection. Another method is to increase the overall width of the penis with a dermal wrap of an allograft material placed under the skin. This is also known as fat grafting to the penis.
Following the procedure, your penis may be covered with a dressing that needs to be changed at intervals. Your sexual performance will not be affected, nor will your ability to urinate.
Nonsurgical options also exist. A newer, less invasive, nonsurgical procedure that some aesthetic surgeons are using is the transfer of platelet-rich plasma (PRP) from your own blood supply. Both of these approaches involve no foreign bodies, and therefore there are no problems of tissue rejection. Another method is to increase the overall width of the penis with a dermal wrap of an allograft material placed under the skin. Soft tissue fillers like different types of hyaluronic acid (HA) fillers have been used by some aesthetic surgeons to increase the size of the penis.
What are my options?
Your doctor will discuss with you whether weight loss will improve the projection of your penis. For some men, significant weight loss, or liposuction of the fat pad around the penis, will produce the apparent increased length they desire, without the need for penis enlargement surgery.
Alternatively, your surgeon may recommend surgery. For the lengthening procedure, a small incision is made in the pubic area. To widen the penis, small amounts of processed fatty tissue from your body are injected through tiny incision sites around the circumference of the penis. If the allograft surgical technique is selected, the acellular dermal matrix sheets will be inserted through the same incision as for the lengthening procedure.
What will my penis enlargement incisions and scars be like?
A small incision is made in the pubic area and will be covered by pubic hair. There is no incision to the penis. Sometimes an additional incision will be made behind the glans penis.
Preparing for Your Procedure
How do I prepare for a penis enlargement procedure?
Your surgeon will provide thorough preoperative instructions, answer any questions you may have, take a detailed medical history, and perform a physical exam to determine your fitness for surgery.
In advance of your procedure, your surgeon will ask you to:
- Stop smoking before undergoing surgery to promote better healing
- Avoid taking aspirin, certain anti-inflammatory drugs, and some herbal medications that can cause increased bleeding
- Regardless of the type of surgery to be performed, hydration is very important before and after surgery for safe recovery.
Phalloplasty is usually performed on an outpatient basis. Be sure to arrange for someone to drive you home after surgery and to stay with you at least the first night following surgery.
What can I expect on the day of penis enlargement surgery?
Your surgery may be performed in an accredited hospital, free-standing ambulatory facility, or office-based surgical suite. Most penis enlargement procedures take at least one to one and a half hours to complete but may take longer.
- Medications are administered for your comfort during the surgical procedure.
- General anesthesia is commonly during your procedure, although local anesthesia with or without intravenous sedation may be desirable in some instances.
- For your safety during the surgery, various monitors may be used to check your heart, blood pressure, pulse, and the amount of oxygen circulating in your blood.
- Your surgeon will follow the surgical plan discussed with you before surgery.
- After your procedure is completed, you will be taken into a recovery area where you will continue to be closely monitored.
You will probably be permitted to go home after a short observation period unless you and your plastic surgeon have made other plans for your immediate postoperative recovery.
Aftercare and Recovery
Your surgeon will discuss how long it will be before you can return to your normal level of activity and work. After surgery, you and your caregiver will receive detailed instructions about your postsurgical care, including information about:
- Normal symptoms you will experience
- Potential signs of complications
- When you can resume sexual activity and masturbation
Immediately after penis enlargement
If you have had a general anesthetic, you will stay in the facility overnight. If a local anesthetic was used, the surgeon may discharge you on the same day. Your penis may be covered with a dressing that needs to be changed at intervals. Your surgeon may prescribe medication for pain. If an antibiotic is given, follow directions carefully and promptly report any signs of infection.
When the anesthesia wears off, you may have some pain. If the pain is extreme or long-lasting, contact your physician. You will also have some redness and swelling after the surgery. Contact your surgeon to find out if your pain, redness, and swelling is normal or a sign of a problem. The goal is for your pain to be controlled and for you to be comfortable. Being in pain does neither you nor your surgeon any good.
Recovery time frame after penis enlargement
It is vitally important that you follow all patient care instructions provided by your surgeon. This will include information about care of your drains if placed, taking an antibiotic if prescribed and the level and type of activity that is safe. Your surgeon will also provide detailed instructions about the normal symptoms you will experience and any potential signs of complications. It is important to realize that the amount of time it takes for recovery varies greatly among individuals.
You should wear loose-fitting garments and avoid overexerting yourself. Your surgeon will determine based on what you had done when you can resume heavy lifting, working out at the gym, cycling and resuming other activities including masturbation and sexual intercourse. Your doctor may instruct you in a course of stretching exercises or a system of weights to ensure optimal results.
How Long Will the Results Last?
The results of phalloplasty are permanent. If liposuction has been performed around the pubis, subsequent weight gain can alter the results. If glandular enhancement has been performed, repeat treatments may be considered.
Nonsurgical treatments and results vary based on the nature of the procedure performed.
Maintain a relationship with your aesthetic plastic surgeon
For safety, as well as the most beautiful and healthy outcome, it’s important to return to your plastic surgeon’s office for follow-up evaluation at prescribed times and whenever you notice any changes. Do not hesitate to contact your surgeon when you have any questions or concerns.
Limitations and Risks
Fortunately, significant complications from penis enlargement are infrequent. Your specific risks will be discussed during your consultation.
All surgical procedures have some degree of risk. Some of the potential complications of all surgeries are:
- Adverse reaction to anesthesia
- Hematoma or seroma (an accumulation of blood under the skin that may require removal)
- Infection and bleeding
- Changes in sensation
- Allergic reactions
- Damage to underlying structures
- Unsatisfactory results that may necessitate additional procedures
- Vaso Occlusion from fat or filler
Other risks specific to penis enlargement are outlined below:
- Reduced sensation
- Fewer rigid erections
- Problems with urination
You can help minimize certain risks by following the advice and instructions of your board-certified plastic surgeon, both before and after your penis enlargement surgery.