Every year more than 11 thousand penis enlargement operations are performed in the world and their number is constantly growing.The surgical intervention itself lasts no more than half an hour and after three weeks the man can begin an active sexual life.Most operations are performed in Thailand, a world leader in plastic surgery.This text contains a story about how penis enlargement surgery occurs.
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 people underestimate their size.Why is this happening?Paradoxically, the idea that the penis is too small is often formed in childhood, when mental comparison with a father or older brother can naturally be discouraging.
It is believed that men often have a misconception about the size of their own genitals because they measure or estimate them incorrectly.The penis may appear shorter when viewed from above.To properly assess the size, it is best to undress in front of a mirror where you can see your full-length reflection.According to a study carried out among more than 15 thousand people, the average size of an erect penis is about 13 centimeters.Medium-sized edges range from 11 to 18 centimeters.Doctors diagnose a small penis if its size is less than eight centimeters when erect.
How does a patient decide to have surgery?
A fairly wide range of issues can push a man to undergo surgery: unsuccessful sexual experiences, internal beliefs, incorrect 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 images without really delving into where they come from and how they correspond to reality. Most of the time, people come to surgeons with images from the Internet that demonstrate that they want "exactly what is shown here."
Imagine if you constantly receive "Iron Erections and One Hundred More Fantastic Ways to Enlarge Your Penis" spam emails.At this point, even a normal, sensible person will start to think: Maybe there is something wrong with him if he constantly receives letters saying "You have to do this!"I often remember the movie “The Man from the Boulevard des Capucines”, when following a certain culture completely changes people's behavior.First they stop being bullies, drink milk and act like gentlemen.And then, after they've seen enough movies, they start causing mayhem, drunkenness, and shootouts.And the same thing happens here: society influences people, and specific people, films and cultural patterns give rise to some ideas.
In general, male patients who want to enlarge their penis are no different from other plastic surgery patients;for example, women who want to improve the size or shape of their breasts or undergo intimate plastic surgery, correct the shape of their ears or nose.”
Is it possible to do 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 remedies have not been proven to be effective and some of them can cause damage to the penis.If you think that additional funds are needed, it is better to consult with a specialist doctor: a urologist, an andrologist or a plastic surgeon, to discuss whether it is worth using this or that method.
There are pills and lotions.They usually contain vitamins, minerals, herbs and hormones.However, there are no studies to confirm that any of this works.
There are vacuum pumps that are commonly used to treat erectile dysfunction.They can only visually increase the size temporarily, but too frequent or prolonged use can cause tissue damage and deteriorate the quality of the erection.
There are exercises that have been developed for centuries among some peoples: the jelqa method is used by Sudanese children between 9 and 11 years old.The movements are simple: you must move your hand from the base of the penis to the head, stopping ejaculation.It seems safe enough, but it can actually cause pain, cause scarring, and change the shape of your genitals.
Injections also exist, but the risks are very high and the effectiveness is questionable.Introducing polymer and polyacrylamide gels under the skin of the penis can almost cause disability, doctors warn.The polymer is not retained: under the influence of gravity, due to physical activity, the gel migrates, which often causes inflammation, this can be followed by infection, etc., up to tissue necrosis with complete or partial loss of the penis.
There is a way to enlarge the penis through lipofilling, when adipose tissue is injected under the skin through punctures.However, the effect is visible only immediately after the procedure, then the fat is absorbed (and often unevenly), turning into compactions and irregularities.The consequences are corrected in the operating room.
There is only one non-surgical method to enlarge the penis that has been proven effective: the long-term use of an extender.These are two rods of adjustable length that are installed between the head and base of the penis.The bars should be separated very gradually, little by little, stretching the penis;It turns out something like an Ilizarov device, only without radios.The extender will need to be used for a long time;The result of its use will be an increase in the length of the penis by a couple of centimeters.
Does size matter?
From a physiological point of view, no.But sex is not a mechanical fight between two partners, it is a whole complex of human experiences.This is influenced by self-confidence, the desire to make your partner happy, sexual habits and much more.
"The fact is that the difference in "normality" is quite large. 11 or 18 centimeters is still a significant difference, says the plastic surgeon. — Size matters in the sense that a lot depends on the partner, his adaptation and his sexual experience. And it is not about the size of the penis that his partner's previous man had, but also about his reactions and expectations. In women, the receptors can be concentrated in different parts of the genital organs: on the clitoris, at the entrance to the vagina, onits anterior surface or somewhere nearby. "The diameter of the penis matters if the receptors are concentrated at the entrance or along the walls of the vagina, the length, if it is around the cervix.And this means that the man's skill, position and understanding between the couple are as important as size."
How does the operation work?
"Usually a man comes and says: 'Doctor, I want a big one.' Then we talk, we discuss everything in detail and we always talk about sexual needs. It happens that people think about surgery because they cannot realize their sexual dreams or fantasies: for example, having sex with a woman in excellent shape," says the doctor.
It is very important, as with other plastic surgeries, to properly assess whether the surgery will help achieve a specific objective.Every doctor will try to avoid surgery if he sees that the patient's expectations do not correspond to the real possibilities of surgery or that the doctor's actions will be ineffective, the specialist considers.
With the help of surgery, both the length and diameter of the penis can be increased.
The length is the easiest.This operation is scientifically called ligamentotomy and consists of cutting the penile suspensory ligament.
“Today, ligamentotomy is the main operation we offer to lengthen the penis,” says the surgeon."From my point of view, it is optimal in terms of the degree of risk for the patient, the level of trauma and the result obtained. Although, in reality, it does not apply to true lengthening operations. We simply increase the angle between the penis and the pubis, cutting the ligament. In this way, the penis simply advances and creates an enlargement effect."
The effectiveness of this operation largely depends on the flexibility of the tissue, so to increase the chances of success and avoid scarring, doctors will recommend that the patient use an extender before and after the operation in combination with medications that affect tissue stretching.
That is, the timing is as follows: 2 months before the ligamentotomy they begin to use the device, then a half-hour operation, and then another three 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, the most common, comes from the patient's own tissues.
It works like this: a fragment of muscle tissue is taken from the posterior or rectus abdominis muscle and transplanted into the penis.In fact, the penis is wrapped with a piece of muscle and then the vessels are sutured to restore the blood supply;this is called revascularization.
This type of operation is classified as microsurgical.Afterwards, the patient needs rest for a week.
The second method looks like this: dermofatty flaps are taken from the groin area and placed along the corpora cavernosa.In other words, they wrap the penis as if it were a muscle tissue transplant, but in this case doctors do without microsurgical equipment, so the recovery period is easier: strict bed rest is not necessary and the patient only spends a few days in the clinic.
There is a way to increase penis girth using silicone implants: penis augmentation replacement.This is the least traumatic method and the operation itself is similar to breast surgery, only the implants are individual and made specifically for the patient.
In all cases, the choice of method depends solely 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 the ease of recovery, in addition to the usual risks accompanying 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, thus condemning the patient to impotence.Therefore, choosing a clinic and a doctor that guarantees results is the most important part of the operation.
The main thing you should pay attention to when choosing a clinic is a balanced conversation with your doctor.You have no right to promise to triple the size of your penis or to suddenly say how many centimeters it will grow.The doctor's caution is the key to the success of the operation.
Ligamentotomy is often combined with liposuction of the pubic area;Altogether, this provides the best effect in overweight patients.The doctor states that, from his personal experience, patients are usually more satisfied with penis enlargement operations.As for the likelihood of repeat operations, this need often arises when lengthening surgery is combined with an increase in diameter, and usually such a desire arises in the patient in the late postoperative period.
However, in addition to the health risks, patients are also concerned about their own reputation and the anonymity of the operation.The plastic surgeon is convinced that this problem can be solved simply: "In addition to the law protecting the patient, which states that the doctor cannot announce any intervention, there is also an important point of contact between the patient and the doctor. Has there been trust between you? Do you think that the doctor has worthy moral qualities that will not allow him, in principle, to talk about the operation? Does he inform you in detail about other patients? Does he mention their names? Or does he simply give you examples similar to yours? By default, your doctor cannot talk aboutyour surgery with anyone. However, if the patient is too concerned about this, then from a psychological comfort point of view, you can specifically say that you are not interested in publicizing this story."