Today, methods of intimate injection contouring have been developed and put into practice, with the help of which it is possible to change the size and shape of the penis without surgery and general anesthesia, a long rehabilitation period and at a lower cost. In modern medicine, great importance is attached to improving the quality of human life. In addition, a fulfilling sex life is an important part of this concept. Interestingly, until recently, sexual health was considered an integral part of reproductive health, but the World Sexual Health Association Declaration, passed in Montreal in 2005, recognized the right of all of us to seek sexual pleasure as part of overall well-being.
In the public consciousness, especially in the self-confidence of men themselves, masculinity and sexuality are almost synonymous, which is why so many representatives of the stronger sex today are interested in penis enlargement techniques.
The size of the penis has always been of great importance in a man's perception of his masculinity, sexuality and assertion of his self-esteem. Because of this, dissatisfaction with the size of the penis causes sexual problems in men, stiffness in communicating with women, loss of sexual interests, the development of various complexes and even a general lack of confidence in their abilities. It is precisely these cases that can become indications for intimate plastic surgery in men. Due to the high social importance of this problem, the question arises of the need to develop effective methods of penis enlargement that can change the quality of sex life of men of all ages. Today there are various methods of plastic surgery of the male intimate area for this, most of which are surgical.
Basically, these are expensive operations that require certain conditions, equipment and skills. In recent years, however, simpler and less expensive methods have been developed and put into practice. These include methods of intimate injection contouring, which make it possible to achieve penis enlargement and change the shape of the penis without surgery, general anesthesia, a long rehabilitation period and at a lower cost. Almost every man knows about the safe and effective methods of female breast augmentation, the possibilities of contouring and intimate plastic surgery, which allow women to emphasize and maintain their external attractiveness and sexuality.
However, many men do not know that there are modern minimally invasive methods of plastic surgery of the male intimate area, which allow you to change the shape of the penis and enlarge the penis, which will certainly help improve the quality of sex life.
When is penis enlargement performed?
According to various sources, at least 70% of men want to enlarge their penis. Around 60% of them want it to get longer, around 40% dream of a thicker penis, and nobody wants it to get smaller or thinner. Insufficient penis size causes in a man not only stiffness in communication with women and a general lack of confidence in his abilities, but also most negatively affects his ability to father offspring, that is, fertility. According to WHO, in the last 2–3 decades in all countries of the world, in addition to low fertility, the number of infertile marriages has increased, the cause of which in 40–50% of cases is the pathology of the male reproductive system, in the structure of which the proportion of micropenia andPenile dysmorphophobia has increased. In addition, the size of the penis reflects a man's overall health, specifically the state of his endocrine and reproductive systems.
The fact is that the size of the penis depends on the amount of sex hormones produced during puberty, that is, when the most intense growth of the external genital organs is observed. A reduced level of male sex hormones not only leads to a slowdown in the growth of penile tissues, but is often the cause of male infertility, as it leads to a reduction and sometimes even a complete stoppage of sperm production. In these cases, it is recommended to consider the possibility of male intimate plastic surgery. Information on the size of the "average" penis varies greatly.
Different authors estimate the average size of a normal penis differently, since their ideas are often determined by cultural and ethnic characteristics of certain countries and regions. Despite this, the normal length of the penis is estimated at 7. 5-10. 5 cm in a resting state and 12-18 cm in an erect state, while its diameter is usually 3. 0-3. 5 cm. A fairly large variation in the normal length of the penis (from 12 to 18 cm) can be explained by individual differences in the anatomy of the groin region, namely the ratio of the hidden and free parts of the cavernous bodies and their surrounding sheath. There is an opinion that with a normal level of sex hormones and the correct development of the cavernous bodies in different men, based on their individual characteristics, the size of the hidden part of the cavernous bodies, which is responsible for the attachment of the cavernous pubis and, accordingly, the fixation of the penis are atfar not the same. As for various pathologies, about 20 congenital diseases are currently known, which are characterized by a violation of the production of sex hormones and are manifested in the small size of the penis, as well as (in some cases) infertility.
Of course, such cases require plastic surgery of the male intimate area. The earlier the diagnosis is made and treatment is started, the more reasons speak about their effectiveness. There is evidence in the literature that with perfectly normal testicles and fairly well-defined secondary sexual characteristics, a functioning penis should not exceed 2. 5 cm when fully erect. The term "micropenis" is used in reference to organs of this size. A phenomenon known as "congenital hypoplasia" has also been described, in which the body of the penis is virtually absent and its head is attached to the pubic bone. In this case, injection contouring can helpcreate.
Although the size of the penis has little or no effect on the possibility of normal sexual intercourse, some men have a desire to enlarge the penis provided there is a normal erection. Dissatisfaction with the appearance and size of your penis can cause serious reproductive health problems. One of the most formidable complications of penile dysmorphophobia is the psychogenic erectile dysfunction that ultimately leads to infertility. Thus, the size of the penis becomes one of the important factors that directly affect fertility and quality of life. Male genital plastic surgery remains a popular and increasingly common area of plastic surgery. Based on our own experience and data from world literature, we can state that more than 70% of male intimate plastic surgery procedures are performed on people with completely normal anatomical dimensions of the penis. So, the main motives of patients who want penis enlargement are:
- increase in self-esteem;
- increasing sexual attractiveness;
- improving the quality of sex life;
- Removal of the "dressing room complex" - reducing the feeling of embarrassment in men's companies.
It is known that the length of the penis affects a partner's ability to achieve vaginal orgasm to a much lesser extent than its diameter. Therefore, the desired result is much easier to achieve not by enlarging the penis, but by correcting the diameter of the penis.
Methods of penis enlargement and correction of its shape
Modern methods of plastic intimate surgery in men aim not only to improve the aesthetic and functional results of the interventions, but also to reduce the number of complications. These methods include lipofilling, microsurgical tissue autografting, transposition of vascularized muscle or fascial fat grafts, installation of various implants. Until recently, lipofilling with autologous fat was a widely used method of injection contouring. However, frequent resorption and migration of the injected autologous fat and cases of fibrosis have minimized interest in this method. Various synthetic materials (silicone, paraffin, etc. ) have not been widely used for penis enlargement due to common complications such as infection, implant migration, tissue sclerosis, and necrosis. Professor D. G. Kurbatov et al. , for penis enlargement, proposed a procedure for microsurgical autografting of a rotated fascial fat flap from the anterior abdominal wall onto a supplying vascular pedicle. Despite the obvious advantages, the method requires expensive equipment and a specially trained microsurgical team. In the postoperative period, it is necessary to refrain from physical activity for up to 3 months.
Of great interest is a new direction in male intimate plastic surgery, based on the implantation under the skin of the penis of special viscoelastic biogels based on hyaluronic acid, which not only fill the existing volume deficit, but also improve the structure of the skin of the penis. Professor J. J Kim conducted relevant studies in 2003 and received the first data on the effectiveness of using these biogels in male genitalia, which indicates the possibility of their clinical use. Male injection contouring with hyaluronic acid preparations can help solve sexual problems related not only to the appearance of the penis, but sometimes also to its functional properties (among the most common problems of this type is premature ejaculation). Therefore, specialists in injection contour plastics use viscoelastic gels (fillers) based on hyaluronic acid. The composition of these drugs differs from the composition of the fillers that cosmetologists use in facial contouring.
For this purpose we use special gels in our practice. The gel range includes 6 preparations, each of which has its own properties and applications. Since 2005, another drug of the line, designed specifically for intimate plastic surgery for men and women, has been registered in our country. With this filler, you can effectively and safely enlarge the penis, adjust the size of the crown and frenulum, change the shape of the body of the penis, and treat premature ejaculation.
It allows you to successfully work in the intimate area, since it is easy to inject, spreads well in the tissues, effectively fills the lack of volume and provides a lasting result without causing allergic reactions. The drug is produced in single-use syringes with a volume of 0. 8 ml, which are packed in blisters, which guarantees the safety and absolute sterility of the gel. The male intimate injection contouring procedure is performed on an outpatient basis under local anesthesia (without sedation). Hyaluronic acid biodegrades over time, and the rate of biodegradation depends on the blood supply to a specific area of the body. So, with plastic surgery of the glans penis, the effect lasts an average of 0. 7-1 year, with plastic surgery of the body of the penis, the effect can last up to 1. 5-2 years, so it is recommended to repeat the procedure after an average of 1-1, 5 years.
Enlargement of the head of the penis
Normally, the diameter of the glans in its posterior part should exceed the diameter of the body of the penis by 1-2 cm, which contributes to the formation of an "orgasmic cuff" during sexual intercourse. If the size of the head is not enough, penis enlargement requires a filler in itlower third and introduced in the course of the coronary groove. In both cases, the volume of the injected drug per 1 "step" is 0. 1-0. 4 ml(in the backward stroke of the needle) introduced (needle 27G). The minimum total volume of the drug when correcting the glans penis is 0. 8 ml, the expected maximum is 2. 0 mla 0. 9% saline solution in a volume of 10 ml to "hydroprepare".
frenuloplasty
The technique of frenuloplasty consists in enlarging the penis by filling the frenulum with a gel to increase its volume. The drug is injected into the soft tissues under the frenulum in the amount of 0. 1–0. 3 ml per "step", the needle is 25–27 G, the injection technique is drip technique. The introduction of the drug directly into the frenulum (volume) is unacceptable. All methods of male injection contouring can be combined and performed in one procedure, not changing in any way the conditions of rehabilitation and the development of complications. The tissues of the external genital organs in men, like in women, are very well supplied with blood, so thathealing after such procedures occurs without scarring Active sex life is not recommended during the recovery period, which lasts on average 2-3 days.