More than 11,000 penis enlargement surgeries are performed worldwide every year, and the number is constantly growing.The surgical procedure itself lasts no more than half an hour, and after three weeks a man can start an active sexual life.Most surgeries take place in Thailand, the world leader in plastic surgery.This text contains a story about how penis enlargement surgery takes place.
Around the world, plastic surgery is more of a psychotherapy than a solution to real problems.This also applies to penis enlargement operations.Many men believe that their penis is smaller than it should be, while doctors are convinced that most people underestimate its size.Why is this happening?Paradoxically, the idea that the penis is too small often arises in childhood, when mental comparison with a father or older brother can be inherently discouraging.
It is believed that men often have a misconception about the size of their own genitals because they measure or estimate them incorrectly.When viewed from above, the penis may appear shorter.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 of more than 15,000 people, the average size of an erect penis is about 13 centimeters.Medium sized margins range from 11 to 18 centimeters.Doctors diagnose a small penis when its erect size is less than eight centimeters.
How does a patient decide on surgery?
A fairly wide range of problems can prompt a man to undergo surgery: unsuccessful sexual experiences, internal beliefs, false 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 pictures without really thinking about where they come from and how they correspond to reality. Most often, people come to surgeons with pictures from the Internet and show that they want "exactly what is shown here."
Imagine constantly receiving spam emails titled “Iron Erections and a Hundred Other Awesome Ways to Enlarge Your Penis.”At this point, even a normal, sensible person begins to think: maybe there is something wrong with him if he constantly receives letters: “You have to do this!”I often remember the movie “The Man from the Boulevard des Capucines” in which following a certain culture completely changes people's behavior.First, they stop being tyrants, drink milk and behave like gentlemen.And then, after watching enough of other films, they start causing mayhem, drunkenness and shootings.And here it is the same: society influences people, and certain people, films, 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, supplements, exercises, vacuum pumps, polymer gel injections.However, most of these remedies have not been proven to be effective, and some of them can actually cause damage to the penis.If you think that additional funds are needed, it is better to contact a specialist: a urologist, andrologist or a plastic surgeon to discuss whether this or that method is worth it.
There are tablets and lotions.They usually contain vitamins, minerals, herbs and hormones.However, there are no studies confirming 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 worsen the quality of the erection.
There are exercises that have been developed over centuries among some peoples: the Jelqa method is used by Sudanese boys aged 9 to 11.The movements are simple: you have to move your hand from the base of the penis to the head, thereby holding back ejaculation.This sounds pretty safe, but it can actually cause pain, lead to scarring, and change the shape of the genitals.
There are also injections, but the risks are very high and the effectiveness is questionable.Inserting polymer polyacrylamide gels under the skin of the penis can almost become disabling, doctors warn.The polymer does not hold - under the influence of gravity, the gel migrates due to physical activity, which often leads to inflammation, 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, which involves injecting fatty tissue through punctures under the skin.However, the effect is only visible immediately after the procedure, then the fat is absorbed (and often unevenly), creating densities and irregularities.The consequences are resolved in the operating room.
There is only one non-surgical method of penis enlargement that has shown effectiveness - long-term wearing of an extender.These are two rods with adjustable length that are attached between the glans and the base of the penis.The dumbbells must be moved apart very gradually and little by little to stretch the penis - something like an Ilizarov apparatus is created, only without spokes.The extender must be worn for a long period of time;The result of wearing it is an elongation of the penis by a few centimeters.
Does size matter?
From a physiological point of view, no.But sex is not a mechanical grinding between two partners, but a whole complex of human experiences.Self-confidence, the desire to make your partner happy, sexual habits and much more play a role.
“The thing is that the spread in the “norm” is quite large.11 or 18 centimeters is still a significant difference, says the plastic surgeon.— Size is important in the sense that a lot depends on the partner, his adaptation and his sexual experience.And it doesn't matter what penis size your partner's previous husband had, but also her reactions and expectations.In women, receptors can be concentrated in different parts of the sexual organs: in the clitoris, the entrance to the vagina, its front surface, or somewhere near the cervix, when the receptors are concentrated at the entrance or along the walls of the vagina.And this means that a man's skills, position and understanding between partners are just as important as height.
How does the operation work?
“Usually a man comes and says, “Doctor, I want a big one.”Then we talk, discuss everything in detail and always talk about sexual needs.“It happens that people think about surgery because they cannot realize their dreams or sexual fantasies: for example, sex with a woman with an excellent figure,” says the doctor.
As with other plastic surgeries, it is very important to adequately assess whether the surgery will help achieve a specific goal.Any doctor will try to avoid surgery if he sees that the patient's expectations do not correspond to the actual possibilities of surgery or that the doctor's measures will be ineffective, the specialist believes.
With the help of surgery, you can increase both the length and diameter of the penis.
The length is the easiest.This operation is scientifically called ligamentotomy and means cutting the suspensory ligament of the penis.
“Today, ligamentotomy is the most important operation we offer to lengthen the penis,” says the surgeon."In my view, it is optimal in terms of the level of risk to the patient, the extent of the trauma and the result achieved. However, it does not actually apply to true lengthening operations. We simply increase the angle between the penis and the pubic bone and cut the ligament. In this way the penis simply moves forward and creates an enlargement effect."
The effectiveness of this operation largely depends on the suppleness of the tissue.Therefore, in order to increase the chances of success and avoid scarring, doctors recommend that the patient wear an extender before and after the operation and at the same time take medications that affect the stretching of the tissue.
That is, the timing is as follows: 2 months before the ligamentotomy they start wearing the device, then a half-hour operation, and then another three weeks with an extender.A little less than 3 months total for everything.
With diameter everything is more complicated for the patient, but more interesting for the reader.
They can increase the diameter of the penis by 2 centimeters, which is quite significant.Two methods are commonly used.The first and most common method comes from the patient's own tissue.
It works like this: A fragment of muscle tissue is taken from the back or rectus abdominis muscle and transplanted onto the penis.In fact, the penis is wrapped with a piece of muscle and then the vessels are sutured to restore blood supply - this is called revascularization.
This type of surgery is classified as microsurgical.The patient then needs a week of rest.
The second method looks like this: You take dermofat flaps from the groin and place them along the erectile tissue.In other words, they wrap the penis like a muscle tissue transplant, but in this case the doctors do not use microsurgical devices, so the recovery period is easier: strict bed rest is not required and the patient only spends a few days in the clinic.
There is a way to increase the thickness of the penis using silicone implants - penis enlargement replacement.This is the least traumatic method and the operation itself is similar to breast surgery, except that 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 and 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 standard risks associated with any surgical procedure, there is a risk of a serious complication: if the doctor becomes too overconfident or acts carelessly, he can damage the artery, thereby dooming the patient to impotence.Therefore, choosing a clinic and a doctor who guarantees results is the most important part of the operation.
When choosing a clinic, you should pay particular attention to a balanced discussion with your doctor.He has no right to promise a tripling of penis size or to say outright how many centimeters taller it will be.The doctor's caution is the key to the success of the operation.
Ligamentotomy is often combined with liposuction of the pubic area;Together, this results in the best effect in overweight patients.The doctor says that based on his personal experience, patients are more likely to be satisfied with penis enlargement surgeries.As for the likelihood of repeat operations, such a need often arises when surgical lengthening is accompanied by an increase in diameter, and usually such a desire arises in the patient in the late postoperative period.
However, in addition to health risks, patients also fear their own reputation and the anonymity of the operation.The plastic surgeon is convinced that this problem can be solved easily: "In addition to the patient protection law, which states that the doctor cannot promote any procedure, there is also an important point of contact between the patient and the doctor. Was there trust between you? Do you think that the doctor has good moral qualities that fundamentally do not allow him to talk about the operation? Does he tell you in detail about other patients? Does he mention their names? Or does he only give examples similar to yours? By default, your doctor is not allowed to talk about yours."However, if the patient is too worried about this, from a psychological point of view he can explicitly say that he has no interest in making this story known.”