The sexual problems associated with man's dissatisfaction with the size of the penis cause rigidity in communication with women, loss of sexual interest and the formation of several complexes.
Today, methods of intimate injection of contour plastics have been developed and introduced in 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 period of rehabilitation and with less money.
In modern medicine, great importance is attached to improving the quality of human life. In addition, a full sex life is an important component of this concept. Interestingly, until recently, sexual health was considered an integral part of reproductive health, but the 2005 Montreal Declaration of the World Association for Sexual Health recognized that we all have the right to pursue sexual pleasure as a component of overall well-being. In public awareness, especially in the self-awareness of men themselves, masculinity and sexuality are almost synonymous, which is why today so many representatives of the strong sex are interested in penis enlargement techniques. The size of the penis has always been of great importance in the man's perception of his masculinity, sexuality and in the affirmation of his self-esteem. That is why dissatisfaction with penis size causes sexual problems in men, rigidity in communicating with women, loss of sexual interests, the development of various complexes and even a general lack of confidence in their abilities. These are the cases that can become indications for male intimate plastic surgery. In connection with the high social significance of this problem, the question arises of the need to develop effective methods of penis enlargement that can change the quality of sexual life for men of all age groups.
Today, there are several methods of intimate male plastic surgery for this, many of which are surgical. Basically, they are expensive operations that require certain conditions, equipment and skills. But in recent years, simpler and more accessible methods have been developed and introduced into practice. They include methods of intimate injection of contour plastics, which make it possible to enlarge and change the shape of the penis without surgery, general anesthesia, a long period of rehabilitation and at a lower cost.
Almost every man knows safe and effective methods of female breast augmentation, about the possibilities of contouring and intimate plastic surgery, which allow women to emphasize and maintain their external attractiveness and sexuality. But many men are unaware of the existence of modern minimally invasive methods of male intimate plastic surgery, with the help of which it is possible to change the shape of the penis and enlarge the penis, which will certainly help to improve the quality of sexual life.
According to the data, the number of patients with sexual problems has recently increased. These problems are often associated with a smaller than normal penis and premature ejaculation).
In what cases is penis enlargement performed?
According to several sources, at least 70% of men want to enlarge their penis. About 60% of them want it to get longer, about 40% dream of a thicker penis and nobody wants it to get smaller or thinner. Insufficient penis size not only causes rigidity in dealing with women and a general lack of confidence in a man's abilities, but also negatively affects his ability to produce children, that is, fertility. According to the WHO, in the last 2-3 decades in all countries of the world, together with low fertility, there has been an increase in the number of infertile marriages, the cause of which in 40-50% of cases is the pathology of the male reproductive system, in whose structure the proportion of penile micropenia and dysmorphophobia increased.
In addition, the size of the penis is a reflection of a man's overall health, in particular, 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 tissue, but is often the cause of male infertility, as it leads to a decrease and sometimes complete cessation of sperm production. In these cases, it is recommended to consider the possibility of male intimate plastic surgery.
Data on "average" penis size varies widely. Different authors estimate the average size of a normal penis differently, since their views are often determined by the cultural and ethnic characteristics of certain countries and regions. Still, the normal length of the penis at rest is estimated at 7, 5-10, 5 cm, and in an erection state - at 12-18 cm, while its diameter is generally 3, 0-3, 5 cm. With statistical data, it remains familiar to everyone who is thinking about enlarging the penis.
A very large dispersion of indicators of normal penis length (from 12 to 18 cm) can be explained by individual differences in the anatomy of the inguinal region, namely, the proportion of the hidden and free parts of the corpora cavernosa and the corpora cavernosa. surrounding shell. There is the opinion that with a normal level of sex hormones and the correct development of the corpora cavernosa in different men, due to their individual characteristics, the sizes of the hidden part of the corpora cavernosa, responsible for attaching this to the pubic bones and, consequently, fixingthe penis, are far from being the same.
As for the various pathologies, about 20 congenital diseases are currently known, characterized by violation of the production of sex hormones and manifested by the small size of the penis, as well as (in some cases) infertility. These cases, of course, require intimate male plastic surgery. The sooner the diagnosis is made and the treatment is started, the more reason to talk about its effectiveness.
In the literature, there is evidence that with completely normal testicles and well-expressed secondary sexual characteristics, a functional penis in a state of complete erection cannot exceed 2. 5 cm. For organs of this size, the term "micropenis" is used. Also described is a phenomenon known as "congenital hypoplasia", in which the body of the penis is practically absent, and its head is attached to the pubic bone. In that case, the injection of contour plastics can help.
Although the size of the penis has virtually no effect on the ability to have normal sexual intercourse with a normal erection, some men want to enlarge their penis. Dissatisfaction with the appearance and size of your penis can lead to serious reproductive health problems. One of the most formidable complications of penile dysmorphophobia is psychogenic erectile dysfunction, which ends up leading to infertility. Thus, penis size becomes one of the important factors that directly affect fertility and quality of life.
Intimate male plastic surgery remains a popular and increasingly widespread area of plastic surgery.
Based on our own experience and data from the world literature, we can say that more than 70% of the interventions performed on male intimate plastics are operations on people with completely normal anatomical dimensions of the penis. Thus, the main reasons for patients seeking penis enlargement are:
- increase self-esteem;
- increased sex appeal;
- improve the quality of sexual life;
- removal of the "locker room complex" - reducing the feeling of embarrassment in male companies.
It is known that the length of the penis, to a much lesser extent than its diameter, affects the partner's ability to achieve vaginal orgasm. Therefore, the desired result is much easier to achieve by not enlarging the penis, but by correcting the diameter of the penis.
Penis enlargement and shape correction techniques
Modern methods of male intimate plastic surgery aim not only to improve the aesthetic and functional results of interventions, but also to reduce the number of complications. These methods include lipofilling, microsurgical tissue autotransplantation, transposition of vascularized muscle or fascial fat grafts and the installation of several implants.
Until recently, autogenous fat lipofilling was a commonly used method of injection molding. However, the frequent reabsorption and migration of injected autologous fat, as well as cases of fibrosis, have minimized interest in the method.
Various synthetic materials (silicone, paraffin, etc. ) have not found wide application for penis enlargement due to frequent complications, such as infection, implant migration, tissue hardening and necrosis.
For penis enlargement, the professor and co-authors proposed a method of microsurgical autotransplantation of a fascial fatty flap rotated from the anterior abdominal wall in the vascular supply pedicle. Despite the obvious advantages, the method requires expensive equipment and a specially trained microsurgery team. In the postoperative period, it is necessary to refuse the practice of physical activity for up to 3 months.
Of considerable interest is a new direction in male intimate plastics, based on the implantation of special viscoelastic biogels based on hyaluronic acid under the skin of the penis, which not only replenishes the existing volume deficit, but also improves the skin structure of the penis. . In 2003, relevant studies were carried out and received the first data on the effectiveness of using these biogels in male intimate plastic, indicating the possibility of their clinical use.
The male injectable contour with hyaluronic acid preparations can help to solve sexual problems that are associated not only with the appearance of the penis, but sometimes with its functional characteristics (the most common problems of this type are premature ejaculation).
Thus, for the injection of contour plastics, specialists use viscoelastic gels (fillers) based on hyaluronic acid. The composition of these preparations differs from the composition of the fillers that cosmetologists use to make the facial contour. In particular, in our practice, we use special gels for this.
The gel nomenclature includes 6 preparations, each with its own characteristics and fields of application.
Since 2005, a drug has been registered specifically for intimate plastic surgery for men and women. With this filling, you can effectively and safely enlarge the penis, correct the size of the corolla, the frenulum, reshape the body of the penis and treat premature ejaculation.
It allows to work successfully the intimate areas, because it is easy to insert, well distributed in the tissues, it effectively compensates for the lack of volume, it provides a lasting result without causing allergic reactions. The medicine is produced in disposable syringes with a volume of 0. 8 ml, packed in blisters, which guarantee the safety and absolute sterility of the gel.
The procedure for intimate injection of contour plastics in men is performed on an outpatient basis under local anesthesia (without sedation).
Hyaluronic acid biodegrades over time, and the rate of biodegradation depends on the level of blood supply in a specific area of the body. Thus, with the plastic of the head of the penis, the duration of the effect lasts on average 0, 7-1 year, with the plastic of the body of the penis, the preservation of the effect is possible in up to 1, 5-2 years, therefore, it recommendsrepeat the procedure after an average of 1-1, 5 years. . .
Enlargement of the penis glans
Normally, the diameter of the penis head on its back should exceed the diameter of the penis body by 1–2 cm. This contributes to the formation of an "orgasm cuff" during sexual intercourse. With an insufficient head size, the penis enlargement procedure involves the introduction of a filler conditionally in its lower third and along the course of the coronary sulcus. In both cases, the volume of the drug injected per 1 "step" is 0, 1–0, 4 ml. When working with the coronary groove, as well as when the head itself is thickened, the filling is inserted using the fan technique (in the reverse stroke of the needle) (27G needle). The minimum total volume of the medicine to correct the glans is 0. 8 ml, the maximum estimated is 2. 0 ml. For an even distribution of the gel, we recommend that you first "hydro-prepare" the tissue using a 0. 9% NaCl solution in a 10 ml volume.
Frenuloplasty
This term refers to the procedure for correcting the glans brake.
The frenuloplasty technique consists of enlarging the penis by filling the frenulum with gel to increase its volume. The drug is injected into the soft tissues under the brake in an amount of 0, 1–0, 3 ml per "step", a 25–27 G needle, the injection technique is drip. The introduction of the drug directly into the brake (ligament) is unacceptable.
All the techniques of male injection of contour plastics can be combined and performed in a single procedure, while the terms of rehabilitation and the development of complications do not change in any way.
The tissues of the external genitals in men, as in women, have a very good blood supply, so healing after these procedures occurs without leaving scars. During the recovery period, which averages 2-3 days, active sexual activity is not recommended.