Today, intimate injection contouring methods 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 period of rehabilitation and a lower cost. In modern medicine, great importance is attached to improving the quality of human life. Furthermore, a full sex life is an important component of this concept. Interestingly, until recently, sexual health was seen as an integral part of reproductive health, but the Declaration of the World Association for Sexual Health adopted in 2005 in Montreal recognized the right of all of us to pursue sexual pleasure as a component of general well-being. .
In the public consciousness, especially in the self-awareness of men themselves, masculinity and sexuality are almost synonymous, which is why today so many representatives of the stronger sex are interested in penis enlargement techniques.
Penis size has always been of great importance in men's perception of their masculinity, sexuality and self-esteem. That is why dissatisfaction with penis size causes sexual problems in men, rigidity in communication with women, loss of sexual interests, development of various complexes, and even a general lack of confidence in their abilities. It is these cases that can become indications for male intimate plastic surgery. Due to the high social significance of this problem, the question arises of the need to develop effective methods of penis enlargement that can alter the quality of the sexual life of men of all age groups. Today, for this, there are several methods of male intimate plastic surgery, most of which are surgical.
Basically, these are expensive operations that require certain conditions, equipment and skills. But in recent years, simpler and more accessible methods have been developed and put into practice. These include intimate injection contouring methods, which allow you to achieve penis enlargement and change the shape of the penis without surgery, general anesthesia, a longer rehabilitation period, and a lower cost. Almost all men know about 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 which you can change the shape of the penis and enlarge the penis, which will certainly help to 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. Approximately 60% of them want it to be longer, about 40% dream of a thicker penis, and no one wants it to be smaller or thinner. Insufficient penis size causes men not only rigidity in communication with women and a general lack of confidence in their abilities, but also negatively affects their ability to produce offspring, i. e. fertility. According to the WHO, in the last 2 to 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 to 50% of cases is the pathology of the male reproductive system, in whose structure the proportion of penile micropenia and dysmorphophobia increased. Furthermore, the size of the penis is a reflection of a man's general 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 tissues but is often the cause of male infertility as it leads to a decrease and sometimes even a complete cessation of sperm production. In such 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 ideas are often determined by the cultural and ethnic characteristics of certain countries and regions. However, the normal length of the penis in a calm state is estimated at 7. 5-10. 5 cm, and in an erection state - at 12-18 cm, while its diameter is usually 3. 0-3. 5 cm. Read on for anyone thinking about penis enlargement. A rather 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 inguinal region, that is, the proportion of the hidden and free parts of the corpora cavernosa and their surrounding shell. There is an 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 cavernous bodies, which is responsible for attaching the latter to the pubic bones and , consequently, the fixation of the penis, are far from being the same thing. As for various pathologies, about 20 congenital diseases are currently known, characterized by a violation of the production of sex hormones and manifested by the small size of the penis, as well as (in some cases) infertility.
Such cases, of course, require male intimate plastic surgery. The earlier the diagnosis is made and treatment started, the more reason to talk about its effectiveness. There is evidence in the literature that with normal testes and well-defined secondary sexual characteristics, a fully erect functional penis cannot exceed 2. 5 cm. The term "micropenis" is used in relation to organs of this size. A phenomenon known as "congenital hypoplasia" has also been described, in which the shaft of the penis is virtually absent and its head is attached to the pubic bone. In this case, injection contouring can help.
Although the size of the penis has little or no effect on the possibility of normal sexual intercourse, subject to a normal erection, some men want to enlarge their penis. 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 psychogenic erectile dysfunction, which ultimately leads to infertility. Thus, penis size becomes one of the important factors that directly affect fertility and quality of life. Male intimate plastic surgery remains a popular and increasingly common 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 in male intimate plastic surgery are operations in people with completely normal anatomical dimensions of the penis. Thus, the main reasons for patients who want to enlarge their penis are:
- increase self-esteem;
- increased sexual attractiveness;
- improve the quality of sex life;
- removal of the "dressing room complex" - a lessening of the sense of embarrassment in men's businesses.
The length of the penis, to a much lesser extent than its diameter, is known to affect a partner's ability to achieve a vaginal orgasm. Therefore, the desired result is much easier to achieve not by enlarging the penis, but by correcting the diameter of the penis.
Penis enlargement methods and correction of its shape
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. Among such methods are lipofilling, microsurgical tissue autotransplantation, transposition of vascularized muscle or fascial fat grafts, installation of various implants. Until recently, autogenous fat lipofilling was a commonly used injection contouring method. However, the frequent resorption and migration of injected autofat, as well as cases of fibrosis, have minimized the interest in this method. Various synthetic materials (silicone, paraffin, etc. ) have not been widely used for penis enlargement due to frequent complications such as infection, implant migration, tissue sclerosis and necrosis. Professor D. G. Kurbatov et al. , for penis enlargement, proposed a method of microsurgical autotransplantation of a flap of fascial fat rotated from the anterior abdominal wall into a vascular feeding pedicle. Despite the obvious advantages, the method requires expensive equipment and a specially trained microsurgical team. Postoperatively, it is necessary to abstain from physical activity for up to 3 months.
Of considerable interest is a new direction in male intimate plastic surgery, based on the implantation of special viscoelastic biogels based on hyaluronic acid under the skin of the penis, which not only compensates for the existing volume deficit, but also improves the structure of the skin of the penis. . Professor J. J Kim in 2003 carried out relevant studies and obtained the first data on the effectiveness of the use of these biogels in male intimate plastic surgery, indicating the possibility of their clinical use. Male injection contouring with hyaluronic acid preparations can help solve sexual problems associated not only with the appearance of the penis, but sometimes with its functional characteristics (the most common problems of this type include premature ejaculation). So, for injection contour plastics, experts use viscoelastic gels (fillers) based on hyaluronic acid. The composition of these drugs differs from the composition of fillers, which cosmetologists use when performing facial contouring.
In particular, in our practice, we use special gels for this. The range of gels includes 6 preparations, each with its own characteristics and applications. Since 2005, another drug of the line is registered in our country, developed specifically for intimate plastic surgery in men and women. With this filler, you can effectively and safely enlarge the penis, adjust the size of the corolla, frenulum, change the shape of the penis body and treat premature ejaculation.
It allows you to successfully work in intimate areas, as it is easily injected, well distributed in the tissues, effectively compensates for lost 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, packed in blisters, which guarantee the safety and absolute sterility of the gel. The intimate injection contour procedure for men is performed on an outpatient basis under local anesthesia (no sedation). Hyaluronic acid biodegrades over time and the rate of biodegradation depends on the level of blood supply to a specific area of the body. So, with plastic surgery on the glans, the duration of the effect lasts an average of 0. 7-1 year, with plastic surgery on 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.
Penis head enlargement
Normally, the diameter of the glans penis at its back should exceed the diameter of the shaft of the penis by 1 to 2 cm, which contributes to the formation of an "orgastic cuff" during intercourse. If the size of the head is insufficient, the penis enlargement procedure involves inserting a filler conditionally into its lower third and along the coronal sulcus. In both cases, the volume of drug injected per 1 "step" is from 0. 1 to 0. 4 ml. When working with the coronal sulcus, as well as when thickening the head itself, the filler is introduced with the fan technique (in the reverse course of the needle) (27G needle). The minimum total volume of the drug in the correction of the glans penis is 0. 8 ml, the maximum expected is 2. 0 ml. For even distribution of the gel, we recommend that you do a preliminary "hydroprep" of the tissue using a 0. 9% sodium chloride solution in a volume of 10 ml.
frenuloplasty
The frenuloplasty technique consists of 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 to 0. 3 ml per "step", the needle is 25 to 27 G, the injection technique is drip. The introduction of the drug directly into the frenulum (ligament) is unacceptable. All male injection contouring methods can be combined and performed in one procedure, while the terms of rehabilitation and the development of complications do not change in any way. The tissues of the external genital organs in men, as in women, have a very good blood supply, so healing after these procedures occurs without scarring. During the recovery period, and this is an average of 2-3 days, an active sex life is not recommended.