Every year, more than 11 thousand penis enlargement operations are carried out around the world, and their number continues to grow.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 take place in Thailand, the world leader in plastic surgery.This text contains a story about how penis enlargement surgery occurs.
Plastic surgery around the world is more like psychotherapy than a solution to real problems.This also applies to penis enlargement surgery.Many men believe that their penis is smaller than it should be, while doctors are confident that most people underestimate its size.Why is this happening?Paradoxically, the idea that the penis is too small is often formed in childhood, when mental comparison with the father or older brother can be naturally discouraging.
It is believed that men often have a false idea of 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 in which you can see your full-length reflection.According to a study carried out with more than 15 thousand people, the average size of an erect penis is around 13 centimeters.Medium-sized rims range from 11 to 18 centimeters.Doctors diagnose a small penis if its size is less than three inches in the erect state.
How does a patient decide to undergo surgery?
A fairly wide range of issues can push a man to undergo surgery: unsuccessful sexual experience, internal beliefs, incorrect information in open sources on the Internet.Plastic surgeon, Doctor of Medical Sciences, Professor of the Department of Plastic Surgery states:
"Now is the age of the Internet: people look at photos without really delving into where they came from and how they correspond to reality. Most of the time, people come to surgeons with photos from the Internet, showing that they want it "exactly as shown here."
Imagine if you constantly receive spam messages “Iron erections and a hundred more fantastic ways to enlarge your penis”.At this point, even a normal, sensible person will start to think: maybe there is something wrong with them if they constantly receive letters “You need to do this!”I often remember the film “The Man on 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 watching enough other films, they start causing chaos, drunkenness and shootings.And here it is the same thing: society influences people, and specific 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 have 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 medications have not been proven effective, and some of them can actually cause damage to the penis.If you think that additional resources are needed, it is best to consult a specialist doctor: a urologist, andrologist or 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 that confirm that this works.
There are vacuum pumps that are commonly used to treat erectile dysfunction.They can visually increase size only temporarily, but too frequent or prolonged use can cause tissue damage and deteriorate erection quality.
There are exercises that have been developed for centuries among some people: the jelqa method is used by Sudanese boys aged 9 to 11.The movements are simple: you need to move your hand from the base of the penis to the head, preventing ejaculation.It seems safe enough, but it can actually cause pain, cause scarring, and change the shape of your genitals.
There are also injections, but the risks are very high and the effectiveness is questionable.The introduction of polyacrylamide polymer gels under the skin of the penis can almost lead to disability, doctors warn.The polymer cannot withstand it - under the influence of gravity, due to physical activity, the gel migrates, often causing inflammation, which can be followed by infection and so on up to tissue necrosis with total or partial loss of the penis.
There is a way to enlarge the penis through lipofilling, when fatty tissue is injected under the skin through punctures.However, the effect is only visible immediately after the procedure, so 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 of penis enlargement that has demonstrated its effectiveness - prolonged use of an extender.There are two rods with adjustable length that are installed between the head and the base of the penis.The bars need to be moved away gradually, little by little, stretching the penis - something similar to an Ilizarov apparatus results, only without the spokes.The extender must be used for a long time;the result of using it will be an increase in the length of the penis by a few centimeters.
Does size matter?
From a physiological point of view, no.But sex is not a mechanical crunch between two partners, it is a whole complex of human experiences.Self-confidence, the desire to make your partner happy, sexual habits and much more play an important role in this.
"The problem is that the spread in the “norm” is quite large. 11 or 18 centimeters is still a significant difference, says the plastic surgeon. — Size matters in the sense that it depends a lot on the partner, his adaptation and sexual experience. And it's not about the size of the penis that your partner's previous man had, but also about her reactions and expectations. In women, receptors can be concentrated in different parts of the genital organs: in the clitoris, at the entrance to the vagina, on its anterior surface or somewherenext the diameter of the penis is important 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 a man's ability, position and understanding between partners are as important as size.
How does the operation work?
"Usually a man comes and says: 'Doctor, I want me to take 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 fulfill 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 goal.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 expert believes.
With the help of surgery, you can increase the length and diameter of the penis.
Length is easier.This operation is scientifically called ligamentotomy and means cutting the suspensory ligament of the penis.
“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 fact, it does not apply to true lengthening operations. We simply increase the angle between the penis and the pubis, cutting the ligament. This way, the penis simply moves forward and creates a widening effect."
The effectiveness of this operation largely depends on the flexibility of the tissue, therefore, to increase the chances of success and avoid scarring, doctors will recommend that the patient wear an extender before and after the operation in combination with medications that affect tissue stretching.
In other words, the timing is as follows: 2 months before the ligamentotomy they start using the device, then a half-hour operation and then another three weeks with an extender.Total - just under 3 months for everything.
With the diameter everything becomes more complicated for the patient, but more interesting for the reader.
You can increase the diameter of your penis by 2 centimeters, which is quite significant.Two methods are widely used.The first, most common, comes from the patient's own tissues.
It works like this: a fragment of muscle tissue is taken from the back or rectus abdominis muscle and transplanted into the penis.In fact, the penis is wrapped in a piece of muscle and then the vessels are sutured to restore blood supply - this is called revascularization.
This type of operation is classified as microsurgical.After that, the patient needs to rest for a week.
The second method goes like this: they take dermo-fat flaps from the groin area and place them along the corpora cavernosa.In other words, they involve the penis like a muscle tissue transplant, but in this case, doctors do without microsurgical equipment, so the recovery period is easier: absolute rest is not necessary and the patient only stays in the clinic for a few days.
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 resembles breast surgery, except that the implants are individual, they are made specifically for the patient.
In all cases, the choice of method depends solely on the patient's preferences.The doctor has the obligation 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 ease of recovery, in addition to the standard risks that accompany any surgical intervention, there is a risk of a serious complication: if the doctor gets carried away or acts carelessly, he can damage the artery, thereby dooming 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.He has no right to promise a threefold increase in penis size or to immediately say how many centimeters it will become larger.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 provides the best effect in overweight patients.The doctor claims that based on his personal experience, patients are more likely to be satisfied with penis lengthening operations.As for the likelihood of repeated operations, this need often arises when lengthening surgery is combined with an increase in diameter, and usually this 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 issue can be resolved 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 the doctor has worthy moral qualities that would not allow him, in principle, to talk about the operation? Does he tell you in detail about other patients? Does he mention their names? Or does he just give examples similar to yours? By default, your doctor is not allowed to discuss your surgery withanyone, however, if the patient is overly concerned about this, then from a psychological comfort standpoint, they may specifically say that they are not interested in disclosing this story.”