Sexual problems associated with a man's dissatisfaction with the size of his penis cause stiffness in communication with women, loss of sexual interest and the formation of various complexes.
Today, methods of intimate injection contour plastic 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 rehabilitationand 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 seen as 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 research. sexual pleasure as part of general well-being. In 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 a man's perception of his masculinity, sexuality, and asserting his self-esteem. That is why dissatisfaction with the size of the penis causes sexual problems in men, stiffness in communication with women, loss of sexual interests, the development of various complexes and even a general lack of confidence in them. capabilities. It is these cases that can become indications for male intimate plastic surgery. In connection with the great social importance of this problem, there is the question of the need to develop effective methods of penis enlargement that can change the quality of the sex life of men of all ages.
Today there are different methods of male intimate plastic surgery for this, most of which are surgical. Basically, these are expensive operations that require certain conditions, equipment and skills. But in recent years, simpler and more affordable methods have been developed and put into practice. These include methods of intimate injection of plastic contours, which make it possible to achieve penis enlargement and change the shape of the penis without surgery, general anesthesia, a long period of rehabilitation and at a lower cost.
Almost all men know about the safe and effective methods of increasing female breasts, the possibilities of contouring and intimate plastic surgery, which allow women to emphasize and maintain their external attractiveness and sexuality. But many men are not aware 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 improve the condition of the penis. quality of sex life. .
According to the data, the number of patients with sexual problems has increased recently. These problems are often associated with an undersized penis and premature ejaculation).
In what cases is penis enlargement performed?
According to various 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 no one wants it to get smaller or thinner. Insufficient penis size not only causes stiffness in relationships with women and a general lack of confidence in a man's abilities, but also negatively affects his ability to produce offspring, that is, fertility. . According to the WHO, over the past 2-3 decades in all countries of the world, along with low fertility, there has been an increase in the number of infertile marriages, the cause of which in 40-50% of cases ispathology. from the male reproductive system, in the structure of which the proportion of micropenia and penile dysmorphophobia increased.
In addition, the size of the penis is a reflection of a man's general health, especially the condition of his endocrine and reproductive system. The fact is that the size of the penis depends on the amount of sex hormones produced during puberty, that is, when the most intensive growth of the external genitalia 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 a complete stop in the production of sperm. In these cases, it is recommended to consider the possibility of male intimate plastic surgery.
Data on the size of the "average" penis vary widely. Different authors estimate the average size of a normal penis differently, as their opinions are often determined by the cultural and ethnic characteristics of certain countries and regions. Still, the normal length of the penis in a resting state is estimated at 7. 5-10. 5 cm, and in an erect state - 12-18 cm, while its diameter is usually 3. 0-3, 5 cm. With statistical data, it follows familiar to anyone who thinks about penis enlargement.
A fairly large dispersion of indicators of the normal length of the penis (from 12 to 18 cm) can be explained by individual differences in the anatomy of the inguinal region, namely, the ratio of hidden and free parts of the cavernous bodies and thesurrounding shell. There is an opinion that with a normal level of sex hormones and the correct development of the cavernous bodies in different men, due to their individual characteristics, the size of the hidden part of the cavernous bodies, which is responsible for fixing the latterto the pubic bones and, accordingly, the attachment of the penis, are far from the same.
With regard to various pathologies, about twenty 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 sooner the diagnosis is made and the treatment started, the more there is reason to talk about its effectiveness.
In the literature, it is proven that with completely normal testicles and fairly well expressed secondary sexual characteristics, a functional penis in full erection cannot exceed 2. 5 cm. For organs of this size, the term "micropenis" is used. Also described is a phenomenon called "congenital hypoplasia", in which the body of the penis is practically absent and its head is attached to the pubic bone. In this case, injection contour plastics can help.
Although penis size has virtually no effect on the ability to have normal sex with a normal erection, some men have a desire to enlarge their penis. Dissatisfaction with the appearance and size of your penis can lead to serious reproductive health issues. One of the most dreaded complications of penile dysmorphophobia is psychogenic erectile dysfunction, which 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 intimate plastic surgery continues to be a popular and growing area of plastic surgery.
Based on our own experience and data from the world literature, we can state that over 70% of procedures performed on male intimate plastics are operations on people whose anatomical dimensions of the penis are completely normal. So, the main reasons why patients seek penis enlargement are:
- increase self-esteem;
- increased sex appeal;
- improve the quality of sexual life;
- removal of the "locker room complex" - reduction of 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 a partner's ability to achieve vaginal orgasm. Therefore, the desired result is much easier to achieve not by increasing the penis, but by correcting the diameter of the penis.
Penis enlargement and shape correction techniques
Modern methods of intimate male plastic surgery are aimed not only at improving the aesthetic and functional results of procedures, but also at reducing the number of complications. These methods include lipofilling, microsurgical autotransplantation of tissue, transposition of vascularized muscle or fascial fat grafts, and installation of various implants.
Until recently, autogenous fat lipofilling was a commonly used method of contouring by injection. However, frequent resorption and migration of injected autologous fat, as well as cases of fibrosis, have minimized interest in this method.
Various synthetic materials (silicone, paraffin, etc. ) have not found wide application for penis enlargement due to frequent complications such as infection, migration of implants, hardening of tissues and necrosis.
For penis enlargement, the professor and the co-authors proposed a method of microsurgical autotransplantation of a fascial-fatty flap rotated from the anterior abdominal wall onto the 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 refuse physical activity for up to 3 months.
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 structure ofthe skin of the penis. penis. In 2003, relevant studies were conducted and received the first data on the effectiveness of the use of these biogels in male intimate plastic, indicating the possibility of their clinical use.
Male injectable contouring with hyaluronic acid preparations can help 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 injection contour plastics, specialists use viscoelastic gels (fillers) based on hyaluronic acid. The composition of these preparations differs from the composition of fillers that cosmetologists use when reshaping the face. In particular, in our practice we use special gels for this.
The nomenclature of gels includes 6 preparations, each with its own characteristics and fields of application.
Since 2005, a drug has been registered specifically for intimate plastic surgery in men and women. With this filler, you can effectively and safely enlarge the penis, correct the size of the corolla, frenulum, reshape the body of the penis, and treat premature ejaculation.
It allows you to successfully work with intimate areas, because it is easy to insert, well distributed in the tissues, effectively compensates for the lack of volume, 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 ensure the safety and absolute sterility of the gel.
The procedure of intimate injection of plastic contours in humans 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 particular area of the body. So, 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 retention of the effect is possible 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 glans penis
Normally, the diameter of the head of the penis at the back should exceed the diameter of the body of the penis by 1-2 cm, which contributes to the formation of an "orgasmic cuff" during intercourse. With insufficient head size, the penis enlargement procedure involves the introduction of a conditional load in its lower third and along the coronary groove. In both cases, the volume of the drug injected by 1 "step" is between 0. 1 and 0. 4 ml. When working with the coronal groove, as well as when the head itself is thickened, the filler is inserted using a fan technique (on the reverse needle stroke) (needle 27G). The minimum total volume of the drug for the correction of the glans penis is 0. 8 ml, the estimated maximum is 2. 0 ml. For a uniform distribution of the gel, we recommend that you first perform the "hydro-preparation" of the tissue, using a 0. 9% NaCl solution in a volume of 10 ml.
Frenuloplasty
This term refers to the procedure of correcting the frenulum of the glans penis.
The frenuloplasty technique consists of enlarging the penis by filling the frenum with gel in order to increase its volume. The drug is injected into the soft tissues under the flange in an amount of 0. 1 to 0. 3 ml per "step", a needle of 25-27 G, the injection technique is drip. Introducing the drug directly into the bridle (ligament) is unacceptable.
All the techniques of male injection contour plastics can be combined and performed in one procedure, while the terms of rehabilitation and development of complications do not change.
The tissues of the external genitalia in men, as in women, have a very good blood supply. Therefore, healing after such procedures occurs without scarring. During the recovery period, which lasts on average 2-3 days, active sexual activity is not recommended.