Today, intimate injection bypass 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 at leastcost. 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 Declaration of the World Association for Sexual Health adopted in 2005 in Montreal recognized the right of each of us to seeksexual pleasure as a component of general well-being. .
In public consciousness, especially in the self-consciousness 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.
The size of the penis has always had great importance in the perception that man has of his masculinity, his sexuality and in the assertion of 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, development of various complexes and even general lackconfidence in their abilities. It is these cases that can become indications for male intimate plastic surgery. Due to the great social importance of this problem, the question arises of the need to develop effective methods of penis enlargement that can change the quality of sex life for men of all age groups. Today, for this, there are various 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 affordable methods have been developed and put into practice. These include the methods of intimate injection remodeling, 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 every man knows about the safe and effective methods of female breast augmentation, the possibilities of remodeling and intimate plastic surgery, which allow women to emphasize and maintain their external attractiveness and sexuality.
But many men do not know about 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 the 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 causes a man not only stiffness in communication with women and a general lack of confidence in his abilities, but also most negatively affects his ability to produce offspring, i. e. fertility. According to 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 isthe pathology of the male reproductive system, in the structure of which the proportion of micropenia and penile dysmorphophobia has increased. Additionally, penis size is a reflection of a man's overall health, especially 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 intensive growth of the external genitalia is observed. A reduced level of male sex hormones not only causes penile tissue growth to slow down, but is often the cause of male infertility, as it leads to a decrease and sometimes even a complete cessation of sperm production. In these cases, it is recommended to consider the possibility of male intimate plastic surgery. Data regarding the size of the "average" penis vary 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. Nevertheless, the normal length of the penis in a calm state is estimated at 7. 5-10. 5 cm, and in an erect state at 12-18 cm, while its diameter is usually 3. 0-3. 5 cm. . penis enlargement. Quite a 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, namely the ratio of the hidden and free parts of the cavernous bodies and their envelopesurrounding. 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 size of the hidden part of the corpora cavernosa, which is responsible for fixingthe latter to the pubic bones and, consequently, the attachment of the penis, are far from being the same. As for 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 earlier the diagnosis is made and the treatment started, the more reason there is to talk about its effectiveness. There is evidence in the literature that with completely normal testicles and fairly well-defined secondary sex characteristics, a functional penis in a fully erect state cannot exceed 2. 5 cm. The term "micropenis" is used in connection with organs of this size. A phenomenon called "congenital hypoplasia" has also been described, in which the shaft of the penis is practically absent, and its head is attached to the pubic bone. In this case, injection molding can help.
Although the size of the penis has little or no effect on the possibility of a normal sexual intercourse, subject to a normal erection, some men have the desire to enlarge the 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, penis size becomes one of the important factors that directly affect fertility and quality of life. Male intimate plastic surgery continues to be 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 procedures performed in male intimate plastic surgery are operations on 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;
- increase in sexual attractiveness;
- improve the quality of sexual life;
- removal of the "locker room complex" - a decrease in the feeling of embarrassment in male enterprises.
The length of the penis, to a much lesser extent than its diameter, is known to affect 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.
Methods of penis enlargement and correction of its shape
Modern methods of male intimate plastic surgery are aimed not only at improving the aesthetic and functional results of interventions, but also at reducing the number of complications. These methods include lipofilling, microsurgical tissue autotransplantation, the transposition of vascularized muscle or fascial fat grafts, and the placement of various implants. Until recently, autogenous fat lipofilling was a commonly used method for injection contouring. However, the frequent resorption and migration of the injected autofat, as well as the cases of fibrosis, have minimized the interest of this method. Various synthetic materials (silicone, paraffin, etc. ) have not been widely used for penis enlargement due to common complications such as infection, implant migration, tissue sclerosis and necrosis. Professor D. G. Kurbatov et al. , for penis enlargement, have proposed a method of microsurgical autotransplantation of a flap of fascial fat rotated from the anterior abdominal wall onto a vascular supply pedicle. Despite the obvious advantages, the method requires expensive equipment and a specially trained microsurgical team. In the postoperative period, it is necessary to refrain from physical activity for up to 3 months.
A new direction of male intimate plastic surgery is of considerable interest, 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 improvesthe structure of the skin. of the penis. Professor J. J Kim in 2003 conducted relevant studies and obtained the first data on the effectiveness of the use of these biogels in male intimate plastics, indicating the possibility of their clinical use. Male injection modeling 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). Thus, for contour plastic injections, specialists use viscoelastic gels (fillers) based on hyaluronic acid. The composition of these drugs differs from the composition of fillers, which cosmetologists use when reshaping the face.
In particular, in our practice we use special gels for this. The range of gels includes 6 preparations, each of which has its own characteristics and applications. Since 2005, another drug from the line has been registered in our country, designed specifically for intimate plastic surgery in men and women. With this filler, you can safely and effectively enlarge the penis, adjust the size of the corolla, the frenulum, change the shape of the penis body and treat premature ejaculation.
It allows you to successfully work on the intimate areas, as it is easily injected, well distributed in the tissues, effectively compensates for the missing 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 remodeling procedure for 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 to a particular area of the body. So, with penis glans plastic surgery, the duration of the effect lasts an average of 0. 7-1 year, with penis body plastic surgery, the effect can last up to 1. 5-2 years, so it is recommended to repeat the procedure after an average of 1 to 1. 5 years .
Penis head enlargement
Normally, the diameter of the glans penis in its rear part should exceed the diameter of the shaft of the penis by 1-2 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 the introduction of a conditional filler in its lower third and along the coronal furrow. In both cases, the volume of the drug injected per 1 "step" is 0. 1-0. 4 ml. When working with the coronal groove, as well as when thickening the head itself, the load is introduced using a fanning technique (on the reverse stroke of the needle) (needle 27G). The minimum total volume of the drug in the penis glans correction is 0. 8 ml, the expected maximum is 2. 0 ml. For an even distribution of the gel, we recommend that you "hydroprep" the tissue beforehand 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 in order to increase its volume. The drug is injected into the soft tissues under the frenulum at the rate of 0. 1-0. 3 ml per "step", the needle is 25-27 G, the injection technique is drip. Introducing the drug directly into the brake (ligament) is unacceptable. All methods of male injection remodeling can be combined and performed in one procedure, while the rehabilitation conditions and the development of complications do not change. The tissues of the external genital organs in men, as in women, have a very good blood supply, so healing after such procedures occurs without scarring. During the recovery period, and this is an average of 2-3 days, an active sex life is not recommended.