Every year, more than 11,000 penis enlargement operations are performed worldwide and the number continues to grow.The surgical procedure itself lasts no more than half an hour, and after three weeks a man can begin an active sex life.Most operations take place in Thailand, the world leader in plastic surgery.This text contains a story about how penis enlargement surgery takes place.
Plastic surgery around the world is more psychotherapy than a solution to real problems.This is also true for penis enlargement surgery.Many men think their penis is smaller than it should be, while doctors are convinced that most people underestimate their size.Why is this happening?Paradoxically, the idea that the penis is too small is often formed in childhood, when the mental comparison with a father or older brother can be understandably 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 of more than 15,000 people, the average size of an erect penis is around 13 centimeters.Average size borders range from 11 to 18 centimeters.Doctors diagnose a small penis if its size is less than eight centimeters when erect.
How does a patient decide to have surgery?
A fairly wide range of problems can prompt 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 says:
"Today we are in the age of the Internet: people look at images without really thinking about where they come from and how they correspond to reality. Most often, people come to surgeons with images taken from the Internet, showing that they want 'exactly as shown here.'
Imagine if you constantly received “Iron Erections and a Hundred Other Fantastic Ways to Enlarge Your Penis” spam emails.At this point, even a normal, sane person will begin to think: maybe there is something wrong with him if he constantly receives letters “You need to do this!”I often remember the film “The Man from Boulevard des Capucines”, where following a certain culture completely changes people’s behavior.First, they stop being bullies, drink milk and behave like gentlemen.And then, after watching enough other movies, they start causing chaos and drunkenness and shootings.And here it's the same: society influences people, and specific people, films, cultural models give rise to certain 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 undergo intimate plastic surgery, correcting 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 remedies have not been proven effective and some of them can actually cause damage to the penis.If you think that additional funds are needed, it is better to consult a specialist doctor: a urologist, andrologist or plastic surgeon - to discuss the advisability of using this or that method.
There are tablets and lotions.They usually contain vitamins, minerals, herbs and hormones.However, no studies confirm that any of this works.
There are vacuum pumps commonly used to treat erectile dysfunction.They can only visually increase size temporarily, but too frequent or prolonged use can lead to tissue damage and deteriorate erection quality.
There are exercises developed for centuries among certain peoples: the jelqa method is used by Sudanese boys aged 9 to 11.The movements are simple: you must move your hand from the base of the penis towards the head, holding back ejaculation.It seems completely safe, but it can actually cause pain, lead to scarring, and change the shape of the 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 does not hold - under the influence of gravity, due to physical activity, the gel migrates, often causing inflammation, this can be followed by infection and so on up to tissue necrosis with complete 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 visible only immediately after the procedure, then 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 been shown to be effective: long-term wearing of an extender.These are two adjustable length rods that fit between the head and base of the penis.The dumbbells should be moved apart very gradually, little by little, stretching the penis - it resembles an Ilizarov apparatus, but without the spokes.The extender will need to be worn for a long time;the result of wearing 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 friction 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 a role in this.
"The fact is that the gap in the "norm" is quite large. 11 or 18 centimeters is still a significant difference, says the plastic surgeon. — Size is important in the sense that it depends a lot on the partner, his adaptation and sexual experience. And it is not about the size of the penis of your partner's previous man, but also about his reactions and expectations. In women, the receptors can be concentrated in different parts of the genitals: in the clitoris, the entrance to the vagina, its anterior part “There is no universal penis that can satisfy any woman."
How does the operation take place?
"Usually a man comes and says: 'Doctor, I want me to have a big one.' Then we talk, discuss everything in detail and always talk about sexual needs. It happens that people think about surgery because they cannot realize their sexual dreams or fantasies: for example, having sex with a woman in great shape, "explains the doctor.
It is very important, as with other plastic surgeries, to correctly assess whether the surgery will achieve a specific goal.Any doctor will try to avoid surgical intervention if he notices that the patient's expectations do not correspond to the real possibilities of the operation or that the doctor's actions will be ineffective, believes the specialist.
Through surgery, you can increase both the length and diameter of the penis.
The length is the simplest.This operation is scientifically called ligamentotomy and involves cutting the suspensory ligament of the penis.
“Today, ligamentotomy is the main operation that we offer to lengthen the penis,” specifies the surgeon."From my point of view, this is optimal in terms of the degree of risk to the patient, the level of trauma and the result obtained. Although, in fact, this does not apply to real lengthening operations. We simply increase the angle between the penis and the pubis, cutting the ligament. In this way, the penis simply moves forward and creates an enlargement effect."
The effectiveness of this operation largely depends on the flexibility of the tissue, so to increase the chances of success and avoid scarring, doctors will recommend the patient to wear an extender before and after the operation in combination with taking medications that affect tissue stretching.
That is, the schedule is as follows: 2 months before the ligamentotomy they start wearing the device, then a half-hour operation, then another three weeks with an extender.Total - just under 3 months for everything.
With the diameter, everything is more complicated for the patient, but more interesting for the reader.
You can increase the diameter of the penis by 2 centimeters, which is quite significant.Two methods are widely used.The first, and most common, comes from the patient's own tissues.
It works like this: a piece of muscle tissue is taken from the back or rectus abdominis muscle and transplanted to the penis.Basically, the penis is wrapped with a piece of muscle, 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 rest for a week.
The second method looks like this: they take dermo-fat flaps from the groin area and place them along the corpora cavernosa.In other words, they wrap the penis like a muscle tissue graft, but in this case, doctors do without microsurgical equipment, so the recovery period is easier: strict bed rest is not necessary and the patient spends only a few days in the clinic.
There is a way to increase penis thickness using silicone implants: penis replacement augmentation.This is the least traumatic method, and the operation itself resembles breast surgery, only the implants are individual, they are made specifically for the patient.
In any case, the choice of method depends solely on the patient's preferences.The doctor is obliged to warn where the scar will be located, 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 the ease of recovery, in addition to the classic risks that accompany any surgical intervention, there is a risk of serious complications: if the doctor gets too carried away or acts carelessly, he can damage the artery, thus dooming the patient to impotence.Therefore, choosing a clinic and 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 three-fold increase in penis size or to say straight away how many centimeters it will become bigger.The doctor's caution is the key to the success of the operation.
Ligamentotomy is often combined with liposuction of the pubic region;together it gives the best effect in overweight patients.The doctor claims that, based on personal experience, patients are more likely to be satisfied with penis lengthening operations.Regarding the likelihood of repeated operations, such a need often arises when lengthening surgery is associated with an increase in diameter, and such a desire usually appears in the patient at the end of the postoperative period.
But in addition to the health risks, patients also worry about their own reputation and the anonymity of the operation.The plastic surgeon is convinced that this problem can be solved 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. Was there trust between you? Do you think that the doctor has good moral qualities that will not, in principle, allow him to talk about the operation? Does he tell you in detail about the other patients? Does he mention their names? Oris he just giving examples similar to yours? By default, your doctor is not allowed to discuss your However, if the patient is too worried about this, then, from a psychological comfort point of view, he can specifically say that he is not interested in publicizing this story.