Male Genital Aesthetic Surgery

Male Genital Aesthetic Surgery

Surgeries performed on the male genital organs are called ‘Male Aesthetic Genital Surgery’. The appearance and function of the penis may change with congenital anomalies or acquired disorders. For this reason, male aesthetic genital surgery is performed both to eliminate this physical deformities, aesthetic concerns, perceived deficiencies and to improve the quality of sexual life.

Common problems with the penis are shortness, thinness or curvature of the penis. The reasons for aesthetic penis surgeries are as follows:

  • Penis Lengthening (Penis Extension)
  • Penis Enlargement (Penis Thickening)
  • Penis Curvature Correction Surgeries

More than one method can be used together in penis cosmetics.

The main purpose of penis lengthening surgery is to ensure that the penis is of sufficient size during sexual intercourse. In addition, since the physically short appearance of the penis may negatively affect the person, it is aimed to provide benefits in terms of psychological and sexual function. Penis length is the expression of the distance between the tip of the penis and the pubis, that is, the bottom part, in centimetres. The normal penis length in soft tissue is 7 cm on average and 12.5 – 14.5 cm on average when erect.

Today, in the light of scientific research and technological developments, it is possible to perform an operation that meets the expectations of the person who says ‘I want to lengthen my penis’ without harming the person. Penis lengthening surgery (penis extension) is performed in two ways:

  • The first one is the operation performed by cutting the suspensory ligaments between the pubic bone of the pelvis and the penis. Now that more of the penis hangs down, it appears longer when pulled forwards.
  • The second method is the process of removing the fat in the root of the penis (suprapubic fat pad) by liposuction. This procedure reduces the size of the tissues around the penis to reveal its the true length.

Penis lengthening surgery can increase the length of the penis by 2-4 cm.

Penis thickening surgery (Penis enlargement) is performed when penis is congenitally thin, when it remains thin due to being underweight, and when its appearance negatively affects self-esteem and sexual life. The penis circumference of an adult male is approximately 9 cm in soft tissue and 12 – 13 cm in erect state. Three different penis enlargement methods used for thickening are as follows:

  • Autologous fat injection
  • Filler injection
  • Tissue grafting

For penis thickening with fat injection, the fat tissue taken from the person’s own body (autologous) undergoes a special process to make it suitable for injection. In this way, it is injected into the penis to increase the circumference and to shape of the penis. This procedure is performed under local anaesthesia.

In penis thickening with dermal fillers, a cosmetic filler is injected under the skin of ther penis (subcutaneously) at appropriate sites to thicken the penis. The results obtained maybe permanent or temporary depending on the filler type. Dermal filler injections are done under local anaesthesia with very successful results.

For penis enlargemet with tissue grafting, a piece of skin and fat layer (graft) from another place of one’s own body is taken and then is sewn onto the shaft of the penis in appropriate places. Sometimes local and other times general anesthesia is used for tissue grafting to the penis.

The most preferred method for penis thickening is fat injection. Approximately half of the fat injected into the penis becomes permanent and maintains its effectiveness for life. It is possible to repeat fat injections if desired.

The best penis enlargement method is determined by after the physical examination keepin in mind the expectations of the person.

Penis curvature correction surgery is performed for problems caused by wrong circumcision, accidents and traumas, developmental disorders, vitamin deficiencies, medications, and injections. Correction of the penis curvature may be achieved by:

  • Implantation of a prosthesis or
  • Aesthetic penis surgery.

Bazen de sadece peniste düzeltmeler yapılarak çözüm sağlanabilir.

What is aesthetic penis surgery?

Surgeries performed on the penis are called ‘Aesthetic Penis Surgery’. The appearance and function of the penis may change as a result of congenital anomalies or acquired disorders. Aesthetic penis surgery is performed both to eliminate aesthetic concerns and to improve the quality of sexual life. These surgeries are
•       Penis Lengthening (Penis Extension)
•       Penis Thickening (Penis Enlargement)
•       Penis Curvature Correction surgeries.

What is penis lengthening surgery (penis extension)?

This surgery is mainly an operation that aims to make the invisible parts of the penis that remain inside the body more visible. Two techniques are used to achieve this goal:
“• Cutting the suspensory ligaments that connect the penis to the pelvic bone so that penis can be pulled forwards.
• Surgical removal of suprapubic fat pad surrounding the penis which gives the penis ‘buried’.
If desired, both length and thickness can be increased by combining penis thickening (enlargement) and lengthening (extension) surgeries. After these procedures, the penis can be lengthened by 2-4 cm.

What is penis thickening surgery (enlargement)?

Penis thickening surgery (penis enlargement) is performed on people with congenitally thin penises, people with thin penises due to being underweight, people whose self-confidence and sexual life is negatively affected. There are 3 different penis thickening methods. These are:
•    Autologous fat injection
•    Dermal filler injection
•    Tissue grafting
The most preferred penis thickening method is fat injection. Fat obtained from the anterior abdominal wall is often used.

How is fat injection into the penis done?

After undergoing a special process, fat obtained from the person’s own body is injected to the penis to achieve the desired shape and thickness.Fat injection is performed under local anaesthesia, so it is painless.

How is penis thickening (penis enlargement) done with dermal filler injection?

Dermal fillers that are not harmful to the skin are injected subcutaneously properly selected points on the penis to achieve the desired thickness. Depending on the filler type, this procedure performed under local anaesthesia can be permanent or temporary.

How is penis thickening performed with tissue grafting?

Tissues taken from the person’s body are placed between the fat tissues of the penis. This procedure can be performed under both local and general anaesthesia.

What is penis curvature correction surgery?

Abnormally curved penis may be due to congenital or acquired factors causing partial adhesion in the internal tissues of the penis. Penis curvature correction surgery is performed to correct the problems caused by wrong circumcision, accidents, traumas, developmental disorders, vitamin deficiencies, treatments used for some severe diseases. For correction of the curvature of the penis,
•    Implantation of a prosthesis or
•    Aesthetic penis surgery is used.
Bazen protez kullanılmadan, sadece penis içinde revizeler yapılarak çözüm sağlanır.

Am I a good candidate for penis lengthening (penis extension) surgery?

First of all, patients should be sufficiently informed about the risks of surgery and the risks should be understood. It should not be forgotten that non-surgical options may also be a solution. These are:
•  Sex therapies which bpth partners attend,
•  Elimination of excess weight and belly fat,
•  Regular exercise programmes.
Penis length and thickness do not guarantee sexual satisfaction. Sexual satisfaction develops depending on mutual expectations, dialogue and harmony with your partner. Being aware of this, you should make your decision about which procedure you want: penis lengthening? penis thickening? or both?

What is the best age for penis lengthening surgery?

As a general rule, it is desirable to be over the age of 18. Unless there is a risk factor for anaesthesia, this surgery can be performed on men over the age of 18.

What should I do before penis lengthening (penis extension) surgery?

If you have a request, your doctor will assess the necessity of the operation and will start the preparations if he finds it appropriate. In special cases, for example in cases where the penis is below 7 cm (micropenis), genetic and endocrinological examinations will be required to determine the underlying factors.

Step by step penis lengthening (penis extension) surgery process:

Anaesthesia: General anaesthesia. In some cases, regional anaesthesia may also be used.

Surgical procedure: A 2-3 cm incision is made in the line extending from the root of the penis towards the navel. The ligaments connecting the penis to the pelvic bone are completely or partially cut through the incision. If penis thickening is to be performed together, the fat taken from the abdominal area is placed under penis skin by entering through the first incision with special needles without making an additional incision. If abdominal and groin fat reduction is to be performed in addition, this procedure is either performed as a standard surgical procedure with separate incisions (apronectomy) or the fat in the abdominal area is melted (liposuction) using special needles without making an incision.

What should I expect after penis lengthening (penis extension) surgery?

Temporary mild swelling and bruising may be observed in the penis. These are expected temporary problems and can be eliminated by following your physician’s follow-up protocols.
You may feel itching after penis lengthening surgery. Itching sensation will improve as the wound heals.
When you wake up after the operation, your penis will be bandaged. This elastic bandage wrapping the penis is kept for 48 hours and then removed.
You can shower with warm water 3 days after the operation and with hot water 7 days after the operation.
The stitches are removed 7-10 days after the operation.
Stretching exercises or vacuum devices can be used to make the effect permanent.

What should I pay attention to after penis lengthening (penis extension) surgery?

Heavy objects should not be carried for at least 2 weeks.
Sexual activity is restricted for 4-6 weeks.
Heavy lifting and strenuous activities should be avoided for 2 weeks following the surgery.
Heavy physical exercises should be avoided for 3-4 weeks.
Factors that cause oedema such as alcohol and smoking should be avoided until full recovery is achieved.
Tight clothes that will disturb the operation area should not be used.

How long is the recovery period after penis lengthening (penis extension) surgery? 

The healing process varies from patient to patient, but it is 7-14 days. The wound closes within a week in the vast majority of patients. It may take up to 2 weeks for complaints such as swelling and pain to disappear completely. It may take up to one year for the scars to decrease or disappear completely.

When can I return to work after penis lengthening (penis extension) surgery?

The time to return to work in jobs that do not require heavy physical activity is from 10-14 days after surgery.

How long after penis lengthening (penis extension) surgery can I do sports?

You can start heavy sports after 4 weeks.

What are the risks of penis lengthening (penis extension) surgery?

Problems such as bleeding, wound infection, wound dehiscence can be seen in every surgical procedure.

What are the risks of penis thickening (penis extension) surgery?

When fat is injected, some of this fat may be absorbed by the body over time and an asymmetry or surface disorder may occur on the surface of the penis.

What are the advantages of penis lengthening (penis extension) surgery?

With penis lengthening surgery, 2-3 cm of the existing penis is made visible. Removal of the fat around the root of the penis contributes to the achievement of this result. This structural change repairs the feeling of deficiency and low self-confidence caused by the patient’s own penis perception.
On the other hand, non-surgical methods of penis enlargement (traction-pull device, vacuum devices, gelging exercise, etc.) are difficult to apply, have variable results and can only be effective in the long term.  Compared to these, penis enlargement operations provide results in a shorter time and more easily accessible.

Are the results of penis enlargement surgery permanent? 

If you gain excess weight after penis lengthening surgery, the penis may take on some of its old appearance as there will be an increase in fat around the penis. Thus, there may be a decrease in the gains of the surgery. Lengthening surgeries performed in young patients can be more permanent.

Frequently Asked Questions

Penis length is 2.5 cm in infants and 5 cm by the age of 10. The actual lengthening of the penis starts during puberty and continues until the age of 20. After the age of 20, the average length of an erect penis is 12.5 – 14.5 cm.

The length of the penis is measured as the distance between the tip of the penis and the pubis, i.e. the bottom where it emerges from the abdomen. The length in both soft tissue and erect state is described.

The thickness of the penis is also measured in centimetres by wrapping the penis around the exit point in the abdomen.

Penis size varies from person to person. Normal penis length in soft tissue is 7 cm on average, 12.5 – 14.5 cm when erect.

The average penis thickness of an adult is 10-12 cm when erect and 9-10 cm when not erect. Penis thickness may vary from person to person. If you are not satisfied with your penis thickness, you can only thicken your penis surgically.

Penis shortness may be due to congenital or acquired conditions. Congenital small penis (micropenis) can also be caused by disorders in the glands in the womb, genetic diseases or an unknown cause. Subsequent shortness of the penis is associated with medical and surgical conditions.

Maximum 2-3 cm. lengthening is achieved after penis lengthening (penis extension) surgery. If this surgery is performed together with penis thickening (penis enlargement), better results can be obtained.

Penis thickening (enlargement) is only possible by surgical operation. It is possible to have a thicker penis with the surgery that takes about 1 hour. There are 3 different penis thickening methods. These are fat injection, dermal filler injection and tissue grafting.

Your expectations must be realistic. After listening to your request, the most suitable aesthetic penis surgery will be determined for you after your physician’s examination. An increase of 2-4 cm for penis length and 4-8 cm for thickness can be achieved.

Penis lengthening, thickening and penis curvature correction surgeries are performed under general anaesthesia.

Surgeries take an average of 1-2 hours.

Hospitalisation is required for one day after surgery. Patients can be discharged after the check-ups are carried out one day after the surgery. You should definitely rest on the first day of discharge. Sudden and movements that increase blood pressure should be avoided. Excessive mobility may increase the risk of bleeding in the post-treatment period.

The elastic bandage used after penis lengthening surgery should not be removed for 48 hours. Then the dressing can be removed by soaking. To reduce the risk of infection, antiseptic solution is applied to the incision area twice a day and the area is covered with gauze.

Although the recovery period after penis lengthening surgery varies according to the patient, it is 7-14 days on average. The surgical incision heals within a week. However, the swelling and discomfort sensation decreases and disappears within two weeks.

All sexual activities are possible 4-6 weeks after aesthetic penis surgery.

No! On the contrary, the quality of sexual life increases as the person’s self-confidence is restored. Only, no sexual activity is recommended for an average of 4-6 weeks after penis aesthetic surgeries. This situation should be taken into consideration before the operation.

The effects of penis lengthening surgery are permanent. Especially the results obtained from penis lengthening surgeries performed on young patients are permanent. However, it is recommended to perform traction exercises regularly for 3 months after surgery in order to maintain the elongation of the penis. It is an important requirement that the traction exercises, which are performed by holding the penis from the tip and releasing it back, are performed 10 times in the morning and evening in order to prevent the penis from sticking to the root. Although the effects of penis lengthening surgery are permanent, changes in penis length may occur over time. It should not be forgotten that with advancing age, penis shortening problem may occur and this problem may affect all men whether or not penis lengthening surgery is performed.

Penis thickening surgery is most commonly performed using the person’s own fat tissues. Over time, the injected fat melts and the penis can return to its old state by losing its thickness. Therefore, penis thickening surgery with fat injection may need to be repeated.

Since the size of penis changes it will be evident that will had an operation. However, since the scar is a small incision, it heals over time in such a way that it is hardly noticeable.

It is not possible to extend the penis length, which varies according to the age, race and physical characteristics of the person, naturally as in all other limbs. Non-surgical penis lengthening methods both harm the health of the person and may cause temporary or permanent damage.

There are 2 different methods to lengthen the penis. These are ‘jelging’ exercise and Kegel exercise. However, both give temporary results.

Fat injection for penis thickening is performed in the entire penis. However, fat injection into the glans penis (tip of the penis) cannot be performed, because the glans penis is already expanding on its own during erection.

The bending of the penis, whose axis should remain straight during erection, in another direction is called ‘penile curvature’. Penile curvature may be congenital or may occur as a result of faulty circumcision, operations or traumas. Penis curvatures can be forwards, backwards and sideways. Sexual intercourse of patients with this condition can be difficult and painful. Curvature can be easily diagnosed in case of erection.

Penis enlargement surgery neither prevents nor delays premature ejaculation. The surgery has nothing to do with this problem. Penis thickening surgery may partially delay ejaculation time.

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