Sexual problems associated with a man’s dissatisfaction with the size of his penis cause stiffness in communication with women, causing a loss of sexual interest and the formation of various complexes.
To date, methods for intimate injection contouring have been developed and put into practice to change the size and shape of the penis using surgery and general anesthesia, a long rehabilitation period, and less money.
In modern medicine, great importance is attached to improving the quality of human life. Moreover, full sex is an important element 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 Sexual Health Alliance recognized that we all have the right to seek sexual pleasure as part of general well-being. In the public consciousness, especially in the self-consciousness of the men themselves, masculinity and sexuality are almost synonymous, so many representatives of the stronger today are interested in penis enlargement techniques. Penis size has always been of great importance in a person’s perception of masculinity, sexuality, and self-esteem. This is why dissatisfaction with penis size causes sexual problems in men, rigidity in communication with women, loss of sexual interests, the formation of various complexes, and even a lack of general confidence in their abilities. These cases may become an indication for intimate plastic surgery for a man. The great social significance of this problem raises the question of the need to develop effective methods of penis enlargement that can change the age of men at any age.
Today, there are various methods for intimate plastic surgery for men, 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 contouring that allow surgery to enlarge and change the shape of the penis with surgery, general anesthesia, a long rehabilitation period, and lower costs.
Almost all men are familiar with the safe and effective methods of female breast, the possibilities of contouring and intimate plastic surgery that allow women to emphasize and maintain their external attractiveness and sexuality. But many men are unaware of the existence of modern, minimally invasive methods of male intimate plastic surgery that can change the shape of the penis and enlarge the penis, which will certainly promote a quality of sex life.
According to the data, the number of patients with sexual problems has increased recently. These problems are often associated with 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 be longer, about 40% of them dream of a thicker penis, and no one wants it to be smaller or thinner. Insufficient penis size not only causes stiffness in women and a general lack of confidence in a man’s abilities, but also negatively affects offspring, i. e. fertility. According to the WHO, in the last 2-3 decades, in all countries of the world, in addition to low fertility, the number of infertile marriages has increased, due in 40-50% of cases to the pathology of the male reproductive system, which has increased micropenia and penisrate of dysmorphophobia.
In addition, the size of the penis reflects the general health of a person, especially the condition of his endocrine and reproductive system. The fact that the size of the penis depends on the amount of sex hormones produced during puberty, i. e. , when the most intense growth of the external genitalia is observed. Decreased levels of male sex hormones not only lead to a slowdown in penile tissue growth, but are often the cause of male infertility, as it leads to a decrease in sperm production and sometimes complete cessation. In these cases, it is recommended to consider the possibility of male intimate plastic surgery.
Data on the size of the "average" penis is very different. Different authors estimate the average size of a normal penis differently, as their views are often determined by the cultural and ethnic characteristics of individual countries and regions. Still, the normal length of the penis at rest is estimated at 7, 5-10, 5 cm, and at erection 12-18 cm, while its diameter is usually 3, 0-3, 5 cm. It is known from statistics that everyone who is thinking about penis enlargement.
The rather large standard deviation of the indicators of the normal length of the penis (12–18 cm) can be explained by individual differences in the anatomy of the inguinal region, namely the hidden and free part of the corpora cavernosa and the surrounding shell. It is thought that normal levels of sex hormones and proper development of the corpora cavernosa in different men, due to their unique characteristics, are the dimensions of the hidden part of the corpora cavernosa that are responsible for the latter to the pubic bones and accordingly penis fixation is far from the same.
As for the various pathologies, about 20 congenital diseases are currently known, characterized by a violation of the production of sex hormones and the small size of the penis, as well as (in some cases) infertility. Such cases, of course, require male intimate plastic surgery. The earlier they are diagnosed and treatment is started, the more reason to talk about its effectiveness.
There is evidence in the literature that with completely normal testicles and fairly well-expressed secondary sex characteristics, a functioning penis in a state of full erection should not exceed 2. 5 cm. For organs of this size, the term "micropenis" is used. Also described is a phenomenon known as "congenital hypoplasia, " in which the body of the penis is virtually absent and the head is connected to the pubic bone. In this case, injection contour plastics may help.
Although penis size has virtually no effect on the ability to have normal intercourse and a normal erection, some men have a desire to enlarge their penis. Dissatisfaction with the appearance and size of the penis can lead to serious reproductive health problems. One of the most frightening complications of penile dysmorphophobia is psychogenic erectile dysfunction, which eventually leads to infertility. Thus, penis size becomes one of the important factors that directly affects fertility and quality of life.
Male intimate plastic surgery continues to be a popular and increasingly common field of plastic surgery.
Based on our own experience and data from the world literature, we can state that more than 70% of the interventions performed in the male intimate plastic are performed on individuals with completely normal anatomical dimensions of the penis. Thus, the main motives of patients seeking penis enlargement are:
- increasing self-esteem;
- increased sexual attraction;
- improving the quality of sex life;
- removal of the "locker room complex" - reducing the feeling of confusion in men's companies.
It is known that the length of the penis, to a much lesser extent than its diameter, affects the partner’s ability to achieve a vaginal orgasm. Therefore, it is much easier to achieve the desired result not by enlarging the penis, but by correcting the diameter of the penis.
Penis enlargement and shape correction techniques
Modern methods of male intimate plastic surgery aim not only to improve the aesthetic and functional results of the interventions, but also to reduce the number of complications. These methods include lipofilling, microsurgical autotransplantation of tissues, transposition of vascularized muscle or fascial fat grafts, and placement of various implants.
Until recently, lipophilic autogenous fat was a commonly used method of contouring 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 been widely found for penis enlargement due to common complications such as infection, implant migration, tissue hardening, and necrosis.
For penis enlargement, the professor and co-authors proposed a method of microsurgical autotransplantation of a rotated fascial-fatty lid from the anterior abdominal wall to the supplying vasculature. Despite the obvious advantages, the method requires expensive equipment and a specially trained microsurgical team. In the postoperative period, physical activity should be refused for up to 3 months.
Of great interest is the new direction of male intimate plastics based on the implantation of special viscoelastic biogels based on hyaluronic acid under the skin of the penis, which not only fills the existing quantitative deficit but also improves skin intensity. penis. Relevant studies were conducted in 2003 and the first data on the efficacy of the use of these biogels in male intimate plastics were obtained, indicating the possibility of their clinical application.
Male injection contouring with hyaluronic acid preparations can help solve sexual problems that are related not only to the appearance of the penis, but also sometimes to its functional characteristics (the most common problems of this type are premature ejaculation).
Thus, for injection contour plastics, those skilled in the art use viscoelastic gels (fillers) based on hyaluronic acid. The composition of these formulations differs from the composition of fillers used by cosmetologists when contouring the face. Especially in our practice we use special gels for this.
The nomenclature of gels contains 6 formulations, each with its own specificity and field of application.
Since 2005, a drug has been specifically registered for intimate plastic surgeries for men and women. With this filler, you can effectively and safely enlarge the penis, correct the size of the corolla, frenum, reshape the body of the penis and treat premature ejaculation.
It allows you to work successfully with intimate areas as it is easy to insert, distributes well in tissues, effectively compensates for lack of volume, provides long-term results without causing allergic reactions. The medicine is prepared in disposable syringes with a volume of 0. 8 ml, packaged in blisters that guarantee the safety and absolute sterility of the gel.
The procedure for intimate injection contouring in 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. Thus, with the plastic of the head of the penis, the duration of action lasts on average 0, 7-1 years, with the plastic of the body of the penis it is possible to maintain the effect for up to 1, 5-2 years, so it is recommended to repeat the procedure after 1-1, 5 years on average. . .
Vaginal enlargement of the vagina
Normally, the diameter of the head of the penis at the back should be 1-2 cm larger than the diameter of the body of the penis. This contributes to the formation of an "orgasmic cuff" during intercourse. If the head is of inadequate size, enlargement of the penis involves the introduction of a filler conditionally into its lower third and along the groove of the coronary artery. In both cases, the volume of drug injected in 1 "step" is 0, 1-0, 4 ml. During work with the coronary groove, as well as when the head itself thickens, the filler is inserted using a ventilator (on the inverted needle) technique (needle 27G). The minimum total volume of glans penis correction drug is 0. 8 ml, with an estimated maximum of 2. 0 ml. To distribute the gel evenly, it is recommended to first "hydro-prepare" the tissue using 0. 9% NaCl in a volume of 10 ml.
Frenuloplasty
This term refers to the correction of the vaginal penis frenum.
The technique of frenuloplasty is to enlarge the penis by filling the frenulum with gel to increase its volume. The active substance is injected under the bridle in an amount of 0. 1 to 0. 3 ml "stepwise" with a 25-27 G needle, the injection technique dripping. The introduction of the medicine directly into the bridle (tape) is unacceptable.
All the techniques of male injection contouring can be combined and performed in a single procedure, while the conditions for rehabilitation and the development of complications do not change in any way.
In men, the tissues of the external genitalia, as well as in women, have a very good blood supply, so healing after such procedures takes place without scarring. During the healing period, which averages 2-3 days, active sexual activity is not recommended.