Every year, more than 11,000 penis enlargement surgeries are performed in the world, and their number is constantly increasing.The surgical intervention itself takes no more than half an hour, and after three weeks the man can start an active sexual life.Most surgeries are performed in Thailand, which is the world leader in plastic surgery.This text contains a story about how penis enlargement surgery is performed.
Plastic surgery worldwide is more like psychotherapy than solving real problems.This is also true for penis enlargement surgery.Many men believe that their penises are smaller than they should be, while doctors are sure that most men underestimate their size.Why is this happening?Paradoxically, the idea that the penis is too small often develops in childhood, when mental comparisons with a father or older sibling can naturally be discouraging.
It is believed that men often have a false idea of their own penis size because they measure or estimate it incorrectly.The penis may appear shorter when viewed from above.To properly assess the size, it is better to undress in front of a mirror in which you can see your reflection in full length.According to a study involving more than 15,000 men, the average size of an erect penis is about 13 centimeters.Medium-sized borders are 11-18 centimeters.Doctors diagnose a small penis if its size in erection is less than eight centimeters.
How does the patient decide on 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 medicine, professor at the Plastic Surgery Clinic says:
"Now is the age of the Internet: people look at the pictures without even delving into where they came from and how they correspond to reality. Most often, people visit surgeons with pictures from the Internet, showing that it is 'exactly as shown here.'
Just imagine if you keep getting spam mails: "Iron erection and a hundred more fantastic ways to enlarge your penis".At this point, even a normal, sane person begins to think: maybe something is wrong with him if he keeps getting "You have to do this" emails!I often remember the movie "The Man from the Boulevard des Capucines" when following a certain culture completely changes people's behavior.First they stop bullying, drink milk and act like gentlemen.Then, after watching enough other movies, they start causing mayhem, drunkenness, and shooting.And it's the same here: society influences people, and specific people, movies, cultural patterns give birth to some 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, or correct the shape of their ears or nose.”
Is it possible without surgery?
There are many procedures and products that manufacturers claim can increase the length and diameter of the penis: body lotions, dietary supplements, exercises, vacuum pumps, polymer gel injections.But most of these remedies have not been proven to be effective and some of them can actually harm the penis.If you think that additional funds are needed, it is better to consult a specialist: urologist, andrologist or plastic surgeon - to discuss whether it is worth using this or that method.
There are pills and lotions.They usually contain vitamins, minerals, herbs and hormones.However, there are no studies to confirm that any of these work.
There are vacuum pumps that are commonly used to treat erectile dysfunction.Visually, they can only temporarily increase the size, but too frequent or long-term use can lead to tissue damage and deterioration of the quality of the erection.
There are practices that have been developed for centuries among some peoples: the jelqa method is used by Sudanese boys from the age of 9-11.The movements are simple: you have to move your hand from the base of the penis to the head, holding back the ejaculation.It sounds relatively safe, but it can actually cause pain, scarring, and change the shape of your genitals.
There are also injections, but the risks are very high and the effectiveness is questionable.Getting polymer, polyacrylamide gels under the skin of the penis can almost lead to disability, doctors warn.The polymer does not last - under the influence of gravity, the gel migrates due to physical activity, often causing inflammation, which can be followed by infection and so on until tissue necrosis with the complete or partial loss of the penis.
There is a way to enlarge the penis with the help of lipofilling, when fat tissue is injected under the skin with a puncture.However, the effect is visible only immediately after the procedure, when the fat is absorbed (and often unevenly), turns into compaction and irregularity.The consequences are corrected in the operating room.
There is only one non-surgical method of penis enlargement that has proven its effectiveness - long-term wearing of the extender.These are two rods of adjustable length that are mounted between the head and base of the penis.Dumbbells should be dismantled very gradually, little by little, by stretching the penis - it will be like an Ilizarov apparatus, only without spokes.The extension must 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?
Physiologically, no.But sex is not mechanical grinding between two partners, but a whole complex of human experiences.Self-confidence, desire to make your partner happy, sexual habits and many other things play a role.
“The fact is that the standard deviation is quite large.11 or 18 centimeters is still a significant difference, says the plastic surgeon.- Size matters in the sense that a lot depends on the partner, his adaptation and sexual experience.And the point is not how big your partner's previous man's penis was, but also his reactions and expectations.In women, different parts of the genitals can be concentrated: different parts of the genitals: The clitoris, the entrance to the vagina, or somewhere near the cervix The diameter of the penis matters if the receptors are concentrated at the entrance or along the walls of the vagina, and this means that the man's skill, position, understanding between partners is as important as size.
How does the operation work?
"Usually a man comes and says: 'Doctor, I want you to have a big one. Then we talk, we discuss everything in detail, and we always talk about sexual needs. It happens that people think about surgery because they are unable to fulfill their dreams or sexual fantasies: for example, having sex with a woman with a prominent shape,'" says the doctor.
It is very important, as with other plastic surgeries, to properly assess whether the surgery helps to achieve a specific goal.All doctors try to avoid surgery if they see that the patient's expectations do not meet the real possibilities of the surgery, or the doctor's measures will be ineffective, the specialist believes.
With the help of surgery, you can increase both the length and diameter of the penis.
Length is the easiest.This surgery is scientifically called a ligamentotomy and involves cutting the suspensory ligament of the penis.
"Today, ligamentotomy is the main surgery recommended for penis enlargement," says the surgeon."From my point of view, it is optimal in terms of the patient's degree of risk, the degree of trauma and the result obtained. Although it does not actually apply to real lengthening surgeries. We simply increase the angle between the penis and the vulva, cut the ligament. So the penis simply moves forward and creates an enlarging effect."
The effectiveness of this surgery depends greatly on the flexibility of the tissue, so to increase the chances of success and avoid scarring, doctors recommend that the patient wear an extender before and after the surgery along with taking drugs that affect the stretch of the tissue.
In other words, the timing is as follows: they start wearing the device 2 months before the ligamentotomy, then a half-hour operation, and then another three weeks with an extension.Total - just under 3 months for everything.
With the diameter, everything is more complicated for the patient, but more interesting for the reader.
It can increase the diameter of the penis by 2 centimeters, which is quite significant.Two methods are widely used.The first, 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 into the penis.In fact, the penis is wrapped with a piece of muscle and then the blood vessels are sutured together to restore the blood supply - this is called revascularization.
This type of surgery is microsurgical in nature.After that, the patient should rest for a week.
The second method looks like this: dermofat flaps are taken from the groin area and placed along the corpora cavernosa.That is, the penis is wrapped like a muscle tissue transplant, but in this case the doctors do it without microsurgical equipment, so the recovery period is easier: there is no need for strict bed rest, and the patient only spends a few days in the clinic.
There is a way to increase the thickness of the penis with the help of silicone implants - penis enlargement replacement.This is the least traumatic method, and the operation itself is similar to breast surgery, only the implants are unique, made specifically for the patient.
In each case, the choice of method depends solely on the patient's preferences.The doctor is obliged to warn where the scar will be, what complications and consequences are possible, so that the person concerned can make an informed decision.
What are the risks?
Despite the apparent simplicity of the operation and the easy recovery, in addition to the usual risks associated with surgical intervention, there is also the risk of a serious complication: if the doctor gets too carried away or is careless, he can damage the artery, thereby condemning the patient to impotence.Therefore, the most important part of the surgery is choosing the clinic and the doctor who guarantees the result.
The most important thing you should pay attention to when choosing a clinic is a balanced conversation with your doctor.You have no right to promise triple the size of your penis or to tell in advance how many centimeters it will grow.The doctor's caution is the key to the success of the operation.
Ligamentotomy is often combined with liposuction of the pubic area;together, this gives the best effect in overweight patients.The doctor says that in his personal experience, patients are more likely to be satisfied with penile enlargement surgery.As for the probability of repeated operations, this need often arises when prolongation of the operation is combined with an increase in diameter, and usually this desire arises in the patient in the late postoperative period.
However, in addition to health risks, patients are also concerned about their own reputation and the anonymity of the operation.The plastic surgeon is convinced that this question can be solved simply: "Apart from the law protecting the patient, which states that the doctor cannot advertise any intervention, there is also an important point of connection between the patient and the doctor. Was there trust? Do you think the doctor has moral qualities that, in principle, do not allow him to talk about the surgery? Or is he only citing other examples? Like yours, your doctor basically does not talk to anyoneyou can discuss your surgery, but if the patient is overly concerned about it, for psychological comfort, you can specifically say that you are not interested in this story.