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PENIS ENLARGEMENT AND ENHANCEMENT SURGERY : PENOPLASTY

Penis enlargement surgery is still a taboo subject for men, but it is an extremely common procedure. The goal of this surgery is to enhance either length or width or both, but not to obtain a spectacular girth or length. It enables patients to get rid of psychological and physical complexes but it is very important to have realistic expectations. Penis lipofilling and penis length surgery (penile suspensory ligament division) are 2 methods with natural outcomes, unnoticeable by sexual partners.

  • Simple and quick surgery
  • Completely natural outcome and permanent result
  • Outpatient procedure

PENIS ESTHETIC SURGERY OVERVIEW

This information sheet is issued by Dr. Vincent Nguyen, board-certified plastic surgeon in Paris, familiar with the treatment of penis enlargement.

It provides all the information about the surgery, scars, recovery, before and after comparison photographs, Social Security coverage and the costs of penoplasty.

What is penile enhancement in girth or length surgery?

Esthetic penoplasty or phalloplasty is a surgery which increases the length or girth of the penis, flaccid or erect.

Why undergo penoplasty?

The size of their penis is a major concern for many men, and those with concerns about the size of their penis may feel inadequate and insecure.

Even if most penises are of average size, there are normal differences in length and girth, erect or flaccid.

What are the indications for penoplasty?

Penoplasty is for men whose penis is within the average size but who are greatly affected, both physically and psychologically, by its somewhat modest appearance.

PRINCIPLES OF PENIS ENLARGEMENT IN WIDTH AND GIRTH SURGERY

What’s the goal of penoplasty?

Penis widening is a procedure that aims at increasing the girth of the penis in the flaccid or erect state. It is the most common procedure.

Penis lengthening is carried out to increase the length of the penis in flaccid state. It has no positive impact on sexual intercourse. It is often performed on patients suffering from the “locker room syndrome”.

May penis widening and lengthening procedures be combined?

Yes, the procedures may be combined or may be performed separately.

THE STEPS INVOLVED IN A PENOPLASTY PROCEDURE

BEFORE PENOPLASTY PROCEDURE

  • Two preoperative consultations with a board-certified plastic surgeon will be conducted as well as a consultation with an anesthetist.
  • Be prepared to discuss your concerns about the procedure and the outcomes. You will be questioned about your medical history and your sex life, erections, sexual practices … The plastic surgeon will then advise you and make recommendations. Depending on the result of the consultation, he may advise a consultation with a sex therapist, urologist or andrologist. You may also be advised to consult with your partner.
  • In case of functional disorder such as erectile dysfunction, a medical treatment may be considered to optimize the result.
  • Before and after comparison photographs will be taken.
  • Preoperative instructions are as follow:
    • Quit smoking at least one month before the surgery to one month after the surgery to reduce any complication or necrosis risk.
    • Discontinue any anti-platelet or blood-thinning medication 15 days before the surgery.

PENOPLASTY: THE PROCEDURE

Penis enlargement with lipofilling:

  • Penis enlargement is performed under local anesthesia with or without IV sedation.
  • It lasts about 60 to 90 minutes.
  • Depending on the enlargement, a protective bandage is applied on the penis at the end of the procedure.

Penis lengthening:

  • Penis lengthening is performed under general anesthesia.
  • Depending on the patient, the procedure may last 60 to 90 minutes.
  • A protective bandage is applied on the penis at the end of the procedure.
  • The increase in length depends on the anatomy of the patient and can’t be predicted before the surgery. Penis is lengthened in flaccid state but there is not much change in erect state.

Enlargement: It takes 8-10 weeks to achieve a final result.
Lengthening: The result can be judged after 15 days, when the skin is healing. The penis is lengthened by 3 to 6 centimetres at rest.

AFTER PENOPLASTY:

  • Recovery is painless. Only light painkillers will be prescribed.
  • Any inopportune erection would lead to adjust preventive medical treatment.

Penis enlargement:

  • Expect important swelling and bruising the days following the procedure.
  • You may have a shower the day following the procedure.
  • You are advised to wear loose underwear the first week after the procedure. No tight briefs or tight underpants that could cause compression.
  • Usually no need for downtime.
  • It is advised to wait 2 to 3 weeks before progressively resume sexual activity, even if is possible as soon as the anti-erectile treatment is stopped.
  • It is recommended to avoid horse riding, cycling and motorcycling 1 to 2 months after the procedure.

Penis lengthening:

  • Swelling and bruising are common after the procedure.
  • Daily simple care will be carried out until complete healing. (about 10 days)
  • It is compulsory to wear compression underwear over bandage for 15 days in order to avoid any movement that could pull on the scar.
  • Absorbable sutures would have dissolved within 10 to 15 days, with complete healing.
  • It is advised to wait 3 weeks before resuming sexual activities, even if it is possible as soon as the anti-erectile treatment is stopped.
  • Most patients may go back to work 5 to 10 days after the procedure depending on their activity.
  • Physical activity and sport is forbidden before complete healing.
  • It is recommended to avoid horse riding, cycling and motorcycling 1 to 2 months after the procedure.

PENOPLASTY PROCEDURES: PRICE AND COSTS

  • Penis lipofilling and penis length enhancement (penile suspensory ligament surgery) are esthetic procedures and are not covered by Social Security or Health Insurance Company.
  • The cost of the procedures may vary depending on the patient, on other combined procedures and other related expenses from … To … (see all the costs of esthetic procedures on this website)
  • Make sure to find a board-certified plastic surgeon competent in penoplasty and esthetic male genital procedures who will evaluate your needs discuss your expectations and your options to achieve the best results.

PENOPLASTY FAQs:

Is the result permanent?

Concerning length enhancement, the result is permanent.

Concerning penis lipofilling, the result is permanent but depends on weight variations. Penis will lose fat in case of weight loss and will be enhanced in case of weight gain.

May patients undergo a second penis lipofilling?

Yes, it may be done to increase the girth of the penis, but it must be done with moderation.

As fat graft is unpredictable, it is sometimes necessary to perform a second lipofilling procedure.

May penoplasty be combined with other procedures?

Yes, penoplasty may be combined with glans enlargement, circumcision, frenuloplasty or preputioplasty.

What are the procedures to enhance penis in length and girth?

Girth enhancement:

Lipofilling, also called lipomodelling, uses autologous fat injections to increase the girth of the penis. The penis is widened with fat.

Lipofilling is a procedure that has been carried out in many plastic surgery procedures for years. It consists in a graft of adipose cells: fat is removed from the patient’s body by liposuction and reinjected in the penis after being purified.

Due to new injection techniques, the fat is evenly distributed in the penis.

It results in the enlargement of the size of the penis in both flaccid and erect states.

The result is reliable and permanent.

Patient’s weight should be stable to avoid variation in adipose cells. Glans is not altered.

Length enhancement:

An incision will be made to cut the penile suspensory ligament that connects the penis to the pelvic bones. It allows the shaft to be brought forward and become more visible. It is lengthened by 3 to 6 centimeters, in flaccid state only.

Does penoplasty leave visible scars?

In lengthening penoplasty, a small incision is performed in the subra-pubic area where it will be covered by pubic hair and will therefore be invisible to your partner.

In widening penoplasty with lipofilling, as micro incisions are made to insert the cannula (to harvest and inject fat), the marks will become invisible.

What are the benefits of penoplasty?

The advantage of penis enlargement with lipofilling is that the penis looks absolutely natural. The procedure is undetectable. You may keep it from your partner.

What are the alternatives to penoplasty?

Hyaluronic acid penile injections can enhance the girth of penis.

The advantage of this procedure is that it is performed at the private practice and the patient can choose the size during the procedure. But the result is not permanent and it has to be maintained with regular injections, depending on the filler, after 8 months to 1 year.

Labiaplasty