Today, methods of intimate contouring have been developed and put into practice, which help to change the size and shape of the penis without surgery and general anesthesia, with a long recovery time. longer and lower cost. In modern medicine, more and more importance is given to improving the quality of human life. Furthermore, a fulfilling sex life is an important component of this concept. Interestingly, until recently, sexual health was considered an integral part of reproductive health, but the World Association for Sexual Health Statement adopted in 2005 in Montreal recognizedThe right of all of us to seek sexual pleasure as a component of general well-being. .
In the public consciousness, especially the male self-consciousness, masculinity and sexuality are almost synonymous, which is why today so many representatives of the male sex are interested in the techniquespenis lengthening.
The size of the penis has always been of great importance in a man's perception of masculinity, sexuality, and the affirmation of his self-esteem. That is why dissatisfaction with the size of the penis causes sexual problems in men, difficulty communicating with women, loss of sexual interest, development of various complexes, and evenlack of confidence in their own abilities. It is these cases that can become indications for male genital plastic surgery. Given the high social significance of this issue, the question arises of the need to develop effective methods of penis enlargement that can change the quality of the sex life of men of all ages. Today, to solve this problem, there are many methods of male genital plastic surgery, most of which are surgical.
Essentially, these are expensive activities 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 intimate injection contouring methods, which allow penis enlargement and reshaping without surgery, general anesthesia, long recovery time and at a lower cost. . Almost every man knows about safe and effective female breast augmentation methods, about the ability of cosmetic surgery to contour and cleavage, allowing women to emphasize and maintain their internal attractiveness. and their gender.
But many men do not know about the existence of modern minimally invasive method of male genital plastic surgery, you can change the shape of the penis and enlarge the penis, which will definitely help. Improves quality of sex life.
When is penis enlargement performed?
According to various sources, at least 70% of men want to enlarge the penis. About 60% of them want it to be longer, about 40% dream of a thicker penis, and no one wants it to be smaller or thinner. Insufficient penis size makes it not only difficult for a man to communicate with women and lack of confidence in his abilities, but it also has the most negative effect on fertility, i. e. fertility. According to WHO, in the past 2-3 decades, in all countries of the world, along with low fertility, the number of infertile marriages has been increasing, of which 40–50% of cases are due topathological. of the male reproductive system, in the structure there is an increased incidence of foreskin stenosis and agoraphobia. In addition, the size of the penis is a reflection of a man's general health, especially the state of his endocrine and reproductive systems.
The fact is that the size of the penis depends on the amount of sex hormones produced during puberty, that is, when the most intense development of the external sex organs is observed. A decrease in male sex hormones not only leads to slowed growth of penile tissues but also causes infertility in men, as it leads to a decrease and sometimes a complete cessation of sperm production. In these cases, the possibility of male genital plastic surgery should be considered. Data regarding the size of the "average" penis vary widely.
Different authors estimate the average size of a normal penis differently, as their ideas are often determined by the cultural and ethnic characteristics of certain countries and regions. However, the normal length of the penis in a calm state is estimated at 7. 5–0. 5 cm, and in an erect state - at 12-18 cm, while its diameter is usually 3, 0-3. 5 cm. increase penis size. A rather large variation in the normal length of the penis (from 12 to 18 cm) can be explained by individual differences in inguinal anatomy, namely the ratio between the hidden and free parts. of the corpus callosum and their surrounding shell. It has been suggested that with normal levels of sex hormones and the correct development of the corpus cavernosum in different men, due to their individual characteristics, the size of the hidden part of the corpus cavernosum, is responsible. responsible for attaching the posterior part to the pubic bone and, accordingly, immobilizing the penis, is far from the same. As for various pathologies, about 20 congenital diseases are now known, characterized by a violation of the production of sex hormones and manifested by the small size of the penis, as well as (in some cases)infertility.
In such cases, of course, men need plastic surgery. The earlier the diagnosis and treatment, the more reason to talk about its effectiveness. There is evidence in the literature that with fairly normal testicles and well-defined secondary sexual features, a functioning penis in a fully erect state may not exceed 2. 5 cm. The term "micropenis" is used in relation to organs of this size. A phenomenon known as "congenital hypoplasia" has also been described, in which the shaft of the penis is practically absent, and its tip is attached to the pubic bone. In this case, contour injection can be helpful.
Although the size of the penis has little or no effect on the ability to have normal sex, have a normal erection, some men have a desire to enlarge the penis. Dissatisfaction with the appearance and size of your penis can cause serious reproductive health problems. One of the most formidable complications of agoraphobia is psychological erectile dysfunction, which eventually leads to infertility. Thus, the size of the penis becomes one of the important factors that directly affect fertility and quality of life. Male plastic surgery continues to be a popular and growing area of plastic surgery. Based on our experience and world literature data, we can say that more than 70% of the interventions performed in male colostomy are surgeries on people of small size. perfectly normal anatomy of the penis. Therefore, the main motives of patients who want to increase their penis size are:
- increased self-esteem;
- increased sexual attraction;
- improve the quality of sex life;
- eliminate the "dressing room complex" - reduce the feeling of shame in men's companies.
It is well known that the length of the penis, to a much smaller extent than its diameter, affects a partner's ability to achieve vaginal orgasm. Therefore, the desired result is much easier to achieve not by increasing the penis, but by adjusting the diameter of the penis.
Methods to increase penis size and correct its shape
Modern male plastic surgery methods aim not only to improve the aesthetic and functional outcome of the intervention, but also to minimize the number of complications. Among such methods are fat filling, automated microsurgery, transposition of vascular muscle or fat grafting, installation of various implants. Until recently, autologous fat injection remained the most commonly used contouring injection method. However, frequent resorption and migration of the injected autofocus, as well as cases of fibrosis, have diminished interest in this approach. Various synthetic materials (silicone, paraffin, etc. ) have not been widely used for penis enlargement due to common complications such as infection, implant migration, tissue sclerosis, and necrosis. Professor D. G. Kurbatov and colleagues for penis enlargement have proposed an automated microsurgical implantation of a flap of excess fat that rotates from the anterior abdominal wall on the pedicle of the blood vessels. Despite its obvious advantages, this method requires expensive equipment and a specially trained microsurgery team. In the postoperative period, it is necessary to limit physical activity for up to 3 months.
Of considerable interest is a new direction in male genital plastic surgery, which is based on the implantation of special elastic bio-tissues based on hyaluronic acid under the skin of the penis, which not only compensates for the current volume deficit. yes but also improves the structure of the skin. of the penis. Professor J. J Kim in 2003 conducted related studies and obtained the first data on the effectiveness of using these biogels in male intimacy resins, indicating the possibility of clinical useof them. Contour injections for men with hyaluronic acid preparations can help with sexual problems not only related to the appearance of the penis but sometimes with its functional features (common problems)most of this type include premature ejaculation). So, for injectable contour plasticizers, specialists use elastic gels (fillers) based on hyaluronic acid. The composition of these drugs is different from the composition of the fillers that estheticians use when performing facial contouring.
In particular, in our practice we use special gels for this. The range of gels includes 6 preparations, each with its own characteristics and application. Since 2005, another drug of the line has been registered in our country, specially designed for plastic surgery of the private area in men and women. With this filler, you can effectively and safely enlarge the penis, adjust the size of the corolla, stopper, change the shape of the shaft of the penis and treat premature ejaculation.
It allows you to successfully work with intimate areas, as it is easily injected, is well distributed in the tissues, effectively compensates for the missing volume and provides long-lasting results without causing reactions. allergy. The drug is produced in the form of a disposable syringe with a volume of 0. 8 ml, packed in blisters, so the gel is absolutely safe and sterile. Male contouring injections are performed on an outpatient basis under local anesthesia (without sedation). Hyaluronic acid biodegrades over time, and the rate at which it biodegrades depends on the level of blood supply in a particular area of the body. So, with penile reconstructive surgery, the effective time lasts on average from 0. 7-1 years, with penile shaft surgery, the effect can last up to 1. 5-2years, so the process should be repeated after an average of 1-1. 5 years.
Enlarge the tip of the penis
Normally, the diameter of the glans penis at its posterior part should exceed the diameter of the shaft of the penis by 1–2 cm. This contributes to the formation of an "orgasm cuff" during intercourse. If the size of the glans is not enough, the penis enlargement procedure involves the conditioned injection of fillers into the lower third of it and along the glans. In both cases, the injection volume per 1 "step" was between 0. 1-0. 4 ml. When working with the corolla groove, as well as when self-thickening the tip, the filler is introduced using the fan technique (on the reverse stroke of the needle) (needle 27G). The minimum total volume of drug in the correction of the glans penis was 0. 8 ml, the maximum expected was 2. 0 ml. For uniform distribution of the gel, we recommend preliminarily "hydropreparate" the tissue using a volume of 10 ml of 0. 9% sodium chloride solution.
Frenuloplasty
The technique of foreskin dilatation involves enlarging the penis by filling it with gel to increase its volume. The drug is injected into the soft tissues under the speculum in 0. 1–0. 3 ml per "step", 25–27 G needle, drip technique. It is not acceptable to give medication directly into a ligament (ligament). All male contouring injections can be combined and performed in one procedure, while the terms of recovery and the development of complications do not change in any way. The tissues of the external genitalia in men, as in women, have a very good blood supply, so wound healing after the procedure takes place without scarring. During the recovery period, and this is an average of 2-3 days, an active sex life is not recommended.