Every year, more than 11 thousand penis enlargement surgeries are performed in the world, and their number is constantly increasing.The surgical intervention itself lasts no more than half an hour, and after three weeks the man can begin an active sexual life.Most surgeries take place in Thailand, a world leader in cosmetic surgery.This text contains a story about how penis enlargement surgery occurs.
Cosmetic surgery around the world is more like psychotherapy than a solution to real problems.The same is true for penis enlargement surgery.Many men believe their penises are smaller than normal, while doctors are convinced that most people underestimate their size.Why does this happen?Paradoxically, the idea that the penis is too small is often formed in childhood, when mental comparisons with your father or brother can naturally discourage you.
It is believed that men often have a wrong idea about the size of their own genitals because they measure or estimate them incorrectly.The penis may appear shorter when viewed from above.To fully appreciate the size, it is better to undress in front of a mirror so that you can see the reflection of your entire length.According to a study of 15 thousand people, the average size of the penis when erect is about 13 cm.The average size contour ranges from 11 to 18 cm.Doctors diagnose a small penis if its size is less than 8 cm in an erect state.
How do patients decide to have surgery?
A variety of problems can lead a man to surgery: unsuccessful sexual experiences, internal beliefs, inaccurate information from open sources on the Internet.Plastic surgeon, Doctor of Medical Sciences, Professor of the Department of Plastic Surgery said:
"Now is the age of the Internet: people look at photos without really finding out where they come from and how they correspond to reality. Often, people come to the surgeon with photos from the Internet, indicating that they want "exactly as shown here".
Imagine if you constantly received spam “Iron Erection and Hundreds of Other Great Ways to Enlarge Your Penis”.At this point, even a normal, sensible person will start to think: maybe there is something wrong with him if he constantly receives letters “You need to do this!”I often remember the movie "The Man from the Avenue of the Capucines", when pursuing a certain culture will completely change human behavior.First they stop bullying, drink milk and act like gentlemen.And then, after watching enough other movies, they start causing chaos, getting drunk, and shooting.And here it is the same: society influences people, and specific people, films, cultural stereotypes give rise to certain ideas.
In general, male patients who want to increase penis size are no different from other cosmetic surgery patients - for example, women who want to improve the size and shape of their breasts or have cosmetic surgery on their genital area, correcting the shape of their ears or nose.
Can it be done without surgery?
According to manufacturers, there are many procedures and products that can increase the length and girth of the penis: 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 cause damage to the penis.If you think that additional funds are needed, it is better to consult with a specialist: urologist, internist or plastic surgeon - to discuss whether this or that method is worth using.
There are tablets and lotion.They often contain vitamins, minerals, herbs, and hormones.However, there are no studies confirming that any of these work.
There are vacuum pumps that are commonly used to treat erectile dysfunction.They may only temporarily increase visual size, but too frequent or prolonged use can lead to tissue damage and reduced erection quality.
There are exercises that have been developed over centuries in some peoples: the jelqa method is used by Sudanese boys aged 9–11 years.The movement is very simple: you need to move your hand from the base of the penis to the head, restraining ejaculation.It sounds quite safe, but it can actually be painful, leading to scarring and changing the shape of the genitals.
There are also injectable drugs, but the risks are very high and the effectiveness is questionable.Doctors warn that inserting the polymer gel, polyacrylamide, under the skin of the penis can almost lead to disability.Polymers do not hold - under the influence of gravity, due to physical activity, the gel moves, often causing inflammation, which can then lead to infection, etc.until tissue necrosis leads to complete or partial loss of the penis.
There is a way to enlarge the penis using lipofilling, when fatty tissue is injected under the skin through punctures.However, the effect is only evident immediately after the procedure, after which the fat is absorbed (and often unevenly), turning into a compressed and uneven form.The consequences are overcome in the operating room.
There is only one non-surgical method of penis enlargement that has been shown to be effective - wearing a long-term extender.These are two rods of adjustable length that are installed between the head and base of the penis.The barbells need to be moved gradually, little by little, to stretch the penis - it turns out like an Ilizarov apparatus, just without spokes.The extender will have to be worn for long periods of time;The result of wearing it will be to increase the length of the penis by a few centimeters.
Does size matter?
From a physiological standpoint, no.But sex is not a mechanical grind between two people, it is the sum total of complex human experiences.Self-confidence, desire to make your partner happy, sexual habits and many other things play a role there.
"The problem is that the difference in the "norm" is quite large. 11 or 18 cm is still a significant difference, says the plastic surgeon. - Size matters in the sense that it depends a lot on the partner, his adaptation and sexual experience. And it is not about the penis size of the partner's previous man but also her reactions and expectations. In women, the receptors can be concentrated in other partsgenital organs: at the clitoris, at the entrance to the vagina, on its front surface, or somewhere near the cervix. The diameter of the penis will be important if the receptors are concentrated at the entrance or along the vaginal wall, the length - if around the cervix. And this means that skill, position, understanding between the partners of a man is as important as size.
How does the activity take place?
“Usually a man comes in and says, “Doctor, I wish I had a big one.”After that, we talked, discussed everything in detail and always talked about sexual needs.People think of surgery because they cannot fulfill their sexual dreams or fantasies: such as having sex with a woman with a striking figure,” the doctor said.
It is very important, as with other cosmetic surgeries, to fully evaluate whether the surgery will help achieve a specific goal.The expert believes that every doctor will try to avoid surgery if he sees that the patient's expectations do not correspond to the real possibility of surgery or that the doctor's actions will be ineffective.
With the help of surgery, you can increase both the length and girth of your penis.
Length is easiest.This surgery is scientifically called ligamentectomy, which means cutting the suspensory ligament of the penis.
“Today, ligamentectomy is the main surgery we offer for penile lengthening," the surgeon said. "In my view, it is optimal in terms of the level of risk to the patient, the level of injury and the results obtained.Although in reality it doesn't apply to really long surgeries.We simply increase the angle between the penis and pubic bone, cutting the ligament.This way, the penis simply moves forward and creates an enlarging effect."
The effectiveness of this surgery largely depends on the flexibility of the tissue, so to increase the chance of success and avoid scarring, doctors will recommend that patients wear a brace before and after surgery in combination with using drugs that relax tissue.
That is, the timing is as follows: 2 months before the ligament surgery, they start wearing the device, then the surgery lasts half an hour, and then another three weeks with the extender.Total - less than 3 months for everything.
With diameter, things are more complicated for the patient but more interesting for the reader.
You can increase penis diameter by 2 cm, which is quite significant.Two methods are widely used.The first, most common, is from the patient's own tissue.
It works like this: a piece of muscle tissue is taken from the rectus abdominis or abdominal muscles and implanted into the penis.In fact, the penis is covered with a piece of muscle, after which the blood vessels are sewn to restore blood supply - this process is called revascularization.
This type of operation is classified as microsurgery.After that, the patient needs to rest for a week.
The second method looks like this: they take fat flaps from the groin area and place them along the corpora cavernosa.In other words, they wrap the penis like a muscle tissue transplant, but in this case, doctors do not need microsurgical equipment, so recovery time is easier: there is no need for strict bed rest, and the patient stays in the hospital for only a few days.
There is a way to increase the thickness of the penis using silicone implants - penile replacement.This is the least traumatic method and the surgery itself is similar to breast surgery, only the implants are individual, they are made specifically for the patient.
In any 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 may occur so that the patient can make an informed decision.
What are the risks?
Although the operation is simple and easy to recover from, in addition to the standard risks that accompany any surgical intervention, there is also the risk of serious complications: if the doctor is aggressive or acts carelessly, he can damage the artery, thereby rendering the patient helpless.Therefore, choosing a clinic and doctor that guarantees results is the most important part of the surgery.
The main thing you should pay attention to when choosing a clinic is a balanced conversation with the doctor.He has no right to promise that the penis size will triple or, frankly, how many centimeters it will get bigger.The doctor's carefulness is the key to the success of the surgery.
Ligamentectomy is often combined with pubic liposuction;together, this works best in overweight patients.The doctor said that based on his personal experience, patients are more likely to be satisfied with penis lengthening surgery.Regarding the possibility of reoperation, such a need often arises when a prolonged operation is combined with an increase in diameter, and usually such a desire arises in patients in the late postoperative period.
However, besides health risks, patients are also concerned about their reputation and the anonymity of the surgery.The plastic surgeon believes that this problem can be solved in a simple way: "In addition to the patient protection law that states that the doctor must not advertise any intervention, there is an important point of contact between the patient and the doctor. Is there trust between you? Do you think that the doctor has such worthy moral qualities that in principle it would not be allowed for him to talk about the surgery? Did he tell you details about other patients? Did he mentiontheir names? Or just give examples similar to yours? By default, your doctor is not allowed to discuss your surgery with anyone. However, if the patient is too worried about this, then from a psychological comfort perspective, he can specifically say that he is not interested in promoting this story.