Every year, more than 11,000 penis enlargement operations are performed worldwide, and their number is constantly increasing.The surgical intervention itself lasts no more than half an hour and after three weeks a man can start an active sexual life.Most of the operations are carried out in Thailand, the world leader in plastic surgery.This text contains the history of how penis enlargement surgery is performed.
Plastic surgery around the world is more of a psychotherapy than a solution to real problems.This also applies to penile enlargement surgery.Many men believe that their penis is smaller than it should be, and doctors are sure that most people underestimate their size.why is this happeningParadoxically, the idea that the penis is too small is often formed in childhood, when mental comparisons with father or older brother can naturally be frustrating.
It is believed that men often have a misconception about the size of their genitals because they measure or measure them incorrectly.When viewed from above, the penis may appear shorter.To adequately assess the size, it is best to undress in front of a mirror in which you can see your full-length reflection.According to a study of more than 15 thousand people, the average size of an erect penis is about 13 centimeters.Average size ranges from 11 to 18 centimeters.Doctors diagnose a small penis if its size in the erect position is less than eight centimeters.
How does the patient decide to have surgery?
A fairly wide range of issues can force a man to undergo surgery: unsuccessful sexual experience, inner beliefs, incorrect information in open sources on the Internet.Plastic surgeon, Doctor of Medicine, Professor of the Department of Plastic Surgery says:
"Now is the age of the Internet: people look at pictures without delving into where they came from and how they correspond to reality. Most often, people go to surgeons with pictures from the Internet and show that they want 'exactly as shown here.'
Just imagine if you keep getting spam messages about "iron erections and a hundred other fantastic ways to make your penis bigger".At this time, even a normal, sane person will begin to think: maybe there is something wrong with him, if he constantly receives emails "You should do this!"I am often reminded of the movie "The Man from Capuchin Boulevard", when following a certain culture completely changes people's behavior.First they stop violence, drink milk and behave like gentlemen.And then, after watching enough other movies, they start chaos and drunkenness and shooting.It's the same here: society influences people, and specific people, films, cultural patterns give rise to certain ideas.
In general, male patients who want a penis enlargement are no different from other plastic surgery patients - for example, women who want to improve the size and shape of their breasts or undergo intimate plastic surgery, to correct the shape of the ears or nose.
Is it possible without surgery?
There are many procedures and products that, according to manufacturers, can increase the length and diameter of the penis: lotions, dietary supplements, exercises, vacuum pumps, polymer gel injections.But most of these remedies have not been proven effective and some of them can cause damage to the penis.If you think that additional funds are needed, it is better to consult a specialist doctor: urologist, andrologist or plastic surgeon - discuss whether it is worth using this or that method.
There are tablets and lotions.They usually contain vitamins, minerals, herbs and hormones.However, there are no studies that prove any of them work.
There are vacuum pumps that are commonly used to treat erectile dysfunction.They can only temporarily visually increase the size, but too frequent or long-term use can cause tissue damage and deterioration of the quality of erection.
There are exercises that have been developed for centuries among some peoples: the Jelka method is used by Sudanese boys from 9-11.The movements are simple: you need to move your hand from the base of the penis to the head, stop the ejaculation.It sounds pretty safe, but it can actually cause pain, cause scarring, and change the shape of the genitals.
There are also injections, but the risks are very high and the effectiveness is questionable.Doctors warn us that injecting polymer, polyacrylamide gels under the skin of the penis can cause almost disability.The polymer does not hold - under the influence of gravity, due to physical activity, the gel migrates, often causing inflammation, this can lead to infection and so on to tissue necrosis, complete or partial loss of the penis.
There is a way to enlarge the penis using lipofilling, when adipose tissue is injected under the skin through a puncture.However, the effect is noticeable only after the procedure, then the fat is absorbed (and often unevenly), turning into contractions and disorders.The results are corrected in the operating room.
There is only one non-surgical method of penis enlargement that has shown its effectiveness - long-term wear of the extender.These are two rods of adjustable length that are installed between the head and base of the penis.The barbell needs to be stretched very slowly, slowly, by the penis - it turns out something like Ilizarov's machine, only without spikes.will have to wear the extender for a long time;The result of wearing it will be to increase the length of the penis by several centimeters.
Does size matter?
Physiologically, no.But sex is not a mechanical grind between two partners, it is a whole complex of human experience.Self-confidence, the desire to please the partner, sexual habits and many others play a role here.
"The fact is that the spread in the "normal" is quite large. 11 or 18 centimeters is still a significant difference, says the plastic surgeon. - The size matters in the sense that a lot depends on the partner, his adaptation and sexual experience. And it is not about the size of the penis of your partner's previous man, but his reaction and expectations in women. The entrance to the clitoris, its front surface, or anywhere near the cervix, is important if the receptors are concentrated in the vaginaOn the walls, length - if around the cervix.
How does the operation work?
"Usually, a man comes and says: 'Doctor, I want to have a big one'. Then we talk, discuss everything in detail and always talk about sexual needs. It happens that people think about surgery because they cannot fulfill their dreams or sexual fantasies: for example, having sex with a woman with a distinctive shape," says the doctor.
It is very important, as in the case of other plastic surgeries, to adequately assess whether the surgery will help to achieve a specific goal.All doctors will try to avoid surgery if they see that the patient's expectations do not correspond to the actual possibilities of the operation or that the doctor's action will be ineffective, the specialist believes.
With the help of surgery, you can increase the length and diameter of the penis.
Length is the easiest.This operation is scientifically called ligamentotomy and means to cut the penile ligament.
"Today, ligamentotomy is the main operation we offer to lengthen the penis," says the surgeon."In my opinion, it is optimal for the patient in terms of the degree of risk, the level of injury and the result obtained. However, in fact, this does not apply to true lengthening operations. We simply increase the angle between the penis and the pubis, cut the ligament. In this way, the penis simply moves forward and creates the effect of enlargement."
The effectiveness of this operation largely depends on the flexibility of the tissue, so in order to increase the chances of success and avoid scars, doctors advise the patient to wear an extender before and after the operation along with medications that affect the elasticity of the tissue.
That is, the time is as follows: 2 months before the ligamentotomy, they start wearing the device, then a half-hour operation, and then another three weeks with an extender.Total - a little less than 3 months for everything.
In diameter, everything is more difficult for the patient, but more interesting for the reader.
You can increase the diameter of the penis by 2 centimeters, which is quite important.Two methods are widely used.The first, the most common, is 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 onto the penis.In fact, a piece of muscle is wrapped around the penis, and then the blood vessels are sutured to restore blood - this is called revascularization.
This type of surgery is classified as microsurgery.After that, the patient needs to rest for a week.
The second method looks like this: dermofat flaps are taken from the axilla area and placed along the cavernous bodies.In other words, the penis is wrapped like a muscle tissue transplant, but in this case, doctors do it without microsurgical equipment, so the recovery period is easier: strict bed rest is not required, and the patient only spends a few days in the clinic.
There is a way to increase the thickness of the penis using silicone implants - a replacement for penis enlargement.This is the least traumatic method and the operation itself is similar to breast surgery, only the implants are individual, they are made specifically for the patient.
In all cases, the choice of method depends only on the patient's preferences.The doctor is obliged to warn where the scar will be, what complications and consequences are possible, so that a person can make an informed decision.
What are the risks?
Despite the apparent simplicity of the operation and ease of recovery, in addition to the standard risks associated with any surgical intervention, there is a risk of a serious complication: if the doctor gets too excited or careless, he can damage the artery, leaving the patient with impotence.Therefore, choosing a clinic and a doctor who guarantees the result is the most important part of the operation.
The main thing to pay attention to when choosing a clinic is a balanced conversation with the doctor.He has no right to promise to triple the size of the penis or to tell in advance how many centimeters it will grow.Carefulness of the doctor is the key to the success of the operation.
Ligamentotomy is often combined with liposuction of the pubic region;Together, this gives the best effect in overweight patients.The doctor says that based on his personal experience, patients are more satisfied with penis enlargement surgeries.As for the probability of repeated operations, such a need often arises when a prolonged operation is combined with an increase in diameter, and, as a rule, such a desire appears 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 sure that this issue can be easily resolved: "The patient is protected by the law, which states that the doctor cannot advertise any intervention, and is also an important point of contact between the patient and the doctor. Was there trust between you? Do you think that the doctor has decent moral qualities that would not allow him, in principle, to tell you about the operation? Examples like yours by default do not allow your doctor to discuss your operation, however, if the patient is too worried about it, then,In terms of psychological comfort, he can specifically say that he is not interested in advertising this story.