Penile enlargement surgery is a generic term describing all the different techniques used to increase the length or the girth of the penis.<\/p>\n\n\n\n
Penis size has historically been a symbol of masculinity, fertility and superiority to other males as well as an indirect indicator of sexual performance. It is therefore not surprising that over the centuries various attempts have been made to increase its size. Examples are the hanging of heavy objects on the penis to lengthen it, as mentioned in some native African tribes, as well as the injection of various materials (paraffin oil, etc.) to increase the thickness. The most modern techniques date back to the 80’s when, in order to gain some extra length, various quite complex and usually not very successful operations were carried out. During the last twenty years, due to the growing interest in such operations, various approaches have been developed which, in experienced hands, can give the patient the desired result.<\/p>\n\n\n\n
Techniques for penile enlargement are generally divided into:<\/p>\n\n\n\n
Those can be performed individually or combined when the patient wants to.<\/p>\n\n\n\n
For the lengthening of the penis the technique that is mainly used is a cross-section of the suspensory ligament of the penis. This ligament is topographically placed in the pubic region and connects the root of the penis with the pubic bone. This is a rather thick, fibrous ligament whose main function is to provide support and stability to the penis during erection.
With its cross-section, what is achieved is to make visible a large part of the penis that is hidden under the pubic bone. After this operation beyond the extra length the patient will see in many cases a small change in the angle of the erection which means that the penis will be in a more horizontal position.
The results of the transection of the suspensory ligament are considered permanent, however, if the patient wishes in the future to restore the penis to its former state, this is possible.
It is worth noting that this procedure will only have impact on the flaccid and not the erect length. For those patients who wish to increase the erect length and at the same time enhance the results of the operation, the use of a penile extender is advised.
The main risk after such an operation is that the ligament may reattach back to the pubic bone, which means that the patient will not benefit from the surgery. For this reason, various techniques have been developed to avoid this problem, which mainly use autologous tissues, while the use of silicone spacers between the pubic bone and the penis, which were systematically used in the past, are now considered obsolete and outdated.
In general patients could expect an extra length of between 2-5 cm as it happens to 95% of our cases. We are very proud about those class-leading results we offer to our patients which is a result of our vast experience in this field, proper patient selection and guidance, meticulous surgical technique and continuous improvement of our protocol.<\/p>"},{"andrology_sub_title":"Penis girth enlargement\u00a0","sub_field_description":"
The surgical thickening of the penis is achieved by the lipotransfer technique which consists of an initial liposuction from the thigh or pubic area, cleaning the fat and transferring it to the penis. A basic prerequisite is the existence of a sufficient fat reserve so that the initial liposuction can be performed and therefore very lean patients such as professional athletes are not suitable for this type of surgery. Also, extremely important is to avoid transferring the fat directly as the liposuction aspirate is full of debris and fluids and therefore it must be cleaned before using it.<\/p>\r\n
The results of this technique are considered permanent as the transferred fat with time gets its own blood supply and acts as a living tissue, however a percentage of approximately 30-40% of the fat is absorbed within the first two months. To avoid excessive absorption of the fat we have developed a special postoperative scheme which increases fat survival and reduces absorption and scarring. It is worth noting that apart from the increased girth when the penis is flaccid, the erect girth is also enhanced contrary to the lengthening techniques that have an impact only in the flaccid state.
The results of this operation are visible after a period of approximately 2 months as initially, mainly due to the swelling, the penis is considerably thicker than the final result.
Girth enlargement surgery can be repeated in case the patient wishes to further increase the size of his penis.<\/p>"},{"andrology_sub_title":"Practicalities around surgical penile enlargement","sub_field_description":"
Those procedures are nowadays done in a daycase setting, which means that the patient goes home on the same day of the operation.
Following the operation, the patient enters the recovery period which depending on the type of procedure done ranges from 4-6 weeks. More specifically:
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Moreover, the patient enters a specially designed recovery program the maximises the gains from the operation and minimizes the risk of problems.<\/p>"},{"andrology_sub_title":"Revision of penile enlargement","sub_field_description":"
Originally a rare phenomenon, revision of penile enlargement surgery is now a not so unusual request from patients who regretted having surgery in the first place. To our experience there are two main reasons why some patients choose that:
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It is important here to underline for one more time the significance of the surgeon\u2019s experience in this field, who will offer proper and unbiased guidance and perform the operation in the highest standards.<\/p>\r\n
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It involves removal of the transferred fat and the anatomical reattachment of the suspensory ligament to the pubic bone.
Revision surgery is a very complex operation with, understandably, more risks compared to the initial one. As a result, patients need to stay in the hospital for one night or more and the recovery period depends on each case but is always longer than 6 weeks.
Given the rarity of those cases it is of utmost importance the experience of the surgeon in this exact type of surgery.<\/p>"},{"andrology_sub_title":"Non-surgical technique for penile enlargement","sub_field_description":"
These techniques use the well-known hyaluronic acid fillers that have been commonly used in other cosmetic procedures. In general, the initial placement of 10 to 15 ML of long-lasting hyaluronic acid is recommended. The quality of the filler is of crucial importance so that the patient has a natural feeling and enjoy the best possible result.
Fillers are not a permanent treatment as they must be repeated every 18 to 24 months, depending on the quality of the filler injected if the patient wishes to have a stable result. An advantage of this technique is the fact that it is performed under local anaesthesia in the doctor's office and the patient can return to his daily activities immediately.
Also due to the specific lifetime of the fillers, the results are reversible and therefore the are especially recommended for those who are willing to proceed with penis enlargement, but they are either unsure what to decide between surgical and non-surgical options or they don\u2019t want to take the risks and downtime of a surgical procedure. They are especially recommended for patients with very low body fat counts in whom lipotransfer is technically difficult and with poor results.
Like surgical girth enlargement the increased girth is present in both the flaccid and erect state.<\/p>"},{"andrology_sub_title":"Practicalities around non-surgical penile enlargement","sub_field_description":"
As mentioned above penile enlargement with fillers is a procedure that\u2019s done at the office under local anaesthesia and the patient can immediately return to his normal daily activities. We also advise avoidance of sexual and strenuous physical activity for 1 week.
Following the procedure, the patient is given detailed instructions about how to manage the filler for the first few weeks to speed up recovery and have the best possible outcome.<\/p>"}]},"_links":{"self":[{"href":"https:\/\/gfragkoulis.gr\/en\/wp-json\/wp\/v2\/aesthetic-andrology\/2173","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/gfragkoulis.gr\/en\/wp-json\/wp\/v2\/aesthetic-andrology"}],"about":[{"href":"https:\/\/gfragkoulis.gr\/en\/wp-json\/wp\/v2\/types\/aesthetic-andrology"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/gfragkoulis.gr\/en\/wp-json\/wp\/v2\/media\/2139"}],"wp:attachment":[{"href":"https:\/\/gfragkoulis.gr\/en\/wp-json\/wp\/v2\/media?parent=2173"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}