More than 11,000 penis enlargement operations are performed worldwide every year, and their number is constantly increasing.The surgical intervention itself does not take more than half an hour, and after three weeks a man can start an active sexual life.Most of the operations are performed in Thailand, the world leader in plastic surgery.This text contains the story of how penis enlargement surgery is performed.
In the world, plastic surgery is more psychotherapy than solving real problems.This is also true for penis enlargement surgery.Many men believe that their penises are smaller than they should be, and doctors are sure 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 comparison with a father or older brother can naturally be discouraging.
It is believed that men often have a misconception about the size of their genitals because they measure or estimate them incorrectly.The penis may appear shorter when viewed from above.To adequately assess the size, it is best to undress in front of a mirror where you can see your full-length reflection.According to a study involving more than 15,000 people, the average size of an erect penis is about 13 centimeters.Medium-sized borders range from 11 to 18 centimeters.Doctors diagnose a small penis when the size is less than eight centimeters in the erect position.
How does a patient decide to undergo surgery?
Quite a wide range of problems can push a man to surgery: unsuccessful sexual experience, internal beliefs, incorrect information in open sources on the Internet.Plastic surgeon, doctor of medical sciences, professor of plastic surgery department says:
"Now is the age of the Internet: people look at pictures without thinking about where they came from and how they correspond to reality. Often people come to surgeons with pictures from the Internet and show what they want "as shown here.
Imagine that you are constantly receiving spam messages that say "Iron erections and hundreds of other fantastic ways to enlarge your penis".At this point, even a normal, sane person will begin to think: maybe he is constantly saying, "You have to do this!"if he receives the letters, then there is something wrong.I often think of the movie "The Man from the Boulevard des Capucines" when following a certain culture completely changes people's behavior.First they stop being violent, drink milk and act like gentlemen.And then after watching enough other movies, they start causing chaos and drunkenness and shootings.And it's the same here: society influences people, and specific people, films, cultural examples give rise to certain ideas.
In general, male patients who want to enlarge the genital organ are no different from other plastic surgery patients - for example, women who want to improve the size or shape of their breasts, or undergo intimate plastic surgery, or correct the shape of their ears or nose."
Is it possible to do without surgery?
According to manufacturers, there are many procedures and products that can increase the length and diameter of the penis: lotions, dietary supplements, exercises, vacuum pumps, polymer gel injections.However, most of these remedies have not been proven to be effective, and some of them can actually harm the penis.If you think that additional funds are needed, it is better to consult a specialist doctor to discuss whether it is worth using this or that method: urologist, andrologist or plastic surgeon.
There are tablets and lotions.They usually contain vitamins, minerals, herbs and hormones.However, there is no research to confirm that any of these work.
There are vacuum pumps that are commonly used to treat erectile dysfunction.They can visually increase the size only temporarily, but too frequent or long-term use can cause tissue damage and deterioration of erection quality.
Among some peoples, there are exercises that have been developed for centuries: the jelga method is used by Sudanese boys at the age of 9-11.The movements are simple: you need to move your hand from the bottom of the penis to the head while holding 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.Injection of polymer, polyacrylamide gels under the skin of the penis can almost cause disability, doctors warn.The polymer does not hold - under the influence of gravity, due to physical activity, the gel migrates, often causing inflammation, followed by infection and tissue necrosis with complete or partial loss of the penis.
There is a way to enlarge the penis using lipofilling, when fat tissue is injected under the skin through punctures.However, the effect is visible only immediately after the procedure, then the fat is absorbed (and often unevenly), turning into compressions and irregularities.The results are corrected in the operating room.
There is only one non-surgical method of penis enlargement, which has shown its effectiveness - the long-term use of an extender.These are two rods of adjustable length that are installed between the head and the base of the penis.It is necessary to separate the bars very slowly, slowly, by stretching the penis - it turns out something like the Ilizarov apparatus, only without spokes.The expander will have to be worn for a long time;the result of wearing it will be an increase in 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 experiences.Self-confidence, desire to please your partner, sexual habits and many other things play a role here.
"The fact is that the spread in the "norm" is quite large. 11 or 18 centimeters is still a significant difference, - says the plastic surgeon. - The size is important in the sense that a lot depends on the partner, his adaptation and sexual experience. And not what the penis size of your previous man was, but also his reactions and expectations. somewhere near the clitoris, vaginal entrance, its front surface or cervix, if the receptors are at the entrance of the vagina or along the wallsif concentrated, its length matters.
How does the transaction work?
"Usually a man comes and says: 'Doctor, I want it to be big.' Then we talk, we discuss everything in detail and we always talk about sexual needs. It happens that people think about the operation because they cannot fulfill their dreams or sexual fantasies: for example, to have sex with a woman in great shape," says the doctor.
As with other plastic surgeries, it is very important to adequately evaluate whether the surgery will help to achieve a specific goal.The expert believes that every doctor will try to avoid the operation if he sees that the patient's expectations do not correspond to the real possibilities of the operation or that the doctor's actions will be ineffective.
With the help of surgical intervention, you can increase both the length and diameter of the genital organ.
Length is the easiest.This operation is scientifically called ligamentotomy, and it means cutting the suspensory ligament of the penis.
"Today, ligamentotomy is the main operation we offer to lengthen the penis," said the surgeon."From my point of view, this is optimal in terms of the degree of risk for the patient, the level of trauma and the result achieved. Although in reality this does not apply to true lengthening operations. We simply increase the angle between the penis and the pubis, cut the ligament. So the penis just moves forward and creates a growth effect."
The effectiveness of this operation largely depends on the elasticity of the tissue, therefore, to increase the chances of success and prevent the formation of scars, doctors will advise the patient to wear an expander before and after the operation, along with taking drugs that affect the elongation of the tissue.
That is, the time is like this: 2 months before the ligamentotomy, they start wearing the device, then a half-hour operation, then another three weeks with the expander.Total - a little less than 3 months for everything.
With diameter, everything is more complicated for the patient, but more interesting for the reader.
You can increase the diameter of the penis by 2 centimeters, which is quite significant.Two methods are widely used.First, the most common is from the patient's own tissues.
This is how it works: a piece of muscle tissue is taken from the back or rectus abdominis muscle and transplanted onto the penis.In fact, the penis is wrapped with a piece of muscle, then the vessels are sewn to restore the blood supply - this is called revascularization.
This type of operation is classified as a microsurgical operation.After that, the patient needs a week of rest.
The second method looks like this: they take dermophate flaps from the groin area and place them along the cavernous bodies.In other words, they twist the penis like a muscle tissue transplant, but in this case, doctors do it without microsurgical equipment, so the recovery period is easier: there is no need for strict bed rest, and the patient spends only a few days in the clinic.
There is a way to increase the thickness of the penis using silicone implants - penis replacement.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 preferences of the patient.The doctor has a duty to warn where the wound will be, what complications and consequences are possible, so that the person can make an informed decision.
What are the risks?
Despite the apparent simplicity of the operation and the ease of recovery, in addition to the standard risks accompanying any surgical intervention, there is a serious risk of complications: if the doctor goes too far or is careless, he can damage the artery and thereby condemn the patient to impotence.Therefore, choosing a clinic and a doctor that guarantees the result is the most important part of the operation.
The main thing you should pay attention to when choosing a clinic is a balanced conversation with your doctor.He has no right to promise to triple the size of his penis or to tell in advance how many centimeters it will grow.The doctor's caution is the key to the success of the operation.
Ligamentotomy is often combined with liposuction of the pubic region;together, it works best in overweight patients.Based on his personal experience, the doctor says that patients are more satisfied with penis enlargement surgery.As for the possibility of repeated operations, such a need often arises when combined with an increase in the diameter of the lengthening surgery, and usually such a desire arises in the patient in the postoperative period.
However, in addition to health risks, patients are concerned about their reputation and the anonymity of the operation.The plastic surgeon is sure that this issue can be solved simply: "In addition to the law that protects the patient, which states that the doctor cannot advertise any intervention, there is also an important point of contact between the patient and the doctor. Have you established trust? Do you think that the doctor has decent moral qualities that, in principle, will not allow him to talk about his operations to other patients? Or is he just giving examples like yours?