Every year, more than 11,000 penis enlargement operations are performed in the world, and their number is constantly increasing.The surgical intervention itself takes no more than half an hour, and after three weeks a man can start an active sexual life.Most of the operations take place in Thailand, the world leader in plastic surgery.This text contains a history of how penis enlargement surgery takes place.
Plastic surgery around the world is more of a psychotherapy than a solution to real problems.This is also true for penile enlargement surgery.Many men believe that their penis is smaller than it should be, while doctors are convinced that most people underestimate their size.Why is this happening?Paradoxically, the idea that the penis is too small is often formed in childhood, when mental comparison with a father or older brother can be naturally discouraging.
It is believed that men often have a false idea of the size of their genitals because they measure or estimate them incorrectly.The penis may appear shorter when viewed from above.To adequately assess size, it is best to undress in front of a mirror in which you can see your full reflection.According to a study of more than 15 thousand people, the average size of an erect penis is about 13 centimeters.Average-sized borders range from 11 to 18 centimeters.Doctors diagnose a small penis if its size is less than eight centimeters in the erect state.
How does a patient decide to undergo surgery?
A fairly wide range of issues can push a man to undergo an operation: unsuccessful sexual experience, internal beliefs, incorrect information in open sources on the Internet.Plastic surgeon, Doctor of Medical Sciences, Professor of the Department of Plastic Surgery says:
"Now is the age of the Internet: people look at pictures without really delving into where they came from and how they correspond to reality. More often, people come to surgeons with pictures from the Internet, indicating that they want 'exactly as shown here.'
Just imagine if you constantly get "Iron erections and a hundred other fantastic ways to enlarge your penis" spam.At this point, even a normal and sane person will start to think: maybe there is something wrong with him if he constantly receives "You should do this!"I am often reminded of the movie "The Man from the Boulevard of Capucines", when following a certain culture completely changes people's behavior.First they stop being bullies, drink milk and behave like gentlemen.And then, after they've seen enough other movies, they start causing mayhem and drunkenness and shootings.And here it is the same: society influences people, and certain people, films, cultural models give rise to certain ideas.
In general, male patients who want to enlarge their penis are no different from other plastic surgery patients - for example, from women who want to improve the size or shape of their breasts or undergo intimate plastic surgery, correct the shape of the ears or nose.
Is it possible to do 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 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 a specialist doctor: urologist, andrologist or plastic surgeon - to 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 confirming that any of these 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 prolonged use can lead to tissue damage and worsen the quality of the erection.
There are exercises that have been developed for centuries among some peoples: the jelqa method is used by Sudanese boys from the age of 9-11.The movements are simple: you need to move your hand from the base of the penis to the head, inhibiting ejaculation.It sounds safe enough, but it can actually cause pain, lead to scarring and change the shape of the genitals.
There are also injections, but the risks are very high and the effectiveness is questionable.Inserting the polymer gel, polyacrylamide under the skin of the penis can almost lead to disability, doctors warn.The polymer does not hold - under the influence of gravity, due to physical activity, the gel migrates, often causing inflammation, this can be followed by infection and so on until 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 compression and irregularities.Consequences are corrected in the operating room.
There is only one non-surgical method of penis enlargement that has shown its effectiveness - long-term wearing of an extender.These are two rods of adjustable length that are placed between the head and the base of the penis.The dumbbells must be moved very gradually, little by little, stretching the penis - it turns out something like an Ilizarov apparatus, only without a slot.The extender 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?
From a physiological point of view, no.But sex is not a mechanical quarrel between two partners, it is a whole complex of human experiences.Self-confidence, the desire to make the partner happy, sexual habits and much more play a role here.
"The thing is that the spread in the "norm" is quite large. 11 or 18 centimeters is still a significant difference, says the plastic surgeon. - Size matters in the sense that a lot depends on the partner, his adaptation and sexual experience. And it has nothing to do with the size of the penis that your partner's previous man had, but also with her reactions and expectations focused on different organs. clitoris, entrance to the vagina, or somewhere near the cervixThe diameter of the penis is important if the receptors are concentrated at the entrance or along the walls of the vagina, the length - if it is around the cervix and this means that the ability of a man, the position, the size of a woman is not so important.
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 the operation because they are not able to realize their dreams or sexual fantasies: for example, to have sex with a woman with an extraordinary shape," says the doctor.
It is very important, as with other plastic surgeries, to adequately assess whether the surgery will help achieve a specific goal.Any 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, the specialist believes.
With the help of surgery, you can increase the length and diameter of the penis.
Length is easier.This operation is scientifically called ligamentotomy, and it means cutting the suspensory ligament of the penis.
"Today, ligamentotomy is the main surgery we offer to lengthen the penis," says the surgeon."From my point of view, it is optimal in terms of the degree of risk to the patient, the level of trauma and the result obtained. Although, in fact, it does not apply to true lengthening operations. We simply increase the angle between the penis and the pubis, by cutting the ligament. In this way, the penis simply moves forward and creates an enlargement effect."
The effectiveness of this operation largely depends on the flexibility of the tissues, so to increase the chances of success and avoid scarring, doctors will recommend the patient to wear an extender before and after the operation in combination with taking medications that affect the stretch of the tissues.
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.In total - just under 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.The first, most common is from the patient's own tissue.
It works like this: a fragment of muscle tissue is taken from the back muscle or rectus abdominis and transplanted into the penis.In fact, the penis is wrapped with a piece of muscle and then the vessels are sutured to restore the blood supply - this is called revascularization.
This type of surgery is classified as microsurgical.After that, the patient needs rest for a week.
The second method looks like this: they take dermophatal 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 without microsurgical equipment, so the recovery period is easier: strict bed rest is not needed 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 - the replacement of the penis for augmentation.This is the least traumatic method and the operation itself is similar to breast surgery, only the implants are individual, 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 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 that accompany any surgical intervention, there is a risk of a serious complication: if the doctor gets too carried away or acts carelessly, he can damage the artery, thus condemning the patient to impotence.Therefore, choosing a clinic and a doctor who guarantees results 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 a threefold increase in the size of the penis or to indicate in no uncertain terms how many centimeters he will get bigger.The care of the doctor is the key to the success of the operation.
Ligamentotomy is often combined with liposuction of the pubic area;together, this gives the best effect in overweight patients.The doctor says that, based on his personal experience, patients are more likely to be satisfied with penis enlargement surgeries.As for the possibility of repeated operations, such a need often arises when lengthening surgery is combined with an increase in diameter, and usually such a desire arises in the patient in the late postoperative period.
However, in addition to the health risks, patients are also concerned about their reputation and the anonymity of the operation.The plastic surgeon is convinced that this issue can be solved simply: "In addition to the law that protects the patient, which says that the doctor cannot advertise any intervention, there is also an important point of contact between the patient and the doctor. Has there been trust between you? Do you think that the doctor has decent moral qualities that will not allow him, in principle, to talk in detail about their patients? Examples similar to yours By default, your doctor is not allowed to discuss the operation with anyoneyours, however, if the patient is overly concerned about this, then, from the point of view of psychological comfort, he can specifically say that he is not interested in advertising this story.