Every year more than 11 thousand penis enlargement operations are performed around the world and their number is constantly growing.The surgery lasts no more than half an hour, and after three weeks a man can begin an active sexual life.Most operations take place in Thailand, a world leader in plastic surgery.This text contains a story about how penis enlargement surgery occurs.
Plastic surgery around the world is more of a psychotherapy than a solution to real problems.This also applies to penis 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 during childhood, when mental comparison with the father or older brother can be naturally discouraging.
It is believed that men often have the wrong idea about the size of their genitals because they measure or estimate them incorrectly.The penis may appear shorter when viewed from above.To properly 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 conducted on over 15 thousand people, the average size of an erect penis is approximately 13 centimeters.Medium-sized edges range from 11 to 18 centimeters.Doctors diagnose a small penis if its size is less than eight centimeters when erect.
How does a patient decide to undergo surgery?
A fairly wide range of problems can push a man to undergo surgery: 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 understanding where they come from and how they correspond to reality. Very often, people turn to surgeons with pictures taken from the Internet, proving that they want "exactly as shown here".
Imagine constantly receiving spam emails “Iron Erections and a Hundred Other Great Ways to Enlarge Your Penis”.At this point, even a normal, sensible person will begin to think: maybe there is something wrong with him if he constantly receives letters "You must do this!"I often remember the film "The Man from the Boulevard des Capucines", in which following a certain culture completely changes people's behavior.First they stop being bullies, drink milk and behave like gentlemen.And then, after watching enough other movies, they start causing chaos, drunkenness and shootings.And here it is the same: society influences people, and specific 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, women who want to improve the size or shape of their breasts or undergo intimate plastic surgery, correct the shape of their 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 effective and some of them may actually cause damage to the penis.If you feel that additional funds are needed, it is better to consult a specialist doctor: a urologist, an andrologist or a plastic surgeon - to discuss whether it is worth using this or that method.
There are compresses and lotions.They usually contain vitamins, minerals, herbs and hormones.However, there are no studies to confirm that any of this works.
There are vacuum pumps commonly used to treat erectile dysfunction.They can visually increase the size only temporarily, but too frequent or prolonged use can cause tissue damage and deteriorate the quality of the erection.
There are exercises that have been developed for centuries among some peoples: the jelqa method is used by Sudanese children aged between 9 and 11 years.The movements are simple: you need to move your hand from the base of the penis to the head, holding back the ejaculation.It seems safe enough, but it can actually cause pain, leave scars, and change the shape of the genitals.
Injections also exist, but the risks are very high and the effectiveness is questionable.Introducing polyacrylamide polymer gels 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, which can be followed by infection and so on up to tissue necrosis with 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 punctures.However, the effect is visible only immediately after the procedure, so the fat is absorbed (and often unevenly), turning into compactions and irregularities.The consequences are corrected in the operating room.
There is only one non-surgical method of penis enlargement that has proven its effectiveness: 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.The barbells need to be moved very gradually, little by little, stretching the penis: it turns out something similar to the Ilizarov apparatus, only without spokes.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 a couple of centimeters.
Does size matter?
From a physiological point of view, no.But sex is not a mechanical rubbing between two partners, it is a whole complex of human experiences.Self-confidence, the desire to make your partner happy, sexual habits and much more play an important role in this.
“The fact is that the difference 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 is not the size of the penis of your partner's previous man that matters, but also his reactions and expectations. In women, the receptors can be concentrated in different parts of the genital organs: in the clitoris, in the entrance to the vagina, in its front surface, or somewherepart near the cervix. The diameter of the penis is important if the receptors are concentrated at the entrance or along the walls of the vagina, the length - if around the cervix. And this means that the ability of a man, the position, the understanding between partners are as important as the size.
How does the operation work?
"Usually a man comes and says: 'Doctor, I want you to have a big one.' Then we talk, we discuss everything in detail and we always talk about sexual needs. It happens that people think about surgery because they can't realize their sexual dreams or fantasies: for example, having sex with a very fit woman," says the doctor.
It is very important, as with other plastic surgery procedures, to adequately evaluate whether the surgery will help achieve a specific goal.Every doctor will try to avoid surgery if he sees that the patient's expectations do not correspond to the real possibilities of the intervention or that the doctor's actions will be ineffective, the specialist believes.
With the help of surgery it is possible to increase both the length and diameter of the penis.
Length is the simplest.This operation is scientifically called ligamentotomy and means cutting the suspensatory ligament of the penis.
"Today, ligamentotomy is the main operation we offer to lengthen the penis," explains the surgeon.“From my point of view, it is optimal in terms of the degree of risk for the patient, the level of trauma and the result achieved. Although, in reality, it does not apply to actual lengthening surgeries. We simply increase the angle between the penis and the pubis, cutting the ligament. This way, the penis simply moves forward and creates an enlargement effect.”
The effectiveness of this operation largely depends on the flexibility of the tissue, so to increase the chances of success and avoid scarring, doctors will recommend that the patient wear an extender before and after the operation in combination with taking drugs that affect the stretching of the tissue.
That is, the timing is as follows: 2 months before the ligamentotomy they begin to wear the device, then a half-hour operation, and then another three weeks with an extender.Total: just under 3 months for everything.
With the 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, comes from the patient's tissues.
It works like this: a piece of muscle tissue is taken from the dorsalis or rectus abdominis muscle 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 intervention is classified as microsurgical.After that, the patient needs rest for a week.
The second method looks like this: flaps of dermofat are taken from the inguinal area and positioned along the corpora cavernosa.In other words, they wrap the penis like a transplant of muscle tissue, but in this case doctors do without microsurgical equipment, so the recovery period is simpler: 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: penis enlargement replacement.This is the least traumatic method and the operation itself resembles breast surgery, only the implants are individual, they are made specifically for the patient.
In all cases, the choice of method depends solely on the patient's preferences.The doctor is obliged to warn where the scar will be located, 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 carried away or acts negligently, he can damage the artery, thus condemning the patient to impotence.Therefore, the most important part of the operation is choosing a clinic and a doctor who guarantees the results.
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 triple increase in penis size or say how many centimeters it will get bigger.The doctor's caution is the key to the success of the operation.
Ligamentotomy is often associated 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 likelihood 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 also fear their reputation and the anonymity of the operation.The plastic surgeon is convinced that the issue can be resolved simply: "In addition to the patient protection law, according to which the doctor cannot advertise any operation, there is also an important point of contact between patient and doctor. Was there trust between you? Do you think that the doctor has worthy moral qualities that will not allow him, in principle, to talk about the operation? Does he tell her in detail about other patients? Does he give their names? Or does he just give examples similar to yours? By default, your doctor is not allowed todiscuss your surgery with anyone. However, if the patient is overly concerned about this, then, from the point of view of psychological comfort, he can expressly say that he is not interested in publicizing this story.