Sexual problems associated with male dissatisfaction with penis size cause stiffness in communication with women, loss of sexual interest, and the formation of various complexes.
Today, intimate injection contouring methods have been developed and put into practice, with the help of which it is possible to change the size and shape of the penis without surgery and general anesthesia, a long period of rehabilitation and with less money.
In modern medicine, great importance is attached to improving the quality of human life. Moreover, a full-fledged sex life is an important component of this concept. Interestingly, until recently, sexual health was considered an integral part of reproductive health, but the 2005 Montreal Declaration of the World Association for Sexual Health recognized that we all have the right to seek sexual pleasure as a component of overall well-being. In the public consciousness, especially in the self-consciousness of men themselves, masculinity and sexuality are almost synonymous, which is why today so many members of the stronger sex are interested in penis enlargement techniques. Penis size has always been of great importance for a man’s perception of his masculinity, sexuality, and determination of his self-esteem. Therefore, dissatisfaction with the size of the penis in men causes sexual problems, stiffness in communication with women, loss of sexual interests, development of various complexes, and even a general distrust of their capabilities. It is these cases that can become an indication for male intimate plastic surgery. In connection with the great social significance of this problem, the question arises of the need to develop effective methods of penis enlargement that can change the quality of sexual life of men of all ages.
Today, there are various methods of male intimate plastic surgery for that, most of which are surgical. Basically, these are expensive operations that require certain conditions, equipment, and skills. However, in recent years simpler and more accessible methods have been developed and put into practice. They include methods of intimate injection of contour plastic, which allow penis enlargement and change the shape of the penis without surgery, general anesthesia, a long period of rehabilitation and at a lower cost.
Almost every man knows about safe and effective methods of breast augmentation, about the possibilities of contouring and intimate plastic surgery, which allow women to emphasize and maintain their external attractiveness and sexuality. But many men are unaware of the existence of modern minimally invasive methods of male intimate plastic surgery, with the help of which it is possible to change the shape of the penis and enlarge the penis, which will certainly help improve the quality of sexual life.
According to the data, the number of patients with sexual problems has recently increased. These problems are often associated with too small a penis and premature ejaculation).
In which cases is penis enlargement performed?
According to various sources, at least 70% of men want to enlarge their penis. About 60% of them want to become longer, about 40% dream of a thicker penis, and no one wants to become smaller or thinner. Insufficient penis size causes not only stiffness in dealing with women and general distrust in male abilities, but also negatively affects his ability to produce offspring, or fertility. According to the WHO, in the last 2-3 decades in all countries of the world, with low fertility, there has been an increase in the number of infertile marriages, the cause of which in 40-50% of cases is pathology of the male reproductive system.
In addition, the size of the penis is a reflection of a man's general health, especially the condition of his endocrine and reproductive systems. The fact is that the size of the penis depends on the amount of sex hormones produced during puberty, that is, when the most intense growth of the external genitalia is observed. Decreased levels of male sex hormones not only slow down the growth of penis tissue, but are often the cause of male infertility, as it leads to a reduction and sometimes complete cessation of sperm production. In these cases, it is recommended to consider the possibility of male intimate plastic surgery.
Data on the size of the "average" penis varies greatly. Different authors estimate the average size of a normal penis differently, because their attitudes are often determined by the cultural and ethnic characteristics of certain countries and regions. Nevertheless, the normal length of the penis at rest is estimated at 7, 5-10, 5 cm, and in erection at 12-18 cm, while its diameter is usually 3, 0-3, 5 cm. Statistics show that everyone who thinks about penis enlargement is known.
The rather large range of indicators of normal penis length (12 to 18 cm) can be explained by individual differences in the anatomy of the inguinal region, namely the ratio of hidden and free parts of the corpora cavernosa and the surrounding shell. There is an opinion that with normal levels of sex hormones and proper development of corpora cavernosa in different men, due to their individual characteristics, the size of the hidden part of the corpora cavernosa is responsible for their attachment to the pubic bones. and, consequently, the fixation of the penis, are far from the same.
As for various pathologies, about 20 congenital diseases are currently known, which are characterized by a violation of the production of sex hormones and which are manifested by the small size of the penis, as well as (in some cases) infertility. Such cases, of course, require male intimate plastic surgery. The earlier the diagnosis is made and the treatment is started, the more reasons to talk about its effectiveness.
There is evidence in the literature that with completely normal testicles and fairly well-defined secondary sexual characteristics, a functioning penis in a state of full erection should not be larger than 2. 5 cm. The term "micropenis" is used for organs of this size. A phenomenon known as "congenital hypoplasia" has also been described, in which the body of the penis is virtually absent and its head is attached to the pubic bone. In this case, injectable contouring plastic can help.
Although penis size has virtually no effect on the ability to have a normal relationship with a normal erection, some men want to enlarge their penis. Dissatisfaction with the appearance and size of your penis can lead to serious reproductive health problems. One of the most terrible complications of penile dysmorphophobia is psychogenic erectile dysfunction, which ultimately leads to infertility. Therefore, penis size becomes one of the important factors that directly affect fertility and quality of life.
Male intimate plastic surgery is still a popular and increasingly widespread area of plastic surgery.
Based on our own experience and data from the world literature, we can conclude that more than 70% of interventions on male intimate plastic surgery are operations on persons with completely normal anatomical dimensions of the penis. Therefore, the main motives for patients seeking penis enlargement are:
- increase self-esteem;
- increased sexual attraction;
- improving the quality of sexual life;
- removing the "locker room complex" - reducing feelings of shame in men’s companies.
It is known that the length of the penis, to a much lesser extent than its diameter, affects the partner's ability to achieve a vaginal orgasm. Therefore, the desired result is much easier to achieve not by enlarging the penis, but by correcting the diameter of the penis.
Penis enlargement and shape correction techniques
Modern methods of male intimate plastic surgery are aimed not only at improving the aesthetic and functional results of interventions, but also at reducing the number of complications. These methods include lipophilization, microsurgical autotransplantation of tissues, transposition of vascularized muscle or fascial grafts, and implantation of various implants.
Until recently, lipophilization of autogenous fats was a common method of injection. However, frequent resorption and migration of injected autologous fat, as well as cases of fibrosis, have diminished interest in this method.
Various synthetic materials (silicone, paraffin, etc. ) have not found widespread use for penis enlargement due to common complications such as infection, implant migration, tissue hardening, and necrosis.
To enlarge the penis, the professor and co-authors proposed a method of microsurgical autotransplantation of a rotated fascial-fatty flap from the anterior abdominal wall on a supply of vascular paper. Despite the obvious advantages, the method requires expensive equipment and a specially trained microsurgical team. In the postoperative period, it is necessary to refuse physical activity for up to 3 months.
Of great interest is the new direction in men's intimate plastic surgery, based on the implantation of special viscoelastic biogels based on hyaluronic acid under the skin of the penis, which not only compensates for the existing deficit in volume, but also improves the skin structure. penis. In 2003, relevant studies were performed and the first data on the efficiency of the use of these biogels in male intimate plastic surgery were obtained, which indicates the possibility of their clinical use.
Designing male injections with hyaluronic acid preparations can help solve sexual problems that are related not only to the appearance of the penis, but sometimes also to its functional characteristics (the most common problems of this type are premature ejaculation).
Therefore, for injection contour plastics, specialists use viscoelastic gels (fillers) based on hyaluronic acid. The composition of these preparations differs from the composition of fillers that cosmetologists use when contouring the face. Specifically, in our practice we use special gels for that.
The nomenclature of gels includes 6 preparations, each of which has its own characteristics and areas of application.
Since 2005, the drug has been registered specifically for intimate plastic surgery for men and women. With this filler you can effectively and safely enlarge the penis, correct the size of the corolla, frenum, reshape the body of the penis and treat premature ejaculation.
It allows you to work successfully with intimate areas, because it is easy to insert, it is well distributed in the tissues, it effectively compensates for the lack of volume, it provides a long-lasting result without causing allergic reactions. The drug is produced in disposable syringes with a volume of 0. 8 ml, packed in blisters, which guarantee the safety and absolute sterility of the gel.
The procedure for intimate injection of contour plastic in men is performed on an outpatient basis under local anesthesia (without sedation).
Hyaluronic acid is biodegraded over time, and the rate of biodegradation depends on the level of blood supply in a particular part of the body. Thus, with plastic head of the penis the duration of the effect lasts on average 0, 7-1 years, with plastic body of the penis preservation of the effect is possible up to 1, 5-2 years, so it is recommended to repeat the procedure after an average of 1-1, 5 years. . .
Penis enlargement of the glans
Normally, the diameter of the head of the penis on the back should exceed the diameter of the body of the penis by 1-2 cm. This contributes to the creation of an "orgasmic cuff" during intercourse. With insufficient head size, the procedure of penis enlargement implies the introduction of a filler conditionally into its lower third and along the course of the coronary furrow. In both cases, the amount of injected drug in one "step" is from 0, 1-0, 4 ml. When working with the coronary groove, as well as when the head itself is thickened, the filler is inserted using the fan technique (in the reverse stroke of the needle) (needle 27G). The minimum total volume of the glans penis correction drug is 0. 8 ml, and the estimated maximum is 2. 0 ml. For even distribution of the gel, we recommend that you first perform a "hydro-preparation" of the tissue, using 0, 9% NaCl solution in a volume of 10 ml.
Frenuloplasty
This term refers to the procedure for correcting the frenum of the glans penis.
The technique of frenuloplasty is to enlarge the penis by filling the frenulum with gel to increase its volume. The drug is injected into the soft tissues under the bridle in an amount of 0, 1-0, 3 ml per "step", a needle of 25-27 G, the injection technique is dripped. The introduction of the drug directly into the bridle (ligament) is unacceptable.
All techniques of male injection contouring can be combined and performed in one procedure, while the terms of rehabilitation and development of complications do not change in any way.
The tissues of the external genitalia in men, as well as in women, have a very good blood supply, so healing after such procedures comes without scarring. During the recovery period, which is on average 2-3 days, active sexual activities are not recommended.