Every year, more than 11,000 penis enlargement operations are performed in the world, and their number is constantly growing.The surgical intervention itself lasts no more than half an hour, and after three weeks the man can start an active sexual life.Most of the operations take place in Thailand, the world leader in plastic surgery.This text contains the story of how penis enlargement surgery occurs.
Plastic surgery around the world is more 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 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 own genitals because they measure or estimate them incorrectly.The penis may appear shorter when viewed from above.To properly assess the size, it is better to undress in front of a mirror where you can see your reflection in full length.According to a study of more than 15 thousand 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 if its size is less than eight centimeters when erect.
How does a patient decide on surgery?
A fairly wide range of problems can prompt a man to undergo surgery: unsuccessful sexual experience, inner beliefs, incorrect information in open sources on the Internet.Plastic surgeon, doctor of medical sciences, professor at the Department of Plastic Surgery says:
"Now is the age of the Internet: people look at pictures without delving into where they are from and how they correspond to reality. Most often, people come to surgeons with pictures from the Internet, showing that they want "just as shown here."
Just imagine if you keep getting spam "Iron erections and a hundred other fantastic ways to enlarge your penis."At this point, even a normal, reasonable person will begin to think: maybe something is wrong with him if he keeps getting letters "You should do this!"I often think of the movie "The Man from Capuchin Boulevard", when following a certain culture completely changes people's behavior.First they stop being bullies, drink milk and act like gentlemen.And then, after watching enough other movies, they start causing mayhem and drunkenness and gunfire.It's the same here: society influences people, and concrete people, films, cultural patterns give birth to some ideas.
In general, 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 their ears or nose.”
Is it possible without surgery?
There are many procedures and products that, according to the manufacturers, can increase the length and diameter of the penis: lotions, dietary supplements, exercises, vacuum pumps, polymer gel injections.But most of these drugs have not been proven to work, 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 worthwhile to use this or that method.
There are tablets and lotions.They usually contain vitamins, minerals, herbs and hormones.However, there are no studies that confirm 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 long-term use can lead to tissue damage and deterioration of erection quality.
There are exercises that have been developed for centuries among some peoples: the jelqa method is used by Sudanese boys from 9 to 11 years old.The movements are simple: you have to move your hand from the base of the penis to the head, holding the ejaculation.It sounds perfectly safe, 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.The introduction of polymer, polyacrylamide gels under the skin of the penis can almost lead to disability, doctors warn.The polymer does not stay - under the influence of gravity, due to physical activity, the gel migrates, often causing inflammation, after which an infection can occur and thus tissue necrosis with complete or partial loss of the penis.
There is a way to enlarge the penis using lipofilling, when fatty 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 lumps and irregularities.The consequences are eliminated in the operating room.
There is only one non-surgical method of penis enlargement that has proven its effectiveness - long-term wear of the extender.It is about two rods of adjustable length that are placed between the head and the base of the penis.The weights should be separated very gradually, little by little, stretching the penis - it turns out something like Ilizarov's device, 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 few centimeters.
Does size matter?
From a physiological point of view, no.But sex is not a mechanical mixing between two partners, it is a whole complex of human experiences.This role is played by self-confidence, the desire to make your partner happy, sexual habits and much more.
"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 it depends a lot on the partner, his adaptation and sexual experience. And it's not about the size of the penis of your partner's previous man, but also about her reactions and expectations. clitoris, the entrance to the vagina, its front surface or somewhere near the cervix.
How does the operation work?
"Usually a man comes in and says, 'Doctor, I want to have a big one.'Then we talk, we talk about everything in detail and we always talk about sexual needs.It happens that people think about surgery because they are not able to realize their dreams or sexual fantasies: for example, sex with a woman of extraordinary shape," says the doctor.
It is very important, as with other plastic surgeries, to adequately assess whether the surgery will help in achieving a certain goal.Every doctor will try to avoid surgery if he sees that the patient's expectations do not correspond to the actual possibilities of the operation or that the doctor's actions will be ineffective, according to the specialist.
With the help of surgery, you can increase the length and diameter of the penis.
Length is the easiest.This operation is scientifically called ligamentotomy, and it involves cutting the suspensory ligament of the penis.
"Today, ligamentotomy is the main operation we offer for penis lengthening," says the surgeon."From my point of view, it is optimal in terms of the degree of risk for the patient, the degree of trauma and the result obtained. Although, in fact, it does not refer to true lengthening operations. We simply increase the angle between the penis and the pubis, cut the ligament. In this way, the penis simply moves forward and creates the effect of enlargement."
The effectiveness of this operation largely depends on the flexibility of the tissue, so in order to increase the chances of success and avoid scars, 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 start wearing the device, then a half-hour operation, and then another three weeks with an extender.Total - just under 3 months for everyone.
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, the most common, is from the patient's own tissue.
It works like this: a fragment 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, and then the vessels are sutured to restore the blood supply - this is called revascularization.
This type of surgery is classified as microsurgery.After that, the patient needs a week's rest.
The second method looks like this: they take dermophatic 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 work without microsurgical equipment, so the recovery period is easier: strict bed rest is not required, 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.This is the least traumatic method, and the operation itself resembles a breast operation, except that the implants are individual, they are made especially 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, 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 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 to pay attention to when choosing a clinic is a balanced conversation with your doctor.He has no right to promise a triple increase in the size of the penis or to say 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 area;together, this gives the best effect in overweight patients.The doctor says that, based on personal experience, patients are more often satisfied with penis enlargement surgeries.As for the likelihood of repeated operations, such a need often arises when the lengthening operation is combined with an increase in diameter, and usually such a desire appears in the patient in the late postoperative period.
However, apart from the health risks, patients are also concerned about their own 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. Was there trust between you? Do you think that the doctor has worthy moral qualities that do not allow him, in principle, to talk about other patients? Names or just give examples like you, your doctor must not talk to anyone about your operation, then, from the point of view of psychologicalcomfort, he can specifically say that he is not interested in advertising this story.