Graft and Flap Procedures

A graft involves moving a piece of skin without blood supply from one part of the body to a wound. Conversely, a flap procedure involves the transfer of tissue from a donor to a recipient with an intact supply of blood.

Here are the types of graft and flap procedures used to increase girth:

• Porcine dermal acellular matrix graft. This approach involves removing all skin epidermal layers and all dermis cellular components. The basement membrane elements and dermal collagen structure are retained. Most patients that undergo this procedure report increased self-esteem and sexual satisfaction due to increased girth.
• Dermal fat graft. A part of the skin is cut off and used in penile enlargement. The tissue used is from the lower abdomen or the hind thigh area, and there’s minimal scarring. This usually results in a significant increase in penis size and should only be done by experienced practitioners. However, while this can increase blood vessels, helping in vascularization, the procedures can also lead to painful erections and preputial edema.
• Fasciocutaneous arterial island flap. This is the treatment of the urethra using a random tubular flap. This penis enlarging procedure is rarely used due to its complexity.

Risks of Graft and Flap Procedures

While graft and flap procedures can increase penile girth, they also have some risks, especially if not done by experienced professionals. Some patients can end up bleeding excessively, or the affected areas can take extra long to recover, thus making it hard to engage in sexual activities.

Injection of Soft Tissue Fillers

Also known as dermal fillers or lips and facial fillers, soft tissue fillers are medical implants injected under the skin to create a fuller or smoother appearance.

In penile enlargement, they add more mass to the shaft, hence increasing the girth of the penis.

The process involves injecting substances such as autologous fats and liquid injectable silicone into the penis. These fillers are proven to increase penile girth.

Other fillers include hyaluronic acid and polymethyl-methacrylate microspheres (PMMA). PMMA has been proven to increase girth by up to 2.4 cm (0.94 in) for erect, flaccid, or stretched penises.

The use of dermal fillers for penile enhancements remains unapproved by the Food and Drug Administration (FDA) in the US due to the many risks associated with their usage.

Injections using hyaluronic fillers can either cause decreased or severe hypersensitivity in the penis. Vascular occlusions and erection difficulty can also occur. A reported case showed a dermatitis infection resulting from a procedure involving a hyaluronic acid injection.

Risks of Tissue Fillers

There’s a likelihood of swelling and unbearable pain that can last for over a month. The pain may occur immediately after injection or weeks or months after the procedure. Accidental injection of the fillers into the blood vessels may also occur, which can lead to necrosis.

Subcutaneous Penile Implants

These implants are placed under the skin and enfolded around three-quarters of the penis.

In parts of Asia, men have been inserting foreign objects like metal pellets and plastic beads beneath the penile skin in an effort to increase girth.

While adding subcutaneous penile implants can improve girth, the materials used play a huge role in determining the procedure’s success. This explains why most men who self insert implants end up seeking medical intervention further along the line.

Risks of Subcutaneous Penile Implants

Silicone implants can cause severe edema, penile curvature, and scarring. Some men even develop subcutaneous masses in their shaft, which not only reduces self esteem, but also increases the chances of infection and poor sex performance.

Penile Girth Surgery

Girth enhancement surgery is any procedure aimed to increase the girth of the penis – although in some instances, depending on type of method used, can also benefit the length of the penis as well.

The question is though, is penile girth surgery really necessary?

Doctors only recommend penis enlargement if one is proven to have a penis shorter than 7.5 cm or 2.95 in (micropenis), which is abnormally small. However, most men seeking penis enlargement surgeries have average functioning penises adequate for both urination and sexual intercourse.

Here are the types of penile girth surgery:

• Silicone implants. For this procedure, an incision is made above the penis and a crescent-shaped silicone is put under the shaft’s skin to make it thicker and longer. Penuma is currently the only penis enlargement procedure approved by the Food and Drug Administration.
• Fat transfer. The procedure involves taking fat cells from one part of the body and injecting it into the shaft of the penis. Fat transfer can also be done by injecting purified fat cells into the sides of the penis after making incisions.
• Suspensory ligament division. Also known as ligamentolysis, the procedure involves cutting the suspensory ligament. The penis skin is then pulled back from its abdomen to the shaft. Finally, a tissue-filled tube frame is wrapped around the penis, making it appear larger than before.

Risks of Penile Girth Surgery

Though fat transfer can increase penile girth by between 1.4 to 4 cm (0.55-1.57 in), the body can reabsorb the fat, leading to the penis shrinking to its initial size.

Some men who’ve undergone penile girth surgery also report scarring, lumps disfigurement, and infections long after the surgery.

Erectile dysfunction can also occur as a result of penile enlargement surgery.

Corporoplasty Phalloplasty

Phalloplasty is a complicated reconstructive surgery whose aim is to recreate a penis-like structure. It’s a set of procedures that can be mixed and altered depending on the patient’s needs. Hence, corporoplasty phalloplasty is used to expand corporal girth using bilateral corporal venous grafts.

Preliminary research shows that corporoplasty phalloplasty can increase girth while the penis is erect and not while flaccid. It’s therefore still experimental and can affect erectile function.

Risks of Corporoplasty Phalloplasty

Being a complex procedure, a urinary fistula can occur, which can be quite uncomfortable and painful. There are also chances of getting an infection near the urethra and the incision area. Low blood flow may also cause scar tissue and lead to blockage of urine.

You should visit a qualified and licensed medical practitioner to minimize the risk of complications.

Penile Extenders

A penile extender is a device that uses traction to stretch your penis and is considered a noninvasive device. Preliminary studies reveal that penile extenders can increase penile size by an average of 1.5 cm (0.59 in) following three months of usage. However, there’s still a need for more research to make conclusive results.

Risks of Using Penile Extenders

Using penile extenders may damage blood vessels in your penis, which can, in turn, negatively affect your erections. They can also lead to itching, redness, and irritation in the penis, which can be uncomfortable. You might also bruise or cause numbness to your penis if you repeatedly use these devices.

Other Ways To Increase Your Girth

Now that we’ve seen the scientifically proven ways to increase your girth, let’s take a look at some other ways you can make your penis bigger (or appear bigger).

Oral Therapies

There are numerous oral therapies in the form of pills, hormones, herbal remedies, and vitamins that are sold and marketed to increase penile size. However, there isn’t enough (if any) scientific evidence to support the use of oral therapies.

Using these products can be harmful to your health, and it’s advisable to do your due diligence before settling for a particular product.

Realistically oral therapies will only help improve blood flow to the penis, allowing you to achieve stronger, marginally bigger erections during arousal however they won’t provide you with any long term benefits.

Vacuum Pumps

Vacuum pumps are devices used in treating erectile dysfunction. Some people also use them to exercise the penis size. Though they may momentarily make your penis look bigger, they may damage penile tissue and cause erectile dysfunction if used incorrectly. If you’re considering buying a penis pump, you’ll definitely want to have a read of my article that covers the various penis pump dangers as well as my guide that covers what to consider to find the best penis pumps for your budget and results.

Although there are no specific clinical studies that report to size gains, the worlds leading penis pump manufacturer – Bathmate – have found that after 2 months (of using their devices), 81% of surveyed customers reported better erections or larger penises, whilst most pump users report girth gains.

In my view, a Bathmate device – either the Hydromax or HydroXtreme versions – are the most cost effective, least invasive and smallest time investment (just 15 minutes per day) solutions to increasing the size of the penis.

Jelqing Exercises

Jelqing involves moving blood to the tip of your penis while stretching it using your hand in a rolling motion. The procedure mimics the movements of milking a cow and is believed to increase penile size in a similar, albeit rather less effective way as a penis extender.

Jelqing, often referred to as penile exercises, is still not yet scientifically proven to increase penile size and can lead to pain, scar tissue formation, or irritation if not done correctly. That said, it’s a method of enlargement that dates back to Egyptian times, and courses such as the Jelqing Academy can guide you through a variety of exercises – some are good for length gains, others for girth gains, and some jelqing exercises can even make you last longer and give you stronger erection strength.

Rings and Clamps

Rings and clamps are placed at the base of the penis after an erection has been achieved. The aim of this is to block blood flow from moving away from your penis. Though the increased blood pressure might temporarily increase your penis size, prolonged usage may lead to penile tissue damage.

Cock rings are very often used for those that want to last longer, or indeed those battling erectile dysfunction whereby an erection can be achieved, but not maintained. Having achieved a full erection using something like a penis pump, a restriction ring can then be applied to ensure an erection is maintained for as long as is needed.

Psychotherapy

You may wonder how mental health affects penile girth. Well, negative perceptions and feelings on penis size can hinder you and affect your sexual performance.

Psychotherapy won’t change the physical size of your penis, but it’ll change how you mentally perceive it. As mentioned before, most men’s penis sizes are scientifically considered “adequate” for normal function, with only a tiny percentage of men suffering from the likes of a micro penis. Hence, counselling can be excellent in helping to change distorted perceptions about body image.

Penile Dysmorphic Disorder (PDD) is a medical condition where a man is obsessed with a non-existent or minor flaw relating to their penis. The condition leads to embarrassment, shame, anxiety, or depression, which can lead to erectile dysfunction.

Psychotherapy, cognitive behavioural therapy, and the use of antidepressants are treatments used to counter this condition. PDD is a chronic illness and can persist if untreated.

Liposuction

Liposuction is a surgical technique involving the removal of body fat below the abdomen. The process can be done on men with significant tummy fat as the excess fat around the pubic area buries the penis. It can, therefore, make the penis more prominent and appear larger.

Be warned though, that while liposuction can make your penis appear larger, it can result in persistent numbness, bleeding under the skin, internal organ damage, skin colour changes, or uneven results.

Furthermore, like other surgeries, there’s also a risk of infection, allergic reactions to anaesthetics, getting blood clots in the veins, and excessive bleeding. And although this procedure is effective, excess body fat may reappear if you don’t lose the extra weight.

Lose Weight and Get Fit

As seen with the previous methods, you cannot do much on your own to enlarge your penis size. Belly weight, mainly, “swallows up” your penis, making the size look smaller. However, losing weight can help increase the visibility of your penis size.

That’s not all, excess body weight has been linked to high blood pressure, cardiovascular disease, and low testosterone. The extra body weight damages your blood vessels, decreasing testosterone and causing body inflammation.

It’s also linked to diabetes mellitus and hypertriglyceridemia, which lowers your libido and can cause erectile dysfunction, which causes poor sexual performance.

Low sexual performance can be a significant cause of anxiety for men and can decrease your self-confidence.

Regular exercise to lose weight and get fit will make you look and feel attractive and improve your sexual performance. Lifestyle changes such as eliminating a sedentary lifestyle, dietary changes, and quitting smoking can also come in handy.

Fitness will help you improve your self-esteem and eliminate the need to seek other costly remedies with long recovery times.

Important Aspects About Penis Size

Now that we’ve discussed the various ways to increase your girth. Let’s take a quick look at some important aspects you should know about penis size.

The Average Penis Size

According to a 2014 study on a sample of 15,521 men worldwide, the average erect penis is 5.16 inches (13.12 cm) in length and 4.59 inches (11.66 cm) in circumference. The average flaccid penis size is 3.16 inches (9.16 cm) in length and 3.66 inches (9.31 cm) in circumference.

Micropenis

A micropenis is a small penis that occurs abnormally and is discovered during infancy. A micropenis is 3 inches (7.62 cm) or less in length. Though hormone therapy may help stimulate penile growth in children, there’s no specific cure for the condition.

This means that while some men might feel the need to increase their girth, they don’t usually have uncharacteristically small penises. People often choose to increase penis size due to personal preferences and the desire to satisfy their patients better.

What To Consider When Choosing Ways To Increase Girth

Before choosing which route to take, there are some considerations you should make to ensure you make the right choice. These include cost, recovery time, safety, long-term changes, and effectiveness.

Cost

Apart from occasional medical reasons, penis enlargement surgeries are mainly done for cosmetic reasons. Therefore, chances are you’ll have to pay from your pockets in case you choose to have enlargement surgery for non-medical reasons.

You might also have to pay extra in case complications occur further along the road. So you might want to have enough savings set aside if you choose to have penis enlargement surgery.

Recovery Time

It takes around 60 days for one to recover from penile enhancement surgery fully. Due to the long recovery time, you’ll need to be prepared to forfeit sexual activities until you’re fully recovered. You might also experience pain when urinating or when you have random erections.

As a result, proper preparations should be made beforehand should you decide to undergo the procedure. This means consulting with your partner and finding alternative ways to satisfy each other until you’re fully recovered.

Safety

As mentioned before, each procedure has its complications and risks, which you should consider before deciding. The most common side effects include:

• Erectile pain
• Scarring
• Infection
• Bruising at the site of operation
• Bruising along the penis due to enhanced size
• Swelling
• Temporary loss of feeling on the penis

Long Term Changes and Effectiveness

To have a penile enlargement surgery, you’ll first be required to undergo preparatory procedures that can affect the appearance of your penis. This can even get worse in case of surgery-related scars.

Moreover, not all girth-increasing procedures are effective as some end up wasting your time and resources. Even worse, some procedures are highly risky and can worsen your situation instead of making it better.

Partner Preferences

Before deciding to increase your penis size, consider sharing your feelings with your partner. Communicating with your partner will ensure you’re on the same page regarding sexual preferences. You might also have to reconsider the procedures if your partner is uncomfortable.

Product Quality

Companies involved in the penile enhancement business will show you testimonials that aren’t true, all to lure you into buying their products or services. Some claim endorsement from scientific research, which, as we’ve seen, may not be accurate. If you fall for this, you may endanger your health and incur unwanted medical expenses.

Statistics

As mentioned, most penile enhancement procedures are done for cosmetic purposes as opposed to medically necessary reasons. The majority of these procedures are experimental and have little chance of success, hence the need to do your due diligence before settling for a particular procedure.

Scientists also consider having a penis size of 3 ⅔ inches (9.31 cm) or lower as a medical condition, and having one larger than this eliminates the need for additional procedures.

Talk to Your Doctor

Seeking psychiatric help might help address penile size issues that you may be harbouring. Therefore, before you decide to increase your penis size, it’s advisable to talk to your personal doctor. Consulting with a professional will help you determine whether or not you should increase your girth.