Untitled Document
Penis Enlargement
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Widening
Surgery : $2800 |
10% deposit : $280 |
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Lengthening Surgery
: $2800 |
10% deposit : $280 |
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Surgical techniques used for penile enlargement (enhancement phalloplasty) -- penile lengthening and penile widening (girth enhancement) -- have been in the urologic literature for many years.
There are various ways of enlarging the penis. In my practice, patients either have a lengthening or widening alone, or a lengthening and widening in a single session. Glanular enhancement may be performed alone or combined with any procedure.
PENILE LENGTHENING
Approximately one-third to one-half of the penis is inside the body, and is internally attached to the undersurface of the pubic bone. Penile lengthening involves the release of the fundiform ligament and the suspensory ligament that attaches the 2 erectile bodies to the pubic bone. The suspensory ligament makes the penis arch under the pubic bone. Release of this ligament allows the penis to protrude on a straighter path, further outward to give more functional length. I use a 1" to 1½" lower abdominal incision in the pubic hair area for concealment or a new incision in the penile-pubic crease for concealment. This is a relatively minor procedure. There will be no scar on the penis and there is no possibility of pubic hair on the penis. I highly recommend use of specially designed penile weights to maximize penile lengthening.
PENILE WIDENING (PERICAVERNOSAL)
We have noticed a permanent increase in penile girth (circumference) in the flaccid state with our pericavernosal (P/C) Aquamid® technique. While a 40 to 50% gain in girth (flaccid state) may be achieved, most men get an increase of about 30%. An approximate 10 to 15% gain in girth is obtained in the erect state.
With the Aquamid® technique we are adding multiple layers of Aquamid® under the penile skin on top of the erectile chambers to give thickness by "stacking" or "folding" the grafts. I do not use strips of Aquamid® , but create a conjoined graft. There are no contour defects and appearance and feel are normal. A penile stretching device is suggested after the widening procedure to combat Aquamid® contraction that might occur.
GLANULAR ENHANCEMENT
Glanular enhancement is a relatively new surgical technique. Very few surgeons around the world are performing it. However, it can be done successfully with the Aquamid® .
A reasonable expectation is between 15% and 20% increase in the flare of the glans. If performed with penile widening, no additional incision is required. A penile stretching device is not necessary after this procedure
FLACCID PENILE STRAIGHTENING
Some men have penile curvature in the flaccid state only. This can be corrected without surgery on the erectile chambers by insertion of Aquamid® when used for penile widening.
PENOSCROTAL WEBBING
If the scrotum extends along the underside of the penis it may make the penis appear short on the underside, like a "turkey neck." This can be corrected by various techniques under local anesthesia, or at the same time as penile lengthening or penile widening or glanular enhancement.
FORESKIN MODIFICATION
The foreskin can be modified to a: (1) Standard Circumcision (2) High Circumcision or (3) Low Circumcision
REDUCTION OF INFRAPUBIC AND SUPRAPUBIC FAT PAD
If the pubic area has excess fat due to increased pubic or suprapubic fat the penile shaft may be partially or completely hidden. Various procedures can make the penis more visible. These procedures are usually performed at the same time as penile lengthening or penile widening
LIPOSUCTION AND FAT INJECTION TECHNIQUE
Since 1991, surgeons have performed liposuction and fat injection into the penis. While this can temporarily widen the penis, in the long run, I find this procedure unpredictable. It often results in penile irregularity and the augmentation always decreases with time. During an erection the injected fat will be softer than engorged tissue that hardens the penis.
Men who are particularly poor candidates for this technique are those with little body fat (lean men). These men are often: bodybuilders, weight lifters, models, actors, and dancers. Often these men require several injections over time to have more fat injected into the penis.
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