Sexual problems associated with a man's dissatisfaction with the size of his penis cause stiffness in communication with women, loss of sexual interest and the formation of various complexes.
Today, methods for intimate injection of contour plastics have been developed and implemented in 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. In addition, a full 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 Sexual Health Association 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 so many members of the stronger sex today are interested in penis enlargement techniques. The size of the penis has always been of great importance for a man's perception of his masculinity, sexuality and self-esteem. That is why dissatisfaction with the size of the penis causes sexual problems in men, rigidity in communication with women, loss of sexual interests, development of various complexes and even a general lack of confidence in their capabilities. It is these cases that can become indications for intimate plastic surgery in men. In connection with the high social significance of this problem, the question arises about the need to develop effective methods for penis enlargement that can change the quality of sexual life of men of all ages.
Today, there are various methods of intimate plastic surgery for men, most of which are surgical. In general, these are expensive operations that require certain conditions, equipment and skills. But in recent years, simpler and more accessible methods have been developed and put into practice. These include methods for intimate injection of contour plastics, which allow to achieve 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 for breast augmentation, 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 intimate plastic surgery in men, with the help of which it is possible to change the shape of the penis and enlarge the penis, which will certainly help to improve the quality of sexual life.
According to the data, the number of patients with sexual problems has increased recently. These problems are often associated with a smaller penis size and premature ejaculation).
In what 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 it to become smaller or thinner. Insufficient penis size not only causes stiffness when communicating with women and a general lack of confidence in a man's abilities, but also negatively affects his ability to produce offspring, ie fertility. According to the WHO, in the last 2-3 decades in all countries of the world, along with low fertility, there has been an increase in the number of infertile marriages, the cause of which in 40-50% of cases is the pathology of the male reproductive system. has increased the proportion of micropenia and dysmorphophobia of the penis.
In addition, the size of the penis is a reflection of the general health of the man, in particular the state 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, ie 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 intimate plastic surgery in men.
Data on the size of the "average" penis varies considerably. Different authors assess the average size of a normal penis differently, as their views are often determined by the cultural and ethnic characteristics of certain countries and regions. However, the normal length of the penis at rest is estimated at 7, 5-10, 5 cm, and in an erect state - at 12-18 cm, while its diameter is usually 3, 0-3, 5 cm. statistics should be familiar to anyone who thinks of penis enlargement.
Quite a large scattering of indicators for the normal length of the penis (from 12 to 18 cm) can be explained by individual differences in the anatomy of the inguinal area, namely the ratio of hidden and free parts of the corpora cavernosa and the surrounding shell. It is believed that with normal levels of sex hormones and the proper development of corpora cavernosa in different men, due to their individual characteristics, the size of the hidden part of the corpora cavernosa responsible for attaching the latter to the pubic bones and respectively fixing the penis is not the same.
As for various pathologies, about 20 congenital diseases are currently known, characterized by impaired production of sex hormones and 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 treatment is started, the more reasons to talk about its effectiveness.
There is evidence in the literature that with perfectly normal testicles and fairly well-defined secondary sexual characteristics, a functioning penis in a state of full erection cannot exceed 2. 5 cm. 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, injection contour plastics can help.
Although penis size has virtually no effect on the ability to have normal sexual intercourse 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 frightening complications of penile dysmorphophobia is psychogenic erectile dysfunction, which eventually leads to infertility. Thus, the size of the penis becomes one of the important factors that directly affect fertility and quality of life.
Intimate plastic surgery in men continues to be a popular and increasingly widespread field of plastic surgery.
Based on our own experience and data from the world literature, we can say that more than 70% of interventions performed in intimate plastic surgery in men are operations on persons with completely normal anatomical dimensions of the penis. Thus, the main motives for patients seeking penis enlargement are:
- increase self-confidence;
- increased sexual attractiveness;
- improving the quality of sexual life;
- elimination of the "locker room complex" - reducing the feeling of embarrassment in men's companies.
It is known that the length of the penis to a much smaller extent than its diameter affects the ability of the partner to achieve vaginal orgasm. Therefore, the desired result is much easier to achieve not by enlarging the penis, but by correcting the diameter of the penis.
Techniques for penis enlargement and shape correction
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 lipofilling, microsurgical autotransplantation of tissues, transposition of vascularized muscle or fascial fat grafts, and installation of various implants.
Until recently, lipophilization of autogenous fats was a commonly used injection contouring method. However, frequent resorption and migration of injected autologous fat, as well as cases of fibrosis, have reduced interest in this method.
Various synthetic materials (silicone, paraffin, etc. ) have not been widely used 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 propose a method for microsurgical autotransplantation of a rotating fascial-fatty valve from the anterior abdominal wall onto the supplying vascular pedicle. Despite the obvious advantages, the method requires expensive equipment and a specially trained microsurgical team. In the postoperative period it is necessary to give up physical activity for up to 3 months.
Of significant interest is a new direction in intimate plastic surgery in men, based on the implantation of special viscoelastic biogels based on hyaluronic acid under the skin of the penis, which not only fills the existing volume deficit, but also improves the structure of the skin of the penis. Relevant studies were conducted in 2003 and the first data on the effectiveness of the use of these biogels in intimate plastic in men were obtained, showing the possibility of their clinical use.
Injectable contouring of men with hyaluronic acid preparations can help solve sexual problems that are related not only to the appearance of the penis, but sometimes to its functional characteristics (the most common problems of this type are premature ejaculation).
So, for injection contour plastics, specialists use viscoelastic gels (fillers) based on hyaluronic acid. The composition of these preparations differs from the composition of the fillers that cosmetologists use when performing facial contouring. In particular, in our practice we use special gels for this.
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, adjust the size of the corolla, frenum, reshape the body of the penis and treat premature ejaculation.
It allows you to successfully work with intimate areas, as it is easy to apply, well distributed in the tissues, effectively compensates for the lack of volume, 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 that ensure the safety and absolute sterility of the gel.
The procedure for intimate injection of contouring in men is performed on an outpatient basis under local anesthesia (without sedation).
Hyaluronic acid is broken down over time and the rate of biodegradation depends on the level of blood supply in a particular area of the body. So, with the plastic of the head of the penis, the duration of the effect lasts an average of 0, 7-1 years, with the plastic of the body of the penis the preservation of the effect is possible up to 1, 5-2 years, therefore it is recommended to repeat the procedure afteron average 1-1, 5 years. . .
Enlargement of the glans penis
Usually the diameter of the head of the penis in its back should exceed the diameter of the body of the penis by 1-2 cm. This contributes to the formation of an "orgasmic cuff" during intercourse. In case of insufficient head size, the procedure for penis enlargementIn both cases, the volume of the injected drug for 1 "step" is 0, 1-0, 4 ml. When working with the coronary groove, as well as when the head itself is thickened, the cartridge is inserted using a fan technique (needle return) (needle 27G). The minimum total volume of the drug for the correction of the penis on the head is 0, 8 ml, the prognostic maximum is 2, 0 ml. For even distribution of the gel, we recommend that you first perform the "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 penis on the head.
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 drip. The introduction of the drug directly into the bridle (connection) is unacceptable.
All techniques of male injection contour plastics can be combined and performed in one procedure, as long as the terms of rehabilitation and the 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, therefore healing after such procedures is without scarring. During the recovery period, which is an average of 2-3 days, active sexual activity is not recommended.