Today, methods for intimate injection contouring 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 at a lower cost. 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 seen as an integral part of reproductive health, but the Declaration of the World Sexual Health Association, adopted in 2005 in Montreal, recognized the right of all of us to seek sexual pleasure as a component of general 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 affirmation of his self-esteem. Therefore, dissatisfaction with the size of the penis causes sexual problems in men, stiffness in communication with women, loss of sexual interests, development of various complexes and even a general lack of confidence in their abilities. It is these cases that can become an indication for male intimate plastic surgery. Due to the high social significance of this problem, the question arises about 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 for male intimate plastic surgery, 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 intimate injection contouring methods, which allow penis enlargement and penis reshaping without surgery, general anesthesia, a long period of rehabilitation and at a lower cost. Almost every man knows about the safe and effective methods of breast augmentation, the possibilities of contour 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 which you can change the shape of the penis and enlarge the penis, which will certainly help improve the quality of sex life.
When is penis enlargement performed?
According to various sources, at least 70% of men want to enlarge their penis. About 60% of them want it to get longer, about 40% dream of a thicker penis and no one wants it to get smaller or thinner. Insufficient size of the penis causes a man not only rigidity in communication with women and a general lack of confidence in their abilities, but also most 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 the low birth rate, there is an increase in the number of infertile marriages, the reason for which in 40-50% of cases is pathology. of the male reproductive system, in the structure of which the share of micropenias and penile dysmorphophobia has increased. 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, 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 even a 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 considerably.
Different authors assess the average size of a normal penis differently, as their perceptions 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. who is thinking about penis enlargement. Quite a large variation in 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 sheath. 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, which is responsible for attaching the latter to the pubic bones and fixing the penis is far fromare the same. As for various pathologies, about 20 congenital diseases are currently known, characterized by a violation of the production of sex hormones and manifested by a 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 reason 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. The term "micropenis" is used for organs of this size. and a phenomenon known as "congenital hypoplasia, " in which the body of the penis is virtually absent and its head is attached to the pubic bone, in which case injection contouring may help.
Although the size of the penis has little or no effect on the possibility of normal sexual intercourse during a normal erection, some men have a desire to enlarge the penis. Dissatisfaction with the appearance and size of your penis can cause serious reproductive health problems. One of the most serious 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. Male intimate plastic surgery continues to be a popular and increasingly common field of plastic surgery. Based on our own experience and data from the world literature, we can say that more than 70% of the interventions performed in male intimate plastic surgery are operations on persons with completely normal anatomical dimensions of the penis. So, the main motives of patients who want penis enlargement are:
- increase self-confidence;
- increase sexual attractiveness;
- improving the quality of sexual life;
- elimination of the "locker room complex" - reducing the feeling of discomfort 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 vaginal orgasm. Therefore, the desired result is achieved much easier not by enlarging the penis, but by correcting the diameter of the penis.
Methods for penis enlargement and correction of its shape
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. Such methods include lipofilling, microsurgical tissue autotransplantation, transposition of vascularized muscle or fascial fat grafts, installation of various implants. Until recently, autogenous fat lipofilling was a commonly used injection contouring method. However, the frequent resorption and migration of injected fat, as well as cases of fibrosis, reduce 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 sclerosis and necrosis. Professor DG Kurbatov et al. to enlarge the penis, they proposed a method for microsurgical autotransplantation of a rotated fascial fat valve from the anterior abdominal wall onto a feeding vascular leg. Despite the obvious advantages, the method requires expensive equipment and a specially trained microsurgical team. In the postoperative period it is necessary to refrain from 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 volume deficit, but also improves skin structure. of the penis. Professor J. J Kim conducted the relevant studies in 2003 and obtained the first data on the effectiveness of the use of these biogels in male intimate plastic, which shows the possibility of their clinical use. Male injection contouring with hyaluronic acid preparations can help solve sexual problems related not only to the appearance of the penis, but sometimes to its functional features (the most common problems of this type include premature ejaculation). So for injection contour plastics, specialists use viscoelastic gels (fillers) based on hyaluronic acid. The composition of these drugs 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 range of gels includes 6 preparations, each of which has its own characteristics and application. Since 2005, another drug from the line has been registered in Bulgaria, designed 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, frenulum, change the shape of the body of the penis and treat premature ejaculation.
It allows successful work with intimate areas, as it is easy to inject, well distributed in the tissues, effectively compensates for the missing volume and provides a 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 contouring for men is performed on an outpatient basis under local anesthesia (without sedation). Hyaluronic acid biodegrades over time, and the rate of biodegradation depends on the level of blood supply in a particular area of the body. So in plastic surgery of the glans penis the duration of the effect lasts an average of 0, 7-1 years, in plastic surgery of the body of the penis the effect can last up to 1, 5-2 years, so it is recommended to repeat the procedure on average after 1-15 years.
Enlargement of the head of the 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 "orgasmic cuff" during intercourse. If the size of the head is insufficient, the procedure to enlargepenis involves the introduction of a filler conditionally in its lower third and along the coronal groove. In both cases, the volume of injected drug in 1 "step" is 0, 1-0, 4 ml. When working with the coronal groove, as well as when thickening the head itself, the cartridge is introduced using a fan technique (needle return) (needle 27G). The minimum total volume of the drug in the correction of the glans penis is 0, 8 ml, the expected maximum is 2, 0 ml. For even distribution of the gel, we recommend that you pre-"hydroprepare" the tissue with 0, 9% sodium chloride solution in a volume of 10 ml.
Frenuloplasty
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 below the frenulum in an amount of 0, 1-0, 3 ml per "step", the needle is 25-27 G, the injection technique is drip. The introduction of the drug directly into the frenulum (ligament) is unacceptable. All methodsof male injection contouring can be combined and performed in one procedure, the timing 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, so healingafter such procedures proceeds without scarring. During the recovery period, which is an average of 2-3 days, active sexual life is not recommended.