Over 11,000 penis enlargement surgeries are performed every year in the world, and the number is constantly increasing.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 are performed in Thailand, a world leader in plastic surgery.This text contains a history of how penis enlargement surgery is performed.
Plastic surgery around the world is more psychotherapy than solving 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 this happens 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 misjudge the size of their own genitals because they measure or estimate them incorrectly.The penis may appear shorter when viewed from above.To adequately assess the size, it is better to undress in front of the mirror, in which 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 in an erect state.
How does a patient decide to undergo surgery?
Quite a wide range of problems can make a man undergo surgery: unsuccessful sexual experience, internal beliefs, false information in open sources on the Internet.Plastic surgeon, doctor of medical sciences, professor in the department of plastic surgery says:
"Now is the age of the Internet: people look at pictures without really delving into where they come from and how they correspond to reality. Most often, people come to surgeons with pictures from the Internet indicating that they want 'just as shown here.'
Just imagine if you constantly get spam messages "Iron erections and a hundred other fantastic ways to enlarge your penis".At this point, even a normal, sane person will begin to think: maybe something is wrong with him if he constantly receives letters "You should do this!"I often remember the movie "The Man from Boulevard de Capuccini" when following a certain culture completely changes people's behavior.First they stop being bullies, drink milk and behave like gentlemen.And then, after they've seen enough other movies, they start causing mayhem and drunkenness and shooting.It's the same here: society influences people, and specific people, films, cultural models give rise to certain ideas.
In general, male 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 to go without surgery?
There are many procedures and products that, according to manufacturers, can increase the length and diameter of the penis: lotions, nutritional supplements, exercises, vacuum pumps, polymer gel injections.But most of these drugs have not been proven effective, and some of them can actually cause damage to the penis.If you think that additional means are needed, it is better to consult a specialist doctor: urologist, andrologist or plastic surgeon - to discuss whether it is worth using this or that method.
There are tablets and lotions.They usually contain vitamins, minerals, herbs and hormones.However, there are no studies to confirm that any of this works.
There are vacuum pumps that are commonly used to treat erectile dysfunction.They can only temporarily visually increase the size, but too frequent or prolonged use can lead to tissue damage and deterioration of the quality of the erection.
There are exercises that have been developed for centuries among some peoples: the jelqa method is used by Sudanese boys aged 9 to 11 years.The movements are simple: you need to move your hand from the base of the penis to the head, holding the ejaculation.It sounds pretty 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 questionable.Inserting 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, this can be followed by infection and so on to tissue necrosis with complete or partial loss of the penis.
There is a way to enlarge the penis through lipofilling, when fatty tissue is injected under the skin through punctures.However, the effect is visible only immediately after the procedure, after which the fat is absorbed (and often unevenly), turning into seals and bumps.Consequences are corrected in the operating room.
There is only one non-surgical method of penis enlargement that has shown its effectiveness - long-term wearing of an extender.These are two rods of adjustable length that fit between the head and the base of the penis.The barbells should be moved very gradually, little by little, stretching the penis - something like Ilizarov's apparatus is obtained, only without the 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 several centimeters.
Does size matter?
Physiologically no.But sex is not a mechanical grinding between two partners, it is a whole complex of human experiences.Self-confidence, the desire to make your partner happy, sexual habits and many others play a role here.
"The thing is, the difference in the "norm" is quite large. 11 or 18 centimeters is still a significant difference, says the plastic surgeon. - The size matters in the sense that a lot depends on the partner, his adaptation and sexual experience. And it's not about what size penis your partner's previous man had, but also about her reactions and expectations. In women, the receptors can be concentrated in different parts of the genital organs: in the clitoris, the entranceon the vagina, its front surface or somewhere near the cervix.The diameter of the penis is concentrated at the entrance or on the walls of the vagina, which means that the skill, position, understanding of the man is as important as the size.
How is the operation going?
"Usually a man comes in and says, 'Doc, I want a big one.'Then we talk, discuss everything in detail and always talk about sexual needs."It happens that people think about surgery because they cannot realize their dreams or sexual fantasies: for example, to have sex with a woman with an extraordinary shape," says the doctor.
It is very important, as with other plastic surgeries, to adequately assess whether the surgery will help achieve a specific goal.Any doctor will try to avoid surgery if he sees that the patient's expectations do not correspond to the real possibilities of surgery or that the doctor's actions will be ineffective, the specialist believes.
With the help of surgery, you can increase both the length and the diameter of the penis.
Length is the easiest.This operation is scientifically called a ligamentotomy and means cutting the suspensory ligament of the penis.
"Today, ligamentotomy is the main operation we offer for penile lengthening," says the surgeon."From my point of view, this is optimal in terms of the degree of risk to the patient, the level of trauma and the result obtained. Although it does not really apply to true lengthening operations. We simply increase the angle between the penis and the pubis, cutting the ligament. In this way, the penis simply moves forward and creates an enlargement effect."
The effectiveness of this operation largely depends on the elasticity 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 time 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 expander.Total - a little less than 3 months for everything.
With the 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 tissues.
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, 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 rest for a week.
The second method looks like this: they take dermophatic flaps from the groin area and place them along the length of the corpora cavernosa.In other words, they wrap the penis like transplanted muscle tissue, but in this case doctors do 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 with the help of silicone implants - penis enlargement.This is the least traumatic method, and the operation itself resembles a breast operation, only the implants are individual, they are made specifically 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 dooming the patient to impotence.Therefore, choosing a clinic and a doctor who guarantees a result is the most important part of the operation.
The main thing you should pay attention to when choosing a clinic is a balanced conversation with your doctor.He has no right to promise a threefold increase in the size of the penis or to quickly say how many centimeters it will grow.The caution of the doctor 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 in his personal experience, patients are more likely to be satisfied with penis enlargement surgeries.As for the probability of repeated operations, such a need often arises when the lengthening operation is combined with an increase in diameter, and usually such a desire arises in the patient in the late postoperative period.
Apart from health risks, however, patients are also concerned about their own reputation and the anonymity of the operation.The plastic surgeon is convinced that this question can be solved simply: "In addition to the law that protects the patient, which states 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 decent moral qualities that, in principle, would not allow him to talk about the operation? Does he tell you in detail about other patients? Does he mention their names? Or just give examples similar to yours?by default, your doctor is not allowed to discuss your operation with anyone, but if the patient is too worried about it, then from the point of view of psychological comfort, he can specifically say that he is not interested in advertising this story.