Advanced queries related to penis enlargement

For a slightly more advance knowledge of penis enlargement, you can find relevant answers on this page

Q1  What types of incisions are made during penis enlargement surgery?

We use a transverse incision placed in the natural fold, at the base f the penis where the penis meets the body. We do not use the so called “ y-plasty” incision due to the larger , and more visible, scar. The fat is taken through small puncture wounds in the skin of the belly and inner thighs.

Q2  How blood flow to the penis is maintained or altered during surgery.

Blood flow to the penis is maintained throughout the surgery. It is not compromised during penis enlargement surgery. Moreover, the penis does not need to be in the erect position ( and therefore engorged with blood) for this procedure.

Q3  Can you explain the steps in securing or anchoring the penile implants or grafts?

We now use the patients own native tissues to act as a barrier to prevent ligament re-attachment. This technique negates the requirement to use a silicone implant to prevent suspensory ligament re-attachment. It di done when the suspensory ligament has been freed from its attachments to the pubic bone. These native tissues are held in place by sutures.

Q5   Can penis enlargement surgery address both length and girth concerns?

Yes, most patients choose to have length and girth surgery performed at the same time, since most Urologists agree that this combination gives the best overall results. It should be remembered that the penis can only be lengthened in the flaccid state, nt the erect state. By using a penis extender after surgery , it is possible to add to the erect length.

Q6  What kind of Anesthesia is used during penis enlargement surgery?

We always perform this procedure under general anesthetic for the comfort of our patients.

Q7   What are the qualifications and experience I should look for in a surgeon performing penis enlargement surgery?

We always recommend choosing a GMC Specialist registered Urologist for penis enlargement surgery. They have specialist training in genital surgery, and a deep understanding of the penile anatomy. General Surgeons and Plastic Surgeons usually focus on other procedures and penis enlargement surgery will not be their primary focus of work.

Q8  How does penis enlargement surgery differ from non-surgical methods like traction devices or supplements?

Firstly, there are no supplements that have clinical evidence of enlarging the human penis. Traction devices can work to increase penis size but require significant commitments in terms of time , for at least one year. Again, there are no guarantees that there will be a significant increase in size with a traction device. The results of penis enlargement surgery are reasonably predictable and are published in many urology scientific journals.

Q9  What are the steps involved in the surgical procedure for penis enlargement?

There are basically two steps to penis enlargement surgery. The first is the division of the suspensory ligament to make the penis longer in the flaccid state. Local tissues are used to create a barrier to prevent re-attachment of the suspensory ligament.

The second step is the transfer of fat from the belly and inner thighs to make the penis thicker. The fat is put through a purification process prior to injecting it into the penis shaft. This purification process removes contaminants from the fat before it is injected.

Q10  How are the surgical techniques for penis enlargement designed to achieve desired outcomes?

We know that all men have additional flaccid length of the penis which is invisible. By division of the suspensory ligament this extra length can be revealed to make the penis longer. The girth is enhanced by an established procedure called autologous fat transfer. This involves harvesting fat from the belly and inner thighs, where the best quality of fat is, then purifying the fat, and then injecting into the shaft to maximum the penis will take.

Q11  How do surgeons determine the most suitable surgical technique for each patient undergoing penis enlargement?

This depends somewhat on what results the patient is hoping to achieve. In most cases patients want the penis made longer and thicker at the same time , the so called “ length and girth surgery”.

For others the focus maybe entirely on improving the girth of the penis. In such case the Surgeon may recommend just having the autologous fat transfer, or even penis fillers if there is a reluctance to have a surgical procedure. Very few men choose to have length only procedures. Other factors that may influence the technique used include extra steps that can be taken to correct a buried penis, or a penis hidden by a large quantity of fat on the mons pubis.

Q12  Can you elaborate on the methods and instruments used in performing penis enlargement surgery?

A suction machine is used to aspirate the fat from the stomach and inner thighs. When this fat has been aspirated, it is put through a purification system such as “ pure graft”. This removes, blood, oils and dead cells from the fat first. The purified fat is then injected into the shaft through a single entry point at the base of the penis. This is done with an instrument called a cannula. The lengthening surgery is performed by standard theatre equipment such scalpels to release the suspensory ligaments from its attachments to the pubic bone.

Q13   Can you provide insights into the intricacies of the surgical technique for penis enlargement?

The idea behind the lengthening surgery is to free as much of the hidden length as possible. It is important that the ligaments once cut, are prevented from re-attachment to the pubic bone. This is done by using the patients own tissues to create barrier. In terms of the girth increase it is vital that the penis is filled with as much fat as possible. We have to allow for the initial absorption rate in the first six weeks after surgery. Patients with an already tight foreskin may be encouraged to consider a circumcision because of the likelihood of tightening temporarily after surgery. This is due to the volume of fat injected into the penis. In patients who already have a phimosis, this can be made worse unless a circumcision is performed at the same time.

 Q14   How do surgeons stay updated on the latest advancements in surgical techniques for penis enlargement?

As the country’s leading provider of penis enlargement surgery, we are always looking to improve out techniques and therefore the surgical outcomes for patients. Her are just some of the improvements we have made over the years.

  • Local interposition technique for penile lengthening, therefore removing the need to have silicone implant placement after ligamentosis
  • Introduction of purification systems for penis enlargement fat transfer. These make the fat much easier to work with and they improve survival rates of the fat.
  • Much greater volumes of fat are now possible due to the purification of the fat prior to transfer. This has greatly improved the girth gains after a fat transfer.
  • The use of smaller infiltration cannulas to help achieve improved symmetry and reduction of lump formations post-surgery.