Results from penis enlargement surgery can vary substantially based on the procedure type and personal factors. The surgery aims to increase your penis size, but it’s worth mentioning that some cases are medical necessities rather than cosmetic choices. Medical reasons that lead people to this option include micropenis (a congenital condition) or buried penis.

Many patients ask about the procedure details and recovery process while looking into penis enlargement options. Several procedures show measurable gains in penis length and/or girth. The procedure you pick will impact your results and determine your recovery timeline and return to work. This piece gets into different types of penis enlargement surgery, costs, recovery expectations, and actual before and after outcomes to help you decide if this option suits your needs.

Understanding Penis Enlargement Surgery

Illustrations showing steps 3 and 4 of penile lengthening surgery involving repositioning and organic barrier implantation.

Image Source: Rejuvall

Penis enlargement surgery includes several procedures that increase the size of male genitalia. Many techniques exist, but you need to know what these surgeries can actually do before you take this big step.

What the procedure aims to achieve

The main goal of penis enlargement surgery is to boost either the length or girth (circumference) of the penis. The surgery might focus on making the penis look longer when flaccid, increasing its width, or working on both dimensions at once, depending on the chosen procedure.

To increase length, surgeons cut the suspensory ligament that connects the penis to the pubic bone. This creates the appearance of added length. The procedure can also involve liposuction to remove excess fat in the pubic area, which makes the penis look more prominent.

Surgeons use several methods to increase girth. These include fat injections from other body parts, tissue grafting, or silicon implants. Each method has its own risks and benefits. To name just one example, fat injections can dissolve over time and lead to uneven results.

The Penuma implant shows promising results. A 2018 study showed a average 56.7% increase in penis girth.

Who typically seeks this surgery

Men want penis enlargement surgery for different reasons. Research shows most men who seek these procedures have normal penis sizes. Yet they don’t feel adequate about themselves.

The psychological aspect is interesting. Men who want penile augmentation usually think their penis size (girth, flaccid length, erect length) is substantially smaller than what they believe is ideal. These men also show higher penile dysmorphic disorder symptoms, lower self-esteem, and worse body image-related quality of life compared to non-clinical norms.

Some men need this surgery to treat medical conditions. These include micropenis (a condition defined as less than 2.5 standard deviations from average stretched length) or buried penis (where stomach, thigh, or scrotal skin hides the penis). Men with Peyronie’s disease or those who lost penile length after prostate surgery might also benefit from specific procedures.

Medical vs. cosmetic motivations

The difference between medical need and cosmetic desire helps us understand penis enlargement surgery better. Medical needs for penis enlargement are rare. The Urology Care Foundation states that surgery is usually only needed for conditions like micropenis.

Most people want the surgery for cosmetic reasons. One study that analyzed motivations found nearly half of participants wanted “improved self-confidence”. Other reasons included changing penile size/appearance, better sexual function/pleasure, dealing with insecurity, and treating medical issues.

Research reveals something interesting: 45% of men wanted a larger penis while only 38% wanted to be taller. This shows how penis size concerns affect male self-image.

Patients often think “normal” penis size is much larger than it really is. One study found patients thought normal flaccid length was 13 cm. However, many population studies show the average is between 8 to 10 cm.

These findings lead many urologists and plastic surgeons to suggest psychological counseling before surgery. This is especially true for men with normal functioning penises who might have penile dysmorphophobia disorder or small penis anxiety.

Before the Surgery: What to Know

Doctor consulting a senior female patient using a tablet in a bright medical office.

Image Source: iStock

The decision to get penis enlargement surgery needs careful thought and complete preparation. You must understand that this procedure doesn’t work for everyone. Doctors need to screen patients thoroughly to check if they qualify.

Eligibility and health screening

Medical professionals follow strict rules to check if you qualify for penis enlargement surgery. Urologists only recommend this procedure to patients with micropenis, which means a penis size below two standard deviations of normal for the patient’s age and race. Doctors usually tell men with normal penis size to avoid surgery.

You’ll need a full urologic exam to confirm any issues before approval. Your doctor will check if non-surgical methods could help you first. The screening also looks for:

  • Uncontrolled diabetes or serious heart disease
  • Local infections or sexually transmitted infections
  • Previous penile surgeries
  • Current medications, especially blood thinners
  • Smoking or tobacco use

Doctors might ask you to lose weight before surgery because it leads to better results. You’ll also get instructions about stopping certain medications and limiting food and drinks before the procedure.

Psychological evaluations and expectations

The psychological evaluation stands out as the most crucial pre-surgical screening step. Research shows 11-14% of men who want penile girth enhancement meet the criteria for Body Dysmorphic Disorder (BDD). Doctors usually won’t perform cosmetic surgery on patients with BDD.

Doctors use several proven tools to assess candidates:

  • Body Dysmorphic Disorder Questionnaire (BDDQ) – finds BDD with 100% sensitivity and 92.3% specificity
  • MINI-BDD – structured interview that checks DSM-5 BDD criteria
  • Kessler Psychological Distress Scale (K10) – measures general psychological distress
  • Rosenberg Self-esteem Scale – checks overall self-esteem

Setting real expectations matters a lot. Surgeons often show figure rating scales to check body image perception. They present examples of different penis sizes to see if patients have realistic size expectations. Big differences between what patients think and reality might lead to mental health referrals.

Common myths and misconceptions

Penis enlargement comes with many false beliefs that lead men to get unnecessary procedures. The truth is most men seeking enlargement have normal-sized penises – an average erect penis measures between 5-6 inches. Studies also show 85% of women feel happy with their partner’s size.

Many people believe pills, creams, or devices can increase penis size without surgery. These products lack scientific proof and could be dangerous. Vacuum pumps only make temporary changes and might damage tissue if used wrong.

Some think injecting fat or dermal fillers leads to permanent enlargement. These materials often move around and can cause lumps and deformities. There’s another myth about stretching exercises naturally enlarging the penis. Studies show these techniques barely change size, if at all.

The best way to select patients involves working with mental health professionals, endocrinologists, and urologists who specialize in genitourinary reconstruction. This complete evaluation helps ensure you know all possible outcomes and risks before moving forward.

Types of Penis Enlargement Procedures

Men looking to increase their penis size have several surgical and non-surgical options available. Each method targets specific parts of penile anatomy and comes with its own advantages and limitations.

Ligament release (ligamentolysis)

Ligamentolysis requires surgeons to cut the suspensory ligament connecting the penis to the pubic bone. This releases the attachment and allows more of the internal penis to extend outward, which makes it appear longer. The procedure can add about 1-2 cm to the flaccid penis length. Surgeons make an upside-down V-shaped incision in the pubic area to reach and cut the ligament. The surgery takes about an hour, and patients need up to a week to recover. In spite of that, this surgery affects the penis angle, which might change how it looks during erection.

Fat transfer and dermal fillers

Fat transfer (fat grafting) takes fat from areas like the abdomen or thighs through liposuction and injects it into the penis to make it thicker. This method provides natural results since it uses the patient’s own tissues, which reduces rejection risks. Doctors sometimes combine fat transfer with PRP (Platelet-Rich Plasma) to improve results and help tissue regeneration.

Another option involves injecting dermal fillers like hyaluronic acid or Bellafill under the penile skin to increase girth. These fillers last anywhere from 6 months to 4 years, depending on the type. Unlike fat transfer procedures, doctors can dissolve many dermal fillers if patients don’t like their results.

Penuma implant

The Penuma (also called Himplant) stands as the first FDA-cleared penile implant designed specifically to increase size. Surgeons insert this soft, silicone sheath under the penile skin through a scrotal incision, which leaves no visible scars. Most patients see their circumference grow by nearly two inches and their flaccid length increase by about one inch. The surgery takes less than an hour under general anesthesia. The implant doesn’t work for uncircumcised men or those with certain medical conditions like uncontrolled diabetes.

Suprapubic fat pad removal

Men with “buried penis” can reveal their penis’s true length by removing excess pubic area fat. Doctors can do this through open surgical excision (lipectomy) or liposuction. Most prefer liposuction because it needs smaller incisions and patients recover faster. Research shows this procedure can add about 1.1 cm to visible penile length three months after surgery.

Penile traction devices

These devices stretch the penis gently but consistently for several hours each day. The mechanical tension creates small tears in penile tissues that heal and might add length over time. Clinical studies show these devices work, but gains become permanent only after months of regular use. Traction serves as the life-blood of treatment along with medications, especially for men with Peyronie’s disease.

Penis Enlargement Surgery: Cost Breakdown

The cost of penis enlargement can vary a lot based on several factors. You need to know the actual costs to make a smart decision about this type of surgery.

Average cost by procedure type

Penis enlargement procedures come with different price tags based on your chosen technique. Surgical methods like ligament transection (suspensory ligament release) cost between $15,000 and $25,000. Fat transfer procedures are less expensive and range from $3,500 to $8,500. This offers a middle-ground option if you want girth enhancement.

The Penuma/Himplant silicone implant is a major investment that costs between $16,000 and $18,000. The total cost might reach $25,000 if you need extra procedures like circumcision or fat removal. Temporary solutions like dermal fillers start at $3,000 per treatment. You might need several sessions to get your desired results.

Non-surgical options usually cost less. In spite of that, these can add up quickly—penis fillers need 10-15 syringes and might cost over $8,000, sometimes up to $15,000.

Hidden costs: anesthesia, facility fees, follow-ups

The base procedure cost isn’t everything. Many patients don’t realize there are extra expenses. Your anesthesia fees change based on your anesthesiologist’s training and experience. The facility fees also differ if you have your procedure at a hospital or outpatient center.

Post-operative care adds to your total cost. You’ll need follow-up visits, recovery medications, and maybe revision procedures. That’s why you should ask providers about their “all-inclusive” price versus the base procedure cost.

Insurance coverage and financing options

Insurance companies rarely pay for penis enlargement if it’s done for cosmetic reasons. Medicare and private insurance only cover penile implants that doctors consider medically necessary. This includes cases like erectile dysfunction after radical prostatectomy or radiation therapy.

The good news is you have many ways to pay. Most providers work with payment plans or third-party financing companies. CareCredit is a popular choice that offers no-interest plans if you pay within promotional periods (usually 6-12 months). They also have extended payment plans with interest rates around 12.96%.

Some clinics let you finance in-house with monthly payments between $175-$425, depending on your procedure. You should talk about payment options during your consultation. Most providers will help you find the best financial plan for your situation.

Recovery and Before-and-After Expectations

Infographic detailing factors affecting penis enlargement results, healing timeline, and clinic notes on surgery and patient candidacy.

Image Source: Rejuvall

Recovery from penis enlargement procedures depends on the specific technique used. This experience helps patients set realistic expectations for healing and results.

Typical recovery timeline

Patients need 1-2 weeks to recover after penile procedures. More invasive surgeries like Himplant require patients to avoid strenuous activities for up to six weeks. The incisions heal within 5 days, and swelling reduces significantly in the first week. Your penis needs support in underwear to prevent complications during recovery.

Resuming sexual activity

Your procedure type determines when you can resume sexual activity. Penile implant surgery patients must wait six weeks before having intercourse. Non-surgical options like fillers need only two weeks of waiting time. Early sexual activity can cause uneven results or complications.

Penis enlargement surgery before and after photos

Before-and-after images show possible outcomes but need careful evaluation. Himplant procedures can increase girth by 1-2 inches based on historical averages. Successful procedures show measurable results, but final outcomes become clear after several months as swelling goes down.

Managing pain and swelling

Pain levels after the procedure vary among patients. Ice packs applied for 10-20 minutes help manage swelling. A rolled towel can raise the scrotum while lying down. Standing up and walking briefly helps with uncomfortable nocturnal erections.

Realistic outcome expectations

Studies show average girth increases of up to 3.29 cm, yet many men still see their size as inadequate afterward. Half the patients report better self-confidence and sexual pleasure after procedures. Risks like nodules, uneven results, and infection remain possible.

Conclusion

Penis enlargement surgery is one of the most important decisions you’ll make. This piece looks at different procedures like ligament release and implants that offer unique benefits and outcomes. The results depend on your anatomy and the technique used.

You should assess if you need this surgery for medical reasons or just want it for looks. Most men who want enlargement have normal-sized organs, but psychological factors play a big role in their decision. A qualified medical professional’s opinion is crucial to figure out if surgery is right for you or if other options might work better.

Money is a big factor to think over. Prices start at $3,500 for basic procedures and go up to $25,000 for complex ones. You’ll need extra cash for anesthesia, facility fees, and follow-up care. Insurance doesn’t usually cover cosmetic work, so it’s smart to check out financing options and plan your budget ahead of time.

Each procedure has its own healing time. You’ll need 1-2 weeks off from regular activities and must wait six weeks before any sexual activity. Following your doctor’s instructions carefully helps you get the best results and avoid problems.

Setting realistic goals is crucial. Research shows these procedures can boost size and confidence, but we’re talking centimeters, not inches. These surgeries are a great way to improve life quality for people with medical issues or deep psychological concerns about size – as long as they know what to expect and prepare well.

FAQs

Q1. What is the average cost of penis enlargement surgery?

The cost of penis enlargement surgery varies widely depending on the procedure. Surgical methods like ligament transection can range from $15,000 to $25,000, while fat transfer procedures typically cost between $3,500 and $8,500. Non-surgical options like dermal fillers start around $3,000 per treatment but may require multiple sessions.

Q2. How long is the recovery period after penis enlargement surgery?

Most patients require 1-2 weeks of initial recovery time after penile procedures. For more invasive surgeries, patients may need to avoid strenuous activities for up to six weeks. Incisions generally heal within the first 5 days, with swelling dramatically decreasing during the first week.

Q3. When can sexual activity be resumed after penis enlargement surgery?

The timeline for resuming sexual activity depends on the specific procedure. After penile implant surgery, patients must wait six weeks before engaging in intercourse. For non-surgical options like fillers, the waiting period is typically two weeks. It’s crucial to follow your doctor’s instructions to avoid complications.

Q4. What are realistic expectations for penis enlargement surgery results?

Results vary depending on the procedure and individual anatomy. Some studies show average girth increases of up to 3.29 cm. However, it’s important to maintain realistic expectations. Changes are typically measured in centimeters rather than inches, and final outcomes may not be fully apparent for several months as swelling subsides.

Q5. Are there non-surgical alternatives to penis enlargement surgery?

Yes, there are non-surgical options for penis enlargement. These include penile traction devices, which apply gentle stretching pressure to the penis over time. While these devices can produce measurable results, gains become permanent only after months of consistent use. Additionally, temporary options like dermal fillers can provide short-term enhancement without surgery.