Penile girth and length enhancement

In addition to specialists such as plastic surgeons and dermatologists, after few week courses, some general practitioners and in some countries even the people without any medical background begun to perform these minimal invasive cosmetological procedures under the name of medical cosmetologists or cosmeticians. Long--term data are still required before a general consensus can be reached. You will have to pay attention to special instructions in order to keep the extra length gained during the operation —specifically, you will need to wear weights and wrap your penis for 12 weeks. Therefore many surgeons no longer simultaneously perform lengthening and girth enhancement procedures. There are plenty of brand names for the botulinum toxins and the filling materials.

Stephen X. Giunta, M.D., F.I.C.S

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At that time, you will have an opportunity for a careful and complete discussion of your options and what is involved. You will benefit from asking all your questions and browsing through our photographs. Before and After Photos. We have before and after photos in our office and are available for viewing before of your consultation.

All current Before and After Gallery photos are of our patients who have given their permission for their use. All other photos on this website are models, and the photos in the laser sections are provided by the manufacturer. Contact us today to book a consultation or to get more information. Penile size is a big problem in many men's mind.

A man is often troubled by concerns that his penis is not large enough to satisfy his partner or himself. He is ashamed to have others view his penis, especially in the flaccid state. Such concerns might be unfounded in reality and might be a presentation of social anxiety or some other clinical problem, such as erectile dysfunction.

The effects of media and internet usage make this problem more serious. Most men who request for penis enlargement have a normal--sized and fully functional penis but visualize their penises as small.

Most patients who seek appearance--enhancing medical treatments report some degree of body image dissatisfaction, which is believed to motivate the pursuit of these treatments.

However, patients with extreme body image dissatisfaction may be suffering from a psychiatric disorder known as body dysmorphic disorder BDD , which is a serious disorder of body perception. Although patients with BDD frequently seek cosmetic treatments to address their appearance-related distress, such treatments are rarely beneficial.

There are other sporadic cases of self-induced subcutaneous injected substances, such as liquid paraffin, cod liver oil, metallic mercury or mineral oil into the urogenital region in the literature mainly for the purpose of penis enlargement. Despite the debates on penis augmentation, demands for enhancement are increasing.

Surgical procedures and various fillers are being used widely. Vardi et al performed an extensive systematic review based on a search of 34 selected articles and concluded that the use of cosmetic surgery to enlarge the penis remains highly controversial. There is a lack of any standardization of all described procedures. Indications and outcome measures are poorly defined, and the reported complications, such as penile deformity, paradoxical penile shortening, disagreeable scarring, granuloma formation, migration of injected material, and sexual dysfunction, are unacceptably high.

Kwak et al aimed to identify the feasibility and efficacy of penile girth enhancement by injection of hyaluronic acid gel. A total of 50 patients with subjective small penises were enrolled and prospectively followed for 18 months.

There were no inflammatory signs or serious adverse reactions in all cases. According to their follow--up results they concluded that penile girth enhancement is a very effective and safe technique for penile augmentation. Therefore, although some data have been accumulated for hyaluronic acid gel as penile soft tissue filler, there is no evidence--based clinical guideline for dermal fillers for penile augmentation yet.

Long--term data are still required before a general consensus can be reached. Recent findings point to the absolute need for a thorough psychological assessment of men requesting penile enhancement procedures.

Physicians who perform the penile augmentation procedure should work in a very close collaboration with psychologists before the procedure and afterwards. This will verify the eligibility for surgery and counselling. National Center for Biotechnology Information , U. J Cutan Aesthet Surg. This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.

Patient 49 years old who underwent dermal-fat graft augmentation, conservative circumcision, and escutcheon elevation. A, Preoperative appearance; B, postoperative appearance. The result is a circumference gain of 4 cm proximally and 3 cm distally at 8 months.

The escutcheon lift gave him a more youthful genital appearance. The field of penile enlargement is still being developed and refined. As more procedures are performed and the results are evaluated, further innovative techniques will be devised.

Oxford University Press is a department of the University of Oxford. It furthers the University's objective of excellence in research, scholarship, and education by publishing worldwide. Sign In or Create an Account. Close mobile search navigation Article navigation. Penile Enhancement Gary J. Alter, MD, Board-certified urologist and board-eligible plastic surgeon.

Louis, MO ; phone ; reprint no. Abstract Most plastic surgeons do not perform penile enhancement surgery. View large Download slide. Email alerts New issue alert. Receive exclusive offers and updates from Oxford Academic. Classification for Indications of Lipoabdominoplasty and Its Variations. Related articles in Google Scholar.

Cameron C. Bowman, M.D., FRCSC






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