Penis Enlargement (Phalloplasty or penile enhancement)

Penis enlargement, or phalloplasty, is a surgical procedure that can permanently increase the length of the penis, usually by slightly more than an inch. Other penile procedures are available that can increase the circumference of the penis. These procedures may give you a renewed sense of well-being and improved self-assurance.

When to Consider Penis Enlargement

– If you feel that your penis is very small in proportion to your body size
– If you would gain confidence from such a procedure
– If you have been diagnosed as having micropenis (an erect penis of 3 inches or less) or Peyronie’s disease (a bent or painful erection)


– Increased length and width of your penis
– Increased confidence and self-esteem
– Enhanced sense of masculinity and potency

– There may be no significant increase in the size or width of your penis
– There may be scarring, reduced sensation and less rigid erections
– The procedure is irreversible
These are the top three pros and cons to weigh when considering penis enlargement. If you want to focus on those specifically unique to you, please consult with your aesthetic plastic surgeon.

Are you a good candidate for penis enlargement?

– You consider your penis too small for your body frame
– You have been diagnosed with a medical condition that has led to a significantly smaller penis size
– You desire an enhanced sense of masculinity and sexual potency
If you are in good general health and have a positive attitude and realistic expectations, you are most likely a good candidate for this procedure.

How is a penis enlargement procedure performed?

Approximately a third of the penis lies inside the body, beneath the pubic bone. In the lengthening surgery, called phalloplasty, the suspensory ligament above the penis is released, which causes the penis to extend further outside the body. This is done through a small incision in the pubic area and will be covered by pubic hair. Although this procedure will result in erections that point downward,this will not interfere with normal function.
In some individuals the scrotum is attached high up on the penile shaft. Partially disconnecting the scrotum can produce the appearance of a longer penis. This 20-minute procedure can be done on an outpatient basis.
Increasing penis circumference is most often performed by transferring fat from other areas of the body by liposuction, and placing it through a syringe into the penile shaft. A newer procedure that some surgeons are using is the transfer of platelet-rich plasma (PRP) from your own blood supply.
Both of these approaches involve no foreign bodies, and therefore there are no problems of tissue rejection. Another method is to increase the overall width of the penis with a dermal wrap of an allograft material placed under the skin.
Following the procedure, your penis may be covered with a dressing that needs to be changed at intervals. Your sexual performance will not be affected, nor will your ability to urinate.

How do I prepare for a penis enlargement procedure?

– Stop smoking before undergoing surgery to promote better healing
– Avoid taking aspirin, certain anti-inflammatory drugs, and some herbal medications that can cause increased bleeding
– Regardless of the type of surgery to be performed, hydration is very important before and after surgery for safe recovery.
Phalloplasty is usually performed on an outpatient basis. Be sure to arrange for someone to drive you home after surgery and to stay with you at least the first night following surgery.

Aftercare and Recovery

Immediately after penis enlargement
If you have had a general anesthetic, you will stay in the facility overnight. If a local anesthetic was used, the surgeon may discharge you on the same day. Your penis may be covered with a dressing that needs to be changed at intervals. Your surgeon may prescribe medication for pain. If an antibiotic is given, follow directions carefully and promptly report any signs of infection.
When the anesthesia wears off, you may have some pain. If the pain is extreme or long-lasting, contact your physician. You will also have some redness and swelling after the surgery. Contact your surgeon to find out if your pain, redness, and swelling is normal or a sign of a problem.
Recovery time frame after penis enlargement It is vitally important that you follow all patient care instructions provided by your surgeon. This will include information about care of your drains if placed, taking an antibiotic if prescribed and the level and type of activity that is safe. Your surgeon will also provide detailed instructions about the normal
symptoms you will experience and any potential signs of complications. It is important to realize that the amount of time it takes for recovery varies greatly among individuals.
You should wear loose-fitting garments and avoid overexerting yourself. Do no heavy lifting for approximately one month, and refrain from sexual relations for a month to six weeks. Your doctor may instruct you in a course of stretching exercises or a system of weights to ensure optimal results.
It may take three to six months before you see the complete results of this surgery.

How Long Will the Results Last?

The results of phalloplasty are permanent. If liposuction has been performed around the pubis, subsequent weight gain can alter the results. If glandular enhancement has been performed, repeat treatments may be considered.

Limitations and Risks

– Adverse reaction to anesthesia
– Hematoma or seroma (an accumulation of blood under the skin that may require removal)
– Infection and bleeding
– Changes in sensation
– Scarring
– Allergic reactions
– Damage to underlying structures
– Unsatisfactory results that may necessitate additional procedures
Other risks specific to penis enlargement are outlined below:
– Reduced sensation
– Fewer rigid erections
– Problems with urination