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PENIS ENLARGEMENT

1WHAT IS PENIS ENLARGEMENT?
Penis enlargement also called ‘Phalloplasty’ is a surgical procedure performed to enhance the length, girth and/or the glands of the penis.
2IS PENIS SIZE IMPORTANT?
There is not a one straightforward answer to this taboo subject despite tons of studies undertaken. There are different opinions among women whom think the size is important, while some do not consider the size of the penis as a big issue at all. After analyzing several studies, a common conclusion indicates clearly that majority of women consider penis size as ‘somewhat important’ and rate men with a larger penis more attractive. On the other hand, studies also show that considerable amount of men are dissatisfied with their penis size which affect men’s general impression and tend to make them less confident during sexual intercourse and social life.
3WHAT IS MORE IMPORTANT – LENGTH OR WIDTH?
There is more clear answer to this question as vast majority of women think width is way too important than the length according to the general conclusion of several studies examined. The main reason for that is average vaginal canal for women is 10cm. in length and majority of sensory nerves located just inside the opening on the floor and sides of the canal.
4WHAT DO I NEED TO DO BEFORE THE SURGERY?
Following needs to carried out prior to the surgery in order to ensure that the patient is healthy enough for the procedure: stay away from smoking and alcohol for two weeks undertake medical tests previous medical history will be checked avoid all sorts of blood thinners for two weeks any other medications will also be checked thoroughly as they might lead to complications stay hydrated sleep properly refrain from eating and drinking at least eight hour prior to the surgery
5WHAT TYPES OF PENIS ENLARGEMENT TECHNIQUES ARE AVAILABLE?
Both penis lengthening and the thickening surgery are performed with the administration of general anesthesia or sedation. The surgeon will provide the best solution consulting with the patient.

⦁ PENIS LENGTHENING (LIGAMENTOLYSIS TECHNIQUE)

Penis is the foremost area outside of the entire body and also consists of an internal part that extends inside the body. The ratio between the internal and external parts are almost the same. Internal part of the penis is attached to the pubic bone and referred to us ‘suspensory ligaments’. Ligaments do not have a functioning role in the penis apart from assisting on retaining an upwards facing erection. The penis enlargement procedure involves an approximately 3cm. incision in the pubic hair region and hidden penis in the internal part is slided forward by cutting some of the penis ligaments resulting an increase in the visible section of the penis. As a result, the ratio between the internal and external parts are changed by converting the internal slope and a bend into a straight line, ultimately straightening the internal section of the penis. In some cases, removal of the pubic fat is performed in combination to achieve better results. Although this surgical technique may have sound like a relatively straightforward procedure, there are number of factors that require an expertise in order to achieve the expected results.

⦁ Penis angle during erection:

Many claim achieving penis length up to 6 cm following the procedure. It may be theoretically possible to achieve by leaving minimum or none internal ligaments, however by doing so carry a great risk for the patient to face a downwards erection as the internal ligaments control the angle of the penis erection. Although a successful intercourse is still possible and the flaccid penis size would be longer, losing the penis angle by far outweigh the benefits of gaining few centimeters of length.

⦁ Preventing reattachment of the ligaments:

There will be a gap upon separating the internal and external ligaments and it is important for the correctly insertion of a patient tissue to prevent reattachment. of the ligament. (silicone and similar products not used). It is equally important to follow up post operative instructions by the patient including the usage of stretching devices in order to maintain the newly created penis size.

⦁ Scarring:

The exact location and the length of the incision play an important role for the resulting scarring which could be aesthetically unpleasing and visible if not performed well. More importantly, contact with the penis root must be avoided in order to interfere with the nerves and vessels entering into the penis and keeping these parts as it is. Our surgeons make the incisions in the pubic area through the scrotum or just top of the penis shaft for the scars to be well hidden and scars can easily covered by the pubic hair.
6HOW MUCH OF A LENGTH GAIN WILL I HAVE?
It is not difficult to understand that everybody is looking for a straight answer for this question. Unfortunately, nobody can exactly predict or guarantee the length of the newly shaped penis following the procedure. As each anatomy of men is unique so as the results will be. The effect of the procedure will be more impressive for the flaccid state of the penis expecting an increase between 2-4 centimeters, below and above numbers to these figures may also be seen, but unlikely and rare. On the other hand, the erect state length is generally expected to increase between 0,5-1,5 centimeters. Again, anything above and below may be achieved, however unlikely. More length may be achieved by cutting more of the internal ligaments as mentioned, but risking the penis angle during erection. Anyone promoting an increase more than the given numbers are probable, but rare. Post-operative care plays a significant role in terms of achieving the results.
7PENIS THICKENING
There are various techniques used aiming to increase the girth of the penis. However, MediExpert only uses the patient’s own fat which is referred to as ‘autologous fat tissue transfer’ in order to minimize the risk of any complications and for the results to be more natural. Fat is removed from the abdomen or thigh through tiny incision. This is then widely processed and injected gently into the shaft of the penis. The stitches used are dissolvable type and there is almost no scars following this procedure. A special bandage have to be worn for around a week Penis thickening is a more challenging procedure compared to penis lengthening and require more expertise as the correct injection of the autologous fat is required to achieve better results. Even by doing so, most patients experience a loss more than half of the injected fat as the body reabsorbs the own fat, whereas some are lucky enough to keep around 90% of the injected fat which makes this procedure more unpredictable than the penis lengthening procedure. Some may claim that all or most of the injected fat is kept in the penis and linked this issue with special modern techniques used and skillfulness of the surgeon, however unfortunately this is not the actual case as there is no guarantees of the amount of fat to be maintained in the penis, at least not yet. More than 80% of our patients choose to undergo penis thickening surgery in combination with penis lengthening surgery to achieve maximum results.
8HOW MUCH OF A GIRTH GAIN WILL I HAVE?
It is not quite predictable to know the exact amount of gain as each men has a different anatomical structure of the penis and pubic area. Average amount of gain in penis width is between 20-35% as most of the injected fat is generally reabsorbed within the body. Following post operative instructions play a crucial role in terms of maximizing the results including massaging around the penis for around 3 months following the procedure.
9WHAT ARE THE BENEFITS OF PENIS ENLARGEMENT SURGERY?
Some of the benefits of penis enlargement surgery are as follows:

⦁ Increased length or/and width of the penis

⦁ Increased quality of life

⦁ Enhanced sense of masculinity

⦁ Low risk of complication rate

⦁ Quick recovery

⦁ High patient satisfaction

⦁ Increased confidence and self-esteem

10HOW LONG IS THE PROCEDURE?
Penis lengthening surgery typically takes between 45-60 minutes, while penis thickening surgery takes approximately 45 minutes. Combination of two surgeries take around 90 minutes to perform.
11IS PAIN ENLARGEMENT SURGERY PAINFUL?
Individuals will not feel any sort of pain during the procedure, since the procedure is performed under anesthesia. Although pain tolerance may vary, most of the patients experience mild to moderate discomfort after the surgery which is overcome by prescribed pain relievers. Most of the patients stop taking pain medication after 4-5 days following the procedure.
12WILL I HAVE A SCAR AFTER THE SURGERY?
Penis enlargement surgery leaves a small scar, however it scar is located strategically just above the penis shaft and will ultimately concealed after the newly growth of pubic hair and fade over time. On the other hand, there is almost no scar following penis thickening surgery.
13HOW LONG IS THE RECOVERY TIME?
Most patients experience tenderness, soreness, bruising and swelling following the surgery. The degree of swelling is more noticeable whether penis thickening surgery is performed. There is mild to moderate discomfort which is controlled by pain relievers. Most of the patients stop taking pain medication after 4-5 days. Bruising is expected to resolve within 1-3 weeks, while residual swelling may take several weeks to last. Applying ice would be a good solution by elevating the scrotum to assist on reducing swelling, however patients should not place the ice directly on the penis or on the scrotum as this may cause frostbite and skin damage. Smoking and blood thinners should be avoided for at least 2 weeks following the surgery and loose fitting garments are strongly recommended to be worn during the recovery period. It is required to use stretching devices and wear weights for around 3 months which is inconspicuous in regular clothing in order to achieve the desired results. Initial recovery period is between 1-2 weeks following the surgery.
14SHOULD I NEED TO STAY AT THE HOSPITAL FOLLOWING THE PROCEDURE?
There is no need to stay at the hospital overnight since it is typically an outpatient procedure.
15WHEN CAN I GO BACK TO WORK?
Most patients can return for a desk job within 2-3 days following penis enlargement surgery.
16WHEN CAN I HAVE SHOWER?
It is recommended to keep the area clean, but avoid water direct water contact. Sponge or flannel should be used within the healing period instead.
17WHEN CAN I HAVE SEX AFTER SURGERY?
Sexual intercourse should be avoided for at least 4-5 weeks following penis enlargement surgery in order to achieve best results.
18WHEN CAN I START EXERCISE?
Light exercises may be resumed within a week, while strenuous exercises including heavy lifting, running and high energy sports must be avoided for six weeks.
19WHEN WILL THE STITCHES REMOVED?
Stitches are dissolvable type and do not need to be removed as the body naturally absorbs them as the area heals.
20WILL MY PENIS WORK FOLLOWING SURGERY?
There will be bruising, swelling and an altered sensation on temporary basis following the surgery which all generally resolve after several weeks. The possibility of losing any permanent function of the penis is close to zero.
21DO CREAMS, PILLS, VACUUM AND STRECHING DEVICES WORK TO ENLARGE PENIS?
Vacuum and stretching devices may help producing improvements on temporary basis for both length or girth, however they do not bring any long-term improvements. On the other hand, there is not any cream or pill that is scientifically proven to work. Changing the size of the penis requires changing the anatomy meaning that there is not any product which is capable of achieving this including pills and creams. Most of these products promoted mainly as online are fake and deliver harm more than the benefit. Applying simple logic may help us better to understand as given the fact almost half of the size of men population are not satisfied with their penis size and reliability of these products had the slightest of chances, they would probably become the most sold product in the world. In fact, this is not the case and penis enlargement surgery is the only proven option to enhance permanent results.
22WHAT ARE THE POSSIBLE SIDE EFFECTS AND COMPLICATIONS?
Both penis lengthening and penis thickening are generally of low risk and the significant complications are infrequent. Although the complication rates are very rare, all the surgeries carry some risk of complication. Some of the rare complications following a penis enlargement surgery are as follows:

⦁ Anesthesia risks

⦁ Numbness

⦁ Swelling

⦁ Bruising

⦁ Bleeding

⦁ Intense pain

⦁ Chest pain and shortness of breath

⦁ Infection

⦁ Hematoma

⦁ Skin narcosis

⦁ Asymmetry

23IS THERE A NON-SURGICAL OPTION FOR PENIS ENLARGEMENT?
Men who are not the right candidates for the surgery and are hesitant about it, it is possible to only increase the girth and glans of the penis by the use of a filler containing hyaluronic acid. It is a reversible treatment and involves injecting the filler in the penis under local anesthesia.The results are not permanent though as majority of the filler will be absorbed by the body within a year period. As far as the synthetic fillers are concerned, the results may be long-lasting, but often result in allergic reactions which makes the penis thickening surgery only permanent option to achieve the desired results.
24ARE THE RESULTS PERMANENT?
The results are permanent for both penis lengthening and penis thickening surgery as long as following post-operative instructions including practicing stretching exercises and usage of stretching devices.
25WHEN CAN I SEE THE FINAL RESULTS?
Immediate results can be seen after an autologous fat transfer for penis thickening, while it may take between three-six months for the final results to be appreciated following a penis lengthening surgery.
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