Ligamentotomy

Most of the time, men consider penis enlargement for psychological reasons. Pressure from sociocultural factors or negative experiences in intimacy encourage representatives of the dominant gender to seek help from clinics.Please note that in most cases, dissatisfaction with penis size can be successfully addressed with psychotherapy. However, there are also medical indications for this surgery. The feasibility of surgery is determined by the doctor based on examination and medical history, and then a recommendation is made to the patient.As for the normal length of the penis, there is no clear answer to this question. Much depends on measurement methods, racial differences and other factors. For example, the height of Europeans in the upright position is 12-18 cm. In this case, the measurement should be taken from the pubic bone because the folds of fat around the penis make it visually smaller.One reason to consult a doctor for penis enlargement may be a size less than 12 cm, as well as changes in its shape. In addition to lengthening surgery, penis enlargement surgery is also performed. These results can be achieved in a number of ways, which are discussed below.

Operation type

There are many methods of penis enlargement available in modern plastic surgery.Doctors often use a combination approach, including surgical intervention and the use of special devices - extenders. The latter is mounted on the penis and helps stretch its length. Let’s take a look at the most common penis enlargement surgeries performed in clinics today.

Ligamentotomy

This is one of the most popular penis enlargement surgeries. The essence of this intervention is to intersect the ligaments that support the penis (the suspensory ligament of the penis).The ligaments that support the penis run deep into the pelvis and attach to the pelvic bones. If you cut them off, the penis will lengthen by 3-5 cm. This is achieved with the help of extenders prescribed to men after surgery. At the same time, the protocol exists without the use of additional equipment. The choice of technique is determined by the physician based on the clinic's indications and capabilities.Initially, division of the suspensory ligament is performed through the pubic bone. However, after such surgery, patients are left with visible scars. A more modern method is access through a small incision in the scrotum. The surgery only takes 15-20 minutes and recovery time is no more than 14 days. The process is accomplished by applying an absorbable suture material.In fact, this surgical intervention did not increase the penis by one millimeter. The surgery simply redistributes its length, pulling out the perineal part of the reproductive organ.

fat filling

Increasing the thickness of the penis can be achieved through fat filling. To do this, the patient's fat tissue is used, which is transplanted subcutaneously into the penis. One of the advantages of using your own tissue is that there is no risk of rejection by the immune system.The surgery is performed under general anesthesia. In the first stage, adipose tissue is collected. An incision is made in the patient's thigh or abdomen and a syringe is used to remove a certain amount of fat. The cellulite is then cleared of blood impurities and placed in a thin layer under the skin of the penis through a microscopic puncture.At the end of the procedure, a plaster is applied to the puncture site.This surgery can increase the thickness of the penis by approximately 0. 5-1. 5 cm.

surgical thickening

The diameter of the penis can also be increased through muscle tissue transplantation. A muscle flap is removed from the patient's abdomen or armpit and placed around the genitals.The procedure is considered complex and associated with postoperative complications. In particular, the likelihood of hernia developing is high.

Hyaluronic acid injection

Many clinics achieve penis enlargement through hyaluronic acid injections. This component has long been used to create contours, including genitals. Fillers (fillers) containing hyaluronic acid can smooth wrinkles and make the skin elastic. The substance bonds well to fabrics and does not cause rejection or allergic reactions.When introduced into the penis, hyaluronic acid is evenly distributed over the entire surface, resulting in a proportional enlargement of the organ. If necessary, only the head can be enlarged individually.This procedure does not require hospitalization. At the same time, the technology also has its drawbacks. Therefore, unlike surgical methods of lengthening the penis, the effects of hyaluronic acid are temporary. After approximately 12-18 months, the substance is completely absorbed, after which the process can be repeated.

Advantages of Ligament Surgery

Among the existing surgical methods for penis enlargement, doctors prefer ligamentotomy.This technique is considered the safest and least invasive for the patient. Here are the main advantages of this operation:

1. The intervention does not require general anesthesia. Local anesthesia is sufficient to eliminate pain.
2. The man only stayed at the clinic for 2-3 days.
3. Post-op recovery only takes 2 weeks. 1-1. Intimate life can be resumed after 5 months. In this case, the first few contacts may be accompanied by discomfort, but this will soon pass. Otherwise, you should consult your doctor.
4. Unlike other penis enlargement methods, the reproductive organ itself does not suffer any traumatic effects. This surgery is performed only on the ligaments.
5. In addition to lengthening, this intervention also partially eliminates other defects, such as bending.

The disadvantage of this method is that it cannot accurately judge the effect of the operation in advance. It all depends on the man's personal characteristics. The size of the genital organs increases by 4-5 cm in some patients and by 2-3 cm in others. Another consequence of penis lengthening is a change in erection angle. However, this does not affect the hardness of the erectile organ in any way.

Indications for ligament incision

There are both aesthetic and medical indications for penis enlargement surgery. The latter include:

• Peyronie's disease is a pathological curvature of the penis that occurs due to fibrosis in the cavernosal region;
• Penis length is too short (micropenis);
• Compression of the corpora cavernosa occurs due to replacement of the corpora cavernosa with connective tissue.

Usually this surgery is performed for aesthetic and/or psychological reasons:

• Men desire increased self-esteem and attractiveness;
• Get rid of psychological discomfort and complex;
• Penile dysmorphophobia is a pathological dissatisfaction with the appearance of the genitals.

diagnosis

Before undergoing penis enlargement surgery, a diagnosis is required, which includes:

• Consult an andrologist (or urologist) and plastic surgeon;
• Consult a psychotherapist (if necessary);
• UAC;
• blood chemistry;
• Testing for blood infections - HIV, syphilis, hepatitis virus;
• Consult an anesthesiologist;
• electrocardiogram;
• Other types of studies (at physician's discretion).

Some of these contraindications are temporary. Surgery can be performed after elimination.

Contraindications

Plastic surgery to enlarge the penis is prohibited if the following conditions exist:

• Under 18 years old (genitals are still developing);
• severe visceral disease;
• Acute inflammatory processes in the genitourinary system;
• coagulopathy;
• arterial hypertension;
• erectile dysfunction;
• mental illness;
• malignant tumors;
• Severe disease of the cardiovascular system;
• endocrine pathology;
• Localized infectious and/or purulent lesions.

Possible complications

Immediately after surgical correction, swelling and hematoma develop in the intervention area, which lasts for several days. This postoperative complication is normal and will go away within a few days. In rare cases, the sutures may bleed and suppurate after surgery.

recovery period

In the first few days after surgery, patients take painkillers and antibiotics (to avoid infectious complications). You will need to go to the clinic every two days to have your dressing changed. If non-absorbable sutures are used on the wound, they will need to be removed after 14 days.In order to consolidate the effect of ligament cutting surgery, it is recommended that men use the extender for 2-4 months. The device must be worn for several hours each day and removed at night.If the extender is not worn, the operation may be useless. In fact, the cruciate ligaments grow together, pulling the reproductive organs back into their original position.

What determines the effectiveness of penis enlargement?

First, the outcome of surgical intervention depends on the physiological characteristics of the individual patient. In particular, this is the length of the perineal part of the penis (which can stretch as it passes through the ligaments), and the elasticity of the tissue.Much depends on the capacity of the clinic, the experience of the doctor and the patient's compliance with the recommendations. Remember, if you follow medical instructions, the results will last a lifetime.