Techniques & Expectations
Surgical techniques used for penile enlargement (enhancement phalloplasty) -- penile lengthening and penile widening (girth enhancement) -- have been in the urologic literature for many years.
There are various ways of enlarging the penis. In my practice, patients either have a lengthening or widening alone, or a lengthening and widening in a single session. Glanular enhancement may be performed alone or combined with any procedure.
Click to see before and after photos of lengthening procedures:
Approximately one-third to one-half of the penis is inside the body, and is internally attached to the undersurface of the pubic bone. Penile lengthening involves the release of the fundiform ligament and the suspensory ligament that attaches the 2 erectile bodies to the pubic bone. The suspensory ligament makes the penis arch under the pubic bone. Release of this ligament allows the penis to protrude on a straighter path, further outward to give more functional length. I use a 1" to 1½" lower abdominal incision in the pubic hair area for concealment or a new incision in the penile-pubic crease for concealment. This is a relatively minor procedure. There will be no scar on the penis and there is no possibility of pubic hair on the penis. I highly recommend use of specially designed penile weights to maximize penile lengthening.
Penile length gain in the flaccid state.
Average expected length gain is 1 inch. Well motivated patients may gain up to 2 inches. After Allograft Dermal Matrix Graft (Alloderm ®) widening, the penis does not shrink to its original small flaccid length, but stays slightly longer.
Penile length gain in the erect state.
Usually there is a slightly smaller penile length gain in the erect state than in the flaccid state.
Some penile length may be obtained by significant weight loss (greater than 35 lbs.) if a large infrapubic fat pad is present or by a penile stretching device. Complications may be associated with these forms of treatment. Also review Frequently Asked Questions about penile enlargement surgery ( phalloplasty ).
INFRAPUBIC AND SUPRAPUBIC FAT PAD