Penis size is an important issue on the minds of many men, which can sometimes cause anxiety or lack of self-confidence. Frequently encountering exaggerated information on the internet or in conversations with friends can also trigger these anxieties. In fact, there is a wide range of what is considered "normal" penis size and most people's bodies have a healthy balance. However, some people may still want to increase the length or thickness of their penis for various reasons.
Penis enlargement surgery basically refers to surgical interventions to increase the length or circumference (thickness) of the penis. Such operations are often preferred for cosmetic reasons unless there is a medical necessity. In other words, even if the person has normal functions in his/her daily life, he/she may want this surgery to feel better or to increase his/her self-confidence.
However, an important point should be emphasized here: The term "penis enlargement surgery" does not actually refer to a single method. Some surgeries aim to increase the length of the penis in the flaccid (soft) state by changing the angle of flaccidity, while others increase the thickness. Some techniques interfere with the anatomical structure inside the penis.The pros, cons and possible risks of each method are different.
Most experts recommend surgery only in cases of genuine medical necessity or serious psychological anxiety. For example, penis enlargement or shaping operations can be considered in cases of congenital abnormality (micropenis) or serious deformities due to accident, disease, trauma.
There are basically two main approaches to penis enlargement surgeries: Length enhancement and thickness enhancement. Some surgical procedures may target both, but usually the primary focus is either length or thickness.
Suspensory Ligament Incision
In this method, the connective tissue called the "suspensory ligament", which is responsible for attaching the penis to the pubic bone (pubic bone), is surgically cut. The aim is to bring out the part of the penis that is hidden inside the body a little more. Think of this method like this: Suppose you have a balloon in one hand and the top of the balloon is attached to a string. When you cut the string, the balloon hangs down a little further, so it appears to be elongated.
Advantage: In the flaccid state, the penis length can be seen more.
Disadvantage: The surgery usually does not give a very large extension when you have an erection. In addition, no matter how much the balloon hangs when you cut the rope, this can sometimes cause loss of control. Since the penile suspensory ligament is cut here, the erection angle may change and a feeling or appearance like 'moving left and right' may occur in the penis.
Thickening with Fat Injection or Tissue Transplantation
In this method, fat tissue from another part of the body (usually the abdomen or thighs) is injected into the penis. The aim is to increase the girth of the penis.
Advantage The risk of allergic reactions is lower as the person's own oil is used.
Disadvantage: The injected fat is partially absorbed by the body after some time, which can lead to a decrease in thickness over time. Cosmetic problems such as tissue irregularity, lumps or asymmetrical appearance may also occur.
Dermal Fillers
Hyaluronic acid or similar fillers can be injected into the penis to increase its thickness. Think of it just like facial fillers, but this area is in constant motion and is subjected to pressure during sexual intercourse.
Advantage: The procedure is relatively simple and recovery time can be short.
Disadvantage: Permanence is limited, the filler may dissolve over time and re-injection may be needed. In addition, agencies such as the FDA (American Food and Drug Administration) have not officially approved specific fillers for penis thickening.
Use of Silicone or Synthetic Material
In some clinics, silicone-based prostheses or other synthetic materials can be inserted into the penis. However, this approach is generally considered high risk. Complications such as infection, tissue rejection and erosion can be seen more frequently.
Penile Prostheses (Penile Implants)
In fact, these prostheses were developed primarily to treat erectile dysfunction. There are inflatable or bendable types. Basically, we are talking about a mechanical device that is inserted into the penis. In some patients, a minimal increase in thickness can be observed when inserting the prosthesis, but length is not the main goal. Therefore, their use for "penis enlargement" is controversial.
Several factors are considered when deciding whether a person is truly a suitable candidate for penis enlargement surgery:
Medical Necessity: Surgery is a more logical option for genuine medical indications such as micropenis, severe deformity or trauma-related loss.
Psychological Status: The extent to which this problem has an impact on the person's body image and self-confidence is important. Some people may have a condition called "Body Dysmorphic Disorder", which leads to obsessive focus on body parts. If this is the case, psychological support before surgery becomes more prominent.
Expectations: It is essential to be realistic about what the surgery can and cannot offer. Penis enlargement surgeries usually do not produce "miraculous" results and sometimes the expected effect may not be fully achieved.
General Health Status: Chronic conditions such as diabetes, heart disease or smoking increase the risk profile of the surgery. It may negatively affect the recovery time.
Age: After the completion of sexual development (usually at the age of 18 and above), such surgeries can be considered.
Let's say you live in an apartment. You complain that the living room in your apartment is small and you want a more spacious space. You have two ways to do this: Either moving to another apartment (a completely radical intervention) or expanding the living room by breaking the existing walls (a surgical procedure). Breaking the walls is not always easy or trouble-free; dust, noise, cost and the result can sometimes fall short of expectations. On the other hand, it may be possible to make the narrow hall look much more useful and spacious with different decoration suggestions (non-surgical methods, psychological support, etc.).
This analogy is a small example to explain the surgical aspect of penis enlargement surgery. Of course, analogies do not always fit perfectly; nevertheless, it emphasizes that the issue should be seriously considered before requiring surgical intervention.
Less invasive or completely non-surgical options are also available before resorting to surgical methods. Some are based on a scientific basis, albeit limited, while others are based on exaggerated marketing promises.
Penile Traction Devices (Penis Extension Apparatus)
They are devices that apply a slight but continuous pulling force to the penis. There are different brands and models. Some small scientific studies indicate that with long-term and correct use, 1-2 cm of growth can be achieved in a flaccid state. However, patience, regular use and correct technique are essential. Improper use can cause irritation, pain and even tissue damage in the penis.
Vacuum Erectile Devices (Penis Pumps)
Penis pumps are devices originally developed for men with erectile dysfunction. The negative pressure increases blood flow to the penis, resulting in a temporary erection and increased volume. However, this effect is not permanent and misuse or overuse can lead to problems such as bruising, pain and even tissue damage.
Manual Exercises (Jelqing etc.)
There is limited scientific evidence that exercises such as jelqing, which are frequently mentioned on the internet, provide a lasting effect. Injuries, micro-tears and scar tissue can occur if excessive force is applied. It is therefore advisable to talk to a specialist if you want to practice such exercises.
Psychological Counseling and Therapy
In fact, many men perceive their penis size as inadequate when it is actually well within the "average". Sexual performance concerns, misinformation, porn movie influence or obsessive thoughts can feed this perception. Seeking psychological support can be very useful in strengthening self-confidence and body image. This support helps the person to reconsider the need for surgery.
Fillers and Temporary Injections
Dermal fillers (hyaluronic acid, etc.) are among the methods that can be considered invasive, although not surgical. Although it may seem like a quick solution, its effect is temporary and may not be very effective in terms of price/performance. In addition, due to this mobile structure of the penis, the distribution of the filler may be uneven over time.
Like any surgical intervention, penis enlargement surgery has its own risks. Although these risks vary depending on the method used, some common complications are as follows:
Infection: Infection of the surgical site can lead to serious problems and may require a re-operation.
Bleeding and Hematoma: Accumulation of blood may occur after tissue cuts or injections.
Sensory changes and neurological damage: Some surgeries can damage nerves, which can cause loss of sensation or pain.
Deformities: Especially in fat injection or tissue transplantation, 'clumping', 'waves', asymmetric appearance may occur due to melting or uneven distribution over time.
Erection Problems: In rare cases, it may be difficult to maintain or achieve an erection after some operations.
Scar Tissue and Shortening: Paradoxical as it may sound, scar tissue formed after surgery may cause shortening or deformity of the penis over time.
Psychological Effects: If the desired result is not achieved after surgery, the decrease in self-confidence may become even more pronounced.
Although it varies according to the type of surgery, in general, the healing process can vary between a few weeks and a few months. During this time:
Hygiene and Care: It is very important to clean the stitches and the operation area. Antibiotics and antiseptic solutions recommended by your physician should be used regularly.
Restriction of Sexual Activity: Sexual abstinence is usually recommended for a few weeks after surgery. Sexual activity before tissue healing is complete may cause problems such as bleeding or wound dehiscence.
Pain and Discomfort: There may be swelling, bruising or mild pain in the first period. Prescribed painkillers can be used.
Frequent Follow-up Appointments: Regular check-ups with your physician after surgery are very important. Early detection of a possible infection or complication positively affects the healing process.
First of all, it is important what is taken as a criterion. If the expectation is for a 4-5 cm lengthening, such results can often end in disappointment. In most cases, while a significant lengthening is achieved in the flaccid state, there may not be a significant change in erection length. As for the increase in thickness, the results that at first make you say "wow, how thick it is" may partially regress over time.
Preoperative and Postoperative Measurements: Although it may sound strange to do "cm calculations", the effectiveness of the surgery is often evaluated in this way.
Patient Satisfaction: The most critical issue here is the patient's level of psychological satisfaction after surgery. If expectations are realistic, even a small increase can provide a significant boost in self-confidence.
Long Term Permanence: Especially in methods such as fat injection, the person may experience disappointment when the effective thickening in the first months decreases over time. Therefore, long-term results are a more realistic criterion.
There is no single, clear answer to this question. The decision is completely personal and various factors need to be considered together. The first thing to do may be to ask yourself the question "do I really need this surgery?". Unless there is a serious medical problem with your penis size or a functional loss, most experts recommend that you try other avenues and seek psychological support before surgery.
Before making a decision:
Consult a Urologist or Plastic Surgeon: An expert in penile anatomy and surgical procedures can help determine the best approach for your situation.
Seek Psychological Support: Talking to a therapist who specializes in issues such as body perception, self-confidence and sexual performance concerns will help you make a healthier and more informed decision.
Evaluate Alternatives: Non-surgical methods offer options that can be tried, especially before taking risks.
Review Your Expectations: Set realistic goals for yourself. It is often not possible to achieve the size of a "movie star" with a single surgery.
