Penis enlargement surgery, which is also called phalloplasty, is a surgical procedure carried out to permanently augment or enlarge the penis. Most men are concerned with their penis size. Men with a small penis feel physically and psychologically concerned and inferior, especially since men measure their masculinity with their penis size.
Therefore, a penis enlargement surgery doesn't only boost a man's confidence but also helps correct several psychological problems like performance in sexual life and impotence that may have been caused due to inferior complex issues due to the small penis size. Penis enlargement surgery has been becoming a trend since the last few years, and the number of men who undergo phalloplasty surgery every year has been significantly increasing.
While there are several procedures, non-surgical and surgical both to increase the size of the penis, most surveys and results show that the penis enlargement surgery has a better and effective result, which are almost long-lasting in comparison to the non-surgical methods which may work fine in the start but may become ineffective over time.
So phalloplasty is a cosmetic procedure which consists of three parts:
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Phalloplasty surgery is a cosmetic procedure to increase the length and girth as well as the glanular enhancement of the penis. For the length enhancement, the best and widely used procedure is the release of all the ligaments which consists of three ligaments: The midline suspension ligaments, lateral fundiform ligaments.
Penile lengthening is one of the penis enlargement surgery procedures, where the doctors move up the part of the penis, which is hidden inside the body. This part makes an about 1/3rd length of the entire penis length. By making an incision at the abdominal site, the doctors cut off the ligaments at the base of the penis. These ligaments are actually cut as they function as the “guy ropes of the tent”, which hold back the penis. These ligaments which once are cut off, allow the penis to move forward and grow.
The patient has to start using the vacuum therapy 1 week to 10 days post-surgery and they have to continue this vacuum therapy for up to six months after the surgery. This helps in preventing any further adhesion formation as well as helps the patient maintain a very good penile length.
There are two ways by which we can increase the thickness of the penis, one is an injection of the fat and the second is by putting a dermal graft. Along with penile lengthening, one may also go for girth enlargement, which is another type of Penis enlargement surgery. A dermal graft is a more long-lasting method for girth enhancement as a good length is achieved by it. It can be the entrapment of the penis or a buried penis. So this dermal graft is taken from the non-utilized part of the body, that is the gluten region.
In girth enlargement, the penis is widened using fat grafts which extracted either from buttocks or stomach to enlarge and widen the cylindrical-like structures present beneath the penis. The fat in most of the cases is taken from the abdominal part of the body of the patient and this fat is concentrated and then with the help of a needle in a blunt form, it is injected into the penis all around the penis circumference. Thus we can achieve a uniform girth enhancement. Two strips of dermal grafts are taken and the wounds are sutured. These two dermal grafts are deepithelized, and then dermal grafts are put on the dorsal surface of the penis, i.e. the upper part of the penis and the skin is placed back onto the penis, and the patient can achieve excellent girth enhancement with dermal graft.
Thus, the diameter increase uniformly going through to the shaft till the internal pubic area, giving the penis a natural look, even after the surgery. This procedure is called dermal fat grafting or simply fat grafting for penis enlargement.
The third component which is the granular enhancement is essential because once the penile girth enhancement is done then the glance would appear smaller as compared to the penile girth and would look like a small glance on top of the thick penis. So the granular enhancement can be combined with the girth enhancement procedure or it can be done as a separate procedure as well. In glanular enhancement, Hyaluronic acid, as well as micro fat, is injected into the glance to provide a thicker and a bigger glance and then all the three components, are complete and the patient can resume normal sexual activity 15-20 days after glanular enhancement.
A buried penis is a penis that has excessive fat or skin in the suprapubic region which makes the penis appear shorter. But by doing liposuction, cartilage lift and penile lengthening, a good length is achieved in these kinds of patients.
There are other components of phalloplasty, where the patient has some bad circumcision or there is some injury to the patient in which the patient has significantly lost skin and now they come to us with a very short erection where the penile length is good but the penis is trapped inside those scars. So in patients, a cosmetic procedure is done in which penile skin is released completely from the shaft of the penis and additional or new skin is taken from the thigh or some other part of the body and applied and then the patient can have a normal erect penile length as well as the flaccid length.
Before getting the penis enlargement surgery, men must have realistic expectations from the surgery as it cannot increase the size of their penis by multiple folds. In fact, every man has a different shape and size of their penis, therefore, how much penis enlargement can take place also depends on their own individual anatomy. In the erect state, the penis enlargement can be from about 2.5-5 centimetres, whereas in the flaccid state, the size can be doubled if there are no complications. Width in both cases can vary from 1-2 centimetres.
The average recovery time from a phalloplasty surgery is about 6 weeks. Post the Penis enlargement surgery, a pain-buster or pain reliever system is fitted onto the patient, by using a catheter which discharges a local anaesthetic to the site of the penis enlargement surgery.
Several medications are taken by the patient in order to suppress erections, which may otherwise split or rupture the stitches or the fat grafts implanted at the penis. Patients are also advised to refrain from activities such as heavy smoking or drinking for at least 6 months as these may cause infection and interfere with healing.