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There are things that are directly associated with the personality of a person and if the person lacks in that area then he or she feels bit ashamed about that particular thing. In the case of a male, that thing is definitely the size of the penis.
Yes, no male in this world is able to feel proud if he has a small penis. Of course, the man does not tell it aloud that he has a penis of a size that cannot be discussed; neither has he roamed around without any pants so the world can see that how small his penis is. In fact, he will do anything or say anything possible to make the world believe that he does not have a tiny penis. But deep inside his heart he knows the truth which kills him slowly every single day.
Such males keep looking for the right answers that can help them increase the size of their penis. Those who can wait for the positive results go for the medicines of penis enlargement and those who think that they have already suffered a lot and cannot wait any longer go for penis enlargement surgery.
Who can take advantage from penis enlargement surgery
Penis enlargement surgery is in practice since 1971 and it is preferred by the surgeons only in certain cases. Firstly, if the size of the penis is abnormally small then only he can take advantage of penis enlargement surgery. By abnormally small it means that its flaccid length must be less than 1.6 inches and erect length must be less than 3 inches. It just cannot be imagined how difficult it is for a man to survive in this world if he has such a penis size. He cannot approach women because of the fear that she will make fun of his small penis once she gets to see it, neither can he proudly take shower among males and what not. After taking all these fears into considerations, the surgeons believe that men with such shameful penis size do deserve a penis enlargement surgery so they can roam around with their heads high.
Secondly, those males who suffered from Peyronie’s Disease or Penile cancer and while their treatment if the surgery has gone bad due to which they get to suffer a decrease in their penis size then those males a preferred to go for a penis enlargement surgery. These diseases attack the male organ and mostly in their surgical treatments the man has to compromise with its most precious asset, although the surgeons do their best in order to protect the pride of the man but in most circumstances they just cannot help it. So, if a male has gone through such a thing and now feels upset because of his reduced penis size then he should stop worrying now as he has an option of penis enlargement surgery.
Lastly, those men are preferred to go through an enlargement surgery who suffered from an accident in which they unexpectedly got their penis size decreased. To be honest, these men do deserve condolence from every man because only a man can feel the pain of such a man who was once proud of his penis size and now left with something about which he cannot even talk to anyone. The good news for such males is that they can now feel proud once again with the help of a successful surgery.
Types of surgeries involved in penis enlargement
The most practiced technique is to cut the suspensory ligament of the penis and then attaching it to the already existing penis through plastic surgery so it gets an additional skin over his penis which will be covering its new length. It is not easy to come up with an acceptable result as surgeons are still not sure that how much increase in length can be achieved to the maximum.
Going through a raw data they have come up with an average figure that by dividing only suspensory ligament an average increase witnessed is of 0.25 inches and with the skin advancement the average value of increase witnessed is 0.75 inches. It completely depends upon the skin of the individual. Every person has a different type of skin so the end result is also different most of the times. All men do not face the same experience after having a penis enlargement surgery.
The suspensory ligament helps in the upward erection of the penis and when during the surgery it gets divided, it has been witnessed that the erection stays but it stays downward rather than upward after the surgery. And men also say that after the penis enlargement surgery they do see a positive change in the flaccid penis but does not see any remarkable difference in the erected length of penis.
The other technique which is applied in penis enlargement surgery is the increment of penile girth or the thickness of the penis. There are 2 methods that are associated with this particular technique; applying injection of fat and placing dermis’s grafts.
In the 1st method liposuctioned fat is used in the injection which is injected from either thighs or abdominal wall and then injected into dartos fascia which is present under skin of shaft of penile. In the 2nd method grafts are placed within the shaft of penile. These grafts include tissue’s upper layer commonly known as dermis and fat from the buttocks. In terms of efficiency, the 2nd method is more successful than the 1st method as the fat used in 1st method vanishes within a year.
So now that we have discussed the types of penis enlargement surgery its time to get into further details of these surgical procedures.
1. Plastic Surgery
Lately, due to the rise in safe methods of plastic surgery, penis enlargement has become a common request. The penis is a very delicate organ of the human body, packed with erectile tissues, nerves and blood vessels, and any surgery on it should only be done by someone very experienced. Usually, this procedure requires both widening and lengthening of the penis, which can be done at once, or as two separate procedures – as prescribed by the surgeon. Unfortunately, the kind of care and precision required in plastic surgery for penis enlargement is seriously lacking, leading to several botched up procedures and horrible scarring or disability for life.
The Male Penis
The male penis handles two main tasks:
- Elimination of waste through urine
- Ejaculation of semen, which contains sperms – necessary for reproduction.
The Penis has three main parts –
- The Radix or the Root: This is the part of the penis that is attached to the body. It includes the bulb and the middle portion of the penis.
- The Corpus or the Body: This is the main body of the penis, which consists of two surfaces – the ventral and dorsal. The ventral part of the penis, also called the urethral penis, is the one that cafes backwards and downwards when it is flaccid. The Dorsal part is the one which is visible when the penis is erect.
- Epithelium: This is the shaft skin of the penis as well as the foreskin. The inside of the foreskin, which is a mucosal layer, is also a part of the epithelium of the penis.
The penis is attached to the pubic bone by ligaments, which have super sensations because of the several nerve endings located within them. It is these ligaments, that allow with the tactile movement of the organ, as well as its erection. These ligaments attach the penis to the underside of the pubic bone and are usually located within the surface of the body. About one third of the penis is located inside the male body. In some men, almost half of the penis is inside the body. When flaccid, the penis can appear to be very small, however, it gains almost two to three times in size when it is completely erect.
The Penis Size
The human penis is a very surprising organ. It varies in length all through the day. The erect penis is much larger than the flaccid penis and even though the variations may be minor, the difference between a flaccid and an erect penis is often astonishing. Most of the physical growth of the penis occurs from the time of infancy, to the time when a child is of five years of age. The sexual growth of the organ occurs from the time of onset of puberty to at least seventeen years of age. There is no correlation between the size of the penis and of other parts of the male body. Most males have normal sized penis. However, if a male has a perfectly formed penis, which is less than 7 cm, it is considered small by normal standards and is called a micropenis medically.
Perception of Penis Size
Males often underestimate the size of their sexual organ when compared to others. This usually happens due to a phenomenon called foreshortening, that causes things to appear shorter when you look at them from top down. Repeated exposure to pornography and other atypical portrayal of the male organ may also cause a distorted image of a man’s own penis. If a man has accumulation of fat at the base of the penis, that too could result in the feeling of inadequacy in terms of size. A lot of men have incorrect beliefs about their penis size, which may lead to unreasonable frustrations regarding the penis size.
Procedure for Penis Enlargement Plastic Surgery
The ligaments, which attach the penis to the pubic bone, arch at the undersurface of the bone and are often inside the body. In penis enlargement plastic surgery, the doctor surgically releases these ligaments so that they emerge out of the body and more of the penis is released to the exterior of the pubic bone. As the ligaments are released, more of the penis protrudes outside, increase the functional length of the penis. The widening of the penis is slightly more tricky. There are two main procedures which have received moderate success. Both of these make use of skin grafting. For this, the doctor takes grafts of dermal fat from the patient’s groin or buttocks. This fat is then added under the penile skin to make it thicker. This is a lengthy procedure because harvesting the graft can take some time. The grafts can be taken from the patient or a tissue bank. If the grafts are obtained from a tissue bank, it removes the need to make incisions at the donor side. There is minimal scarring and the duration of the procedure is also shorter. However, there are risks to this procedure because the body could reject donor grafts. Both the lengthening and widening surgeries are performed under anesthesia and therefore are painless.
After the Surgery
The lengthening of the penis is performed by extracting the ligaments at the base of the penis. A lot of men, who are not given proper rehabilitation after the procedure, may find that their penis returns to the original length. It is therefore important to prevent shortening and enhance the new length of the penis. This is usually done through the use of a stretching device that helps stretch the penis. This device has small weighted attachments and is worn immediately before the surgery to help stretch the skin and get the penis used to an increased length. After the surgery, the patient must wear this contraption again for some time so that the scar tissue formed from the surgery does not pull the penis back to shorten it. This device is usually worn during the day, but can also be worn at night. Initially, it is worn for a few hours, but then the patient is expected to gradually increase the length of time for which it is worn everyday. This not only helps in length gain, but also assists in the healing of the penis.
Risks of Penis Enlargement Plastic Surgery
Most doctors suggest that penis enlargement surgeries are safe, however, since they are tricky and require a lot of expertise, they are often not performed right. This makes them extremely risky. The procedure itself has several risks involved. Not every penis can be enlarged, and therefore a thorough consultation is warranted before one opts for this kind of surgery. The patient should be apprised of the possible complications arising out of the procedure so that he can make an informed choice. Some of these complications include bleeding, bruising, formation of scar tissue, permanent scarring, infection, incision separation, distortion of the penile angle, detachment of graft, rejection of graft, injuries to blood vessels or nerves, loss of thickness and permanent erectile dysfunction. In this case, the possible complications are enough to turn most people off the procedure.
Alternatives to Penis Enlargement Plastic Surgery
While plastic surgery is always an option, there are some safer options which can offer both temporary and permanent penile enlargement. Several mechanical devices, including vacuum pumps, can be used to increase blood flow to the penis and increase its length and girth temporarily. These pumps are safe to use, if used correctly, and offer great results. For those who want permanent results, several herbal supplements are available that claim to improve the length and girth of the penis naturally. Though there are not many studies available to back up the claims of these herbal supplements, anecdotal evidence suggests that they do work efficiently.
2. Phalloplasty or Cosmetic Genital Surgery
Phalloplasty is a medical term for a procedure used to reconstruct the penis. It is also often known as penile enlargement surgery or a penis reconstruction surgery. This surgery is performed to artificially modify the penis, however, most often it is done for cosmetic purposes. The surgery may also be used for sexual reassignment, where the penis is constructed using tissues from other parts of the body.
Who is Eligible for Phalloplasty?
Anyone can get phalloplasty performed on themselves. However, this surgery is usually recommended for patients who have congenital anomalies. This could include a very small or micropenis and other conditions such as epispadias and hypospadias. Epispadias is a rare congenital defect located on the opening of the urethra. This condition does not allow the urethra to develop fully, therefore forcing the urine to exit from the wrong place in the body. Hypospadias is a similar birth defect in which the urethra opens on the underside of the penis. This procedure is also ideal for males who need penis reconstruction because of a complete or partial loss of the organ in an accident or a mishap. Phalloplasty is becoming increasingly popular with transsexual patients who want to change their female anatomy to male. In essence, it can be performed on anyone who wants to reconstruct or enhance the appearance of the penis.
Penile Lengthening Phalloplasty
Of the several types of phalloplasty surgeries available, penile lengthening is perhaps the most popular. This is a highly coveted procedure, usually sought after by men who are not happy with the length of their penis. Ideal for men who suffer from having a micropenis, this procedure is relatively new and still improving. The first penile lengthening surgery was performed by Dr. Long Daochau, in 1984. The surgery was performed in China and was mildly successful. However, this was the first time, the male organ was surgically enhanced, and ever since a lot of improvements have been made to the procedure, to make it more safe and have less side effects and risks.
For men, who believe that a longer penis would help them improve their self esteem and confidence, making them more popular with the ladies, there are several other safer options to consider. However, for men who have damaged, disfigured or extremely small penis, this is an ideal surgical technique. This surgery is aimed at increasing the flaccid length of the penis. This would also affect the length of the erect penis to a large extent. Through this surgery, men can add 0.5 to 1.5 inches to their penis length. For this surgery, the penis is separated from the pubic bone and a suprapubic liposuction is performed to add fat and tissue to it. In cases, where more length is desired, the scrotal fold in the pubic region is repositioned, moving it closer to the pubic area.
Penile Girth Enhancement Phalloplasty
The circumference or the girth of the penis is often an important factor in how men view or regard their penis. Girth enhancement phalloplasty is another popular procedure, in which the circumference of the penis is increased. To achieve this result, free fat from the body is transferred to the penis. This is a much safer procedure than the lengthening surgery. However, this procedure has its disadvantages too. Girth enhancement surgeries have often failed because it may not be able to achieve uniform girth enhancement throughout the length of the penis. Uneven fat absorption may further depreciate the appearance of the penis. Often, the fat may disappear over time or the fat graft may get displaced during vigorous sexual activity. Lumps and bumps on the shaft of the organ, are some of the other problems that this kind of surgery may cause.
In the more advanced form of the surgery, a graft is stitched to the fascia of the penis in a flat position so that the appearance is uniform, and bumps can be avoided. This kind of surgery may also increase the length of the penis, but circumference of the penis usually increases from 10% to 30%. The extent of the widening usually depends on the size of the grafts. These grafts may be obtained from different parts of the body – usually the forearm.
While the procedure of phalloplasty has improved over the years, with improvement in both technology and medical understanding of the penis, the procedure still has several risks and complications. A large majority of men require revision surgeries to maintain the added length and girth, while several experience incorrect healing of grafts, causing mutilation and shrinking of the penis. A post operative study on men reported that more than 25% of patients who received phalloplasty had several serious complications due to the surgery. Some of the most common complications men may experience after this procedure include:
- Loss of the penis because of disease or damage to the blood vessels that supply blood to it.
- Blood clots in the penis or the pubic region
- Shortage of blood supply in the groin
- Mild to severe infection
- Death or decay of parts of the penis (limited necrosis)
- Bruises that may not heal
- Urinary fistula that may require revision surgeries
- Prosthesis change because of complications
In cases, where larger reconstruction of the penis is attempted, the chances of having complications are higher. This is why most doctors prefer recommending other, natural methods for penile enhancement instead of recommending phalloplasty which is often dangerous and may cause more damage to the organ.
It is not easy for any male to discuss about his penis if its size is small and they even feel ashamed to discuss about it with a doctor in order to get their answers. But once a male decides that it is time to get a penis enlargement surgery then nothing can change his decision because he knows that now he cannot bear more attacks on his manhood.