Penis Enlargement Surgery: How it Works and Risks

Penis Enlargement Surgery

Penis enlargement surgery, commonly called penile augmentation or phalloplasty, is a procedure that aims at the length or girth (or both) of the penis. It's a sensitive and complex topic, and here’s a clear overview of what it typically involves:

Types of Penis Enlargement Surgery

Penile Lengthening Surgery (Suspensory Ligament Release):

• It entails secession of the suspensory ligament that binds the penis to the body’s lower abdominal bone.
• It will provide an extra 1–2 cm in flaccid size if hang vertically, which will cause an extra bang size in front of the body.
• Does not increase erect length.
• Must involve post-operative stretching or weight treatment.

Penile Girth Enhancement:

• Fat grafting (lipofilling): The procedure involves using a liposuction technique to take fat from another part of the body and transplant it in the penis.
• Dermal grafts or synthetic fillers: For increasing circumference, tissue or medical-grade material is used.
• This means that the result may be that fat is merely deposited again as time goes by and it becomes hard to know the effects/results of liposuction.

Penile Implants (mostly for erectile dysfunction):

• Can also be used to create a permanently erect state.
• A few of the latest implants promise that as a side effect, the size will increase.

Factors Affecting Penis Enlargement Surgery Cost

The cost of surgery is not constant but depends on certain factors as described below. Here are the main factors that influence the total expense:

• Type of Surgery
• Surgeon’s Expertise and Reputation
• Geographic Location
• Clinic or Hospital Facilities
• Anaesthesia and Operating Room Fees
• Pre-Operative and Post-Operative Care
• Revision Surgeries

Penis Enlargement Surgery Before and After

Most of the penis enlargement surgical operations require complicated procedures and the results differ significantly with the various types of operations performed, the body of the relevant patient as well as the methods used by the specific surgeon involved. Here’s a breakdown of what to expect in terms of visible changes, both flaccid and erect:

Lengthening Surgery (Suspensory Ligament Release)

Before:

• Normal visible flaccid length.
• Shorter appearance when soft, especially if there is excess fat in the pubic area.

After:

• Flaccid length gain: 1–2 cm (0.4–0.8 inches) on average.
• Erect length: No significant change.
• Scar usually metallic and is found either in the pubic hair line.
• It needs postoperative stretching to retain its gain.

Girth Enhancement (Fat Grafting, Fillers, or Dermal Grafts)

Before:

• Normal penile girth (circumference).
• May look less bulky when flaccid or erect.

After:

• Girth gain: Depending on the method used and the rate of retention can range from 1–4 cm (0.4–1.6 inches).
• It is crucial to note that fat grafts themselves may be reabsorbed over time, ranging from 30 to 50 percent.
• Fillers need periodic maintenance.
• Skin grafts are relatively more permanent as compared to other procedures but are risky in nature.

Combination Procedures (Length + Girth)

Before:

• Size and girth: This generally refers to the size or circumference of the penis in either flaccid or erect condition.
• May contain psychological interest or disinterest.

After:

• This means that they become longer and wider when erect, indicating a visible increase in flaccid length and girth.
• Erect length usually unaffected.
• Cosmetic alterations range from simple to complicate.

Penis Enlargement Surgery Risks

As much as some people may wish to have a larger penis, they should be aware that there are risks and possible complications associated with the penis enlargement surgery. Here’s a detailed breakdown of the Penis enlargement surgery complications you should be aware of before considering the procedure:

Penis Enlargement Surgery Side Effects:

• Infection
• Scarring
• Loss of Sensation
• Erectile Dysfunction
• Asymmetry or Irregular Appearance
• Poor Cosmetic Outcome
• Retracted Gains
• Fat Absorption (for fat grafting)

Psychological Risks:

• Body Dysmorphic Disorder (BDD)
• Low Satisfaction Rate

Long-Term Risks:

• Chronic pain
• Permanent damage

Penis Enlargement Surgery Recovery

Penile implant surgery should be estimated in relation to the type of the operation – lengthening, girth enhancement or both. Here’s a comprehensive guide to what you can expect during the healing process:

General Recovery Timeline

First Few Days (0–7 Days)

• Slight oedema, petechiae, and minor to moderate discomfort are expected.
• Little movement and rest are recommended.
• It should be noted that the drugs that are usually prescribed include prescription painkillers and antibiotics.
• Urination might be painful for a short period, but a catheter is not necessary in most cases.
• Ice packs may be applied with a barrier to minimize the occurrence of swelling.

Week 2–3

• Sutures if not dissolvable may be taken out, Hemostasis – Management of bleeding is done.
• Tenderness and possible discoloration may commence to diminish at this stage.
• As a reminder, the patient may wake up and walk around the house, and leave the hospital, but the patient cannot exercise or indulge in sexual intercourse.
• You may be allowed to use stretching devices or weights if you underwent ligament release surgery.

Weeks 4–6

• Many men are able to go back to work and undertake some forms of activity.
• A stretching routine becomes useful to ensure that the newly gained length is not reduced after some weeks or days.
• Girth results become more apparent although girth can be inconsistent, depending on the use of fat grafting.
• And still no sexual intercourse until granted permission by the surgeon.

After 6–8 Weeks

• He may have intercourse without restriction after consultation with a surgeon.
• Most swelling should be gone.
• Results from lengthening can take as long as 3 to 6 months depending on cooperation of the patient on the traction.
• Fat graft or filler results may be continue to appear for up to six months.

Penis Enlargement Surgery Procedure

Penile Lengthening Surgery (Suspensory Ligament Release)

Purpose:

• Increase visible flaccid length by releasing the ligament anchoring the penis to the pubic bone.

Procedure Steps:
Anaesthesia: Usually general or spinal anaesthesia.

• Incision: The procedure is done through an incision that is less than 2 cms long at the base of the penis on the pubic area.
• Ligament Cut: The suspensory ligament is cut, which results in increasing the portion of the internal shaft in the outward direction.
• Spacer (optional): A spacer made of silicone or like material may be put in order to prevent rejoining of the ligament.
• Closure: The incision is sutured; in some cases, the use of a V–Y advancement flap is employed for skin reinforcement.
• Stretching Device Issued: Patients need to wear a penile traction device after the surgery to ensure that the gains they get are not reduced.
• Duration: 1–2 hours
• Expected Length Gain: 1–2 cm (flaccid only)

Girth Enhancement Procedures

A. Fat Grafting (Autologous Fat Transfer)

• Liposuction of the fat is then performed from the abdomen or the thighs.
• The fat is thereafter purified, and the fat is injected right along the length of the shaft.
• It has been revealed that over a period of several months, 30–50% of this amount can be reabsorbed.

B. Dermal Grafts or Tissue Matrix

• This involves the surgical placement of fabric using living human skin graft or an artificial fabric in shallow pockets beneath the skin.
• Usually procures longer lasting erections with an erect penis size if compared with the use of erection enhancement rings however comes with more complications.

C. Injectable Fillers (HA, PMMA, etc.)

• Dermal fillers are normally directed in the shaft of the penis.
• It stands for non-surgical treatment and is usually limited to 6-18 months.
• Duration: 1–3 hours depending on method
• Expected Girth Gain: 1–4 cm (varies by technique and body response)

Penile Implants (For Erectile Dysfunction, Occasionally for Girth)

• Literally, entails putting temporary or semi-permanent hollow tubes also known as rods that can be inflated or deformed in some manner directly into the shaft.
• Mainly for erectile dysfunction, but may effect a small degree of increase in erect penis size.
• Avoid used for enlargement only because of certain risk and complications apart from being invasive.

Penis Enlargement Surgery Success Rate

Suspensory ligament release

70–80% (for flaccid length gain)

Fat grafting (girth enhancement)

60–75%

Dermal grafts / tissue matrix

70–85%

Injectable fillers (e.g., HA)

75–90% (short-term)

Penile implants (for ED)

85–95% (ED treatment), ~50–60% satisfaction for size

Penis Enlargement Surgery in India

A number of highly qualified urologists and plastic surgeons exist that provide penis enlargement surgery in India especially in the big cities. India is another country that is embraced for this procedure because it is cheaper, surgeons are experienced and patient’s confidentiality is maintained.

Overview of Penis Enlargement Surgery in India

Common Procedures Offered:

• Suspensory Ligament Release – makes the erect length more obvious but increases the flaccid length as well.
• Fat Grafting / Lipofilling – Can be used to add girth through the use of fats from the body.
• Dermal Grafts/ Allografts — they offer more permanent solutions for the enlargement of girth.
• HA Fillers or Synthetic Fillers – Non-surgical and temporary method of girth enhancement.
• Penile Implants – To treat impotence i.e. inability to get an erection and not for cosmetic purpose.

Why Choose GetWellGo for Penile Enlargement Surgery?

GetWellGo is regarded as a leading supplier of healthcare services. We help our foreign clients choose the best treatment locations that suit their needs both financially and medically.

We offer:

• Complete transparency
• Fair costs.
• 24 hour availability.
• Medical E-visas
• Online consultation from recognized Indian experts.
• Assistance in selecting India's top hospitals for penile enlargement surgery.
• Expert urologist/plastic surgeon with a strong track record of success
• Assistance during and after the course of treatment.
• Language Support
• Travel and Accommodation Services
• Case manager assigned to every patient to provide seamless support in and out of the hospital like appointment booking
• Local SIM Cards
• Currency Exchange

Arranging Patient’s local food