Penis enlargement surgery: Does it work, and is it worth it?

By: Medically reviewed by Catherine Hannan, M.D. — Written by Jon Johnson on September 25, 2020
Source: Medical News Today

Penis enlargement surgery can involve various procedures, all of which aim to increase the length or girth of the penis. In most cases, people have the surgery for cosmetic reasons.

Although penis enlargement surgery may work in some cases, there is no guarantee that it will be effective, and the procedures carry some risk.

Most people who opt for the surgery have a normal, functioning penis, making the surgery cosmetic. In these cases, the cost can be a barrier for many people.

In this article, we discuss what penis enlargement surgery may involve, its effectiveness and risks, and the costs of the procedure.
What is penis enlargement surgery?
Credit Image: Westend61/Getty Images

Penis enlargement surgery is a procedure that aims to increase the length or girth of the penis.

Surgery may involve the insertion of silicone implants, the transfer of fat cells, or the use of skin grafts to increase the size of the penis. Other approaches may take the form of cosmetic surgery to give the appearance of a longer penis.

The true need for penis enlargement is rare. According to the Urology Care Foundation (UCF), surgery is only necessary if a person has a condition called micropenis. This term describes a penis that is 7.5 centimeters or shorter when stretched.

A penis that functions adequately for both sexual intercourse and urination does not require surgery. The authors of a 2020 review note that the majority of those seeking treatments for penis size have a penis within the normal, functioning range.
How does the procedure work?

There are a few different procedures for penis enlargement surgery, each of which has its own method.
Silicone implants

This type of surgery involves the insertion of a crescent-shaped piece of medical grade silicone under the penile skin to make the penis longer and wider.

Currently, the Penuma procedure is the only penis enlargement surgery that the Food and Drug Administration (FDA) have cleared for commercial use under the 510(k) regulation.

A surgeon first makes an incision above the penis and then inserts a silicone slip through it onto the shaft of the penis. They will shape the silicone implant to ensure that it fits the size and shape of the penis.
Fat transfer

During a fat transfer procedure, the surgeon will remove fat cells from a fatty area of the body and inject them into the shaft of the penis.

They do so by making small incisions into the sides of the penis and injecting purified fat cells into these areas.
Suspensory ligament division

Suspensory ligament division surgery, or ligamentolysis, offers a way to make the flaccid penis appear longer by cutting the suspensory ligament. This ligament attaches the penis to the pubic bone.torontocircumcision4

During the procedure, the surgeon will sever this ligament and move skin from the abdomen to the shaft of the penis. Although this may make the flaccid penis hang further down, it does not actually increase its size.

The surgeon may also recommend other procedures, such as removing fat from the area surrounding the penis. Doing so may make the penis appear larger, but again, it does not actually change its length.
Other augmentations

Other, less popular augmentations include:

tissue grafts
hyaluronic acid injections
polylactic acid injections
penile disassembly

Does it work?

According to the UCF, almost no method of penis augmentation works.

Currently, the Penuma implant is the only FDA-approved cosmetic surgical pr

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