Sexual problems associated with a man's dissatisfaction with the size of his penis cause stiffness in communication with women, loss of sexual interest, and the formation of various complexes.
Today, methods of intimate injection contour plastics have been developed and introduced into practice, with the help of which it is possible to change the size and shape of the penis without surgery and general anesthesia, a long rehabilitation period and with less money.
In modern medicine, great importance is attached to improving the quality of human life. Moreover, a full-fledged sex life is an important component of this concept. Interestingly, until recently, sexual health was considered an integral part of reproductive health, but the 2005 Montreal Declaration of the World Association for Sexual Health recognized that we all have the right to seek sexual pleasure as a component of overall well-being. In the public consciousness, especially in the self-consciousness of men themselves, masculinity and sexuality are almost synonymous, which is why today so many representatives of the stronger sex are interested in penis enlargement techniques. The size of the penis has always been of great importance in a man's perception of his masculinity, sexuality, and the assertion of his self-esteem. That is why dissatisfaction with the size of the penis causes sexual problems in men, stiffness in communicating with women, loss of sexual interests, the development of various complexes and even a general lack of confidence in their capabilities. It is these cases that can become indications for male intimate plastic surgery. In connection with the high social significance of this problem, the question arises of the need to develop effective methods of penis enlargement that can change the quality of the sexual life of men of all age groups.
Today, there are various methods of male intimate plastic surgery for this, most of which are surgical. Basically, these are expensive operations that require certain conditions, equipment and skills. But in recent years, simpler and more affordable methods have been developed and introduced into practice. These include methods of intimate injection contour plastics, which make it possible to achieve penis enlargement and change the shape of the penis without surgery, general anesthesia, a long rehabilitation period and at a lower cost.
Almost every man knows about safe and effective methods of female breast augmentation, about the possibilities of contour and intimate plastic surgery, which allow women to emphasize and maintain their external attractiveness and sexuality. But many men do not know about the existence of modern minimally invasive methods of male intimate plastic surgery, with the help of which you can change the shape of the penis and enlarge the penis, which will certainly help improve the quality of sexual life.
According to the data, the number of patients with sexual problems has increased recently. These problems are often associated with an undersized penis and premature ejaculation. )
In what cases is penis enlargement performed?
According to various sources, at least 70% of men want to enlarge their penis. About 60% of them want it to become longer, about 40% dream of a thicker penis, and no one wants it to become smaller or thinner. Insufficient size of the penis causes not only stiffness in dealing with women and general lack of self-confidence in a man, but also negatively affects his ability to produce offspring, that is, fertility. According to the WHO, over the past 2-3 decades in all countries of the world, along with low fertility, there has been an increase in the number of infertile marriages, the cause of which in 40-50% of cases is the pathology of the male reproductive system, in the structure of which the proportion of micropenia and penile dysmorphophobia has increased.
In addition, the size of the penis is a reflection of the general health of a man, in particular, the state of his endocrine and reproductive systems. The fact is that the size of the penis depends on the amount of sex hormones produced during puberty, that is, when the most intensive growth of the external genital organs is observed. A reduced level of male sex hormones leads not only to a slowdown in the growth of penile tissue, but is often the cause of male infertility, as it leads to a decrease and sometimes a complete cessation of sperm production. In these cases, it is recommended to consider the possibility of male intimate plastic surgery.
The data on the size of the "average" penis varies greatly. Different authors estimate the average size of a normal penis differently, since their views are often determined by the cultural and ethnic characteristics of certain countries and regions. Still, the normal length of the penis in a resting state is estimated at 7. 5-10. 5 cm, and in an erection state - at 12-18 cm, while its diameter is usually 3. 0-3. 5 cm. With statistical data, it followsfamiliar to everyone who is thinking about penis enlargement.
A fairly large scatter of indicators of the normal length of the penis (from 12 to 18 cm) can be explained by individual differences in the anatomy of the inguinal region, namely, the ratio of the hidden and free parts of the corpora cavernosa and the surrounding shell. There is an opinion that with a normal level of sex hormones and the correct development of the corpora cavernosa in different men, due to their individual characteristics, the sizes of the hidden part of the corpora cavernosa, responsible for attaching the latter to the pubic bones and, accordingly, fixing the penis, are far from the same.
As for various pathologies, about 20 congenital diseases are currently known, characterized by a violation of the production of sex hormones and manifested by the small size of the penis, as well as (in some cases) infertility. Such cases, of course, require male intimate plastic surgery. The earlier the diagnosis is made and treatment is started, the more reason to talk about its effectiveness.
In the literature, there is evidence that with completely normal testicles and fairly well-expressed secondary sexual characteristics, a functioning penis in a state of full erection may not exceed 2. 5 cm. For organs of this size, the term "micropenis" is used. Also described is a phenomenon known as "congenital hypoplasia", in which the body of the penis is practically absent, and its head is attached to the pubic bone. In this case, injection contour plastics can help.
Although the size of the penis has practically no effect on the ability to have a normal intercourse with a normal erection, some men have a desire to enlarge their penis. Dissatisfaction with the appearance and size of your penis can lead to serious reproductive health problems. One of the most formidable complications of penile dysmorphophobia is psychogenic erectile dysfunction, which ultimately leads to infertility. Thus, penis size becomes one of the important factors that directly affect fertility and quality of life.
Male intimate plastic surgery continues to be a popular and increasingly widespread area of plastic surgery.
Based on our own experience and data from the world literature, we can state that more than 70% of interventions performed in male intimate plastics are operations in persons with completely normal anatomical dimensions of the penis. Thus, the main motives for patients seeking penis enlargement are:
- increasing self-esteem;
- increased sex appeal;
- improving the quality of sexual life;
- removal of the "locker room complex" - reducing the feeling of embarrassment in men's companies.
It is known that the length of the penis, to a much lesser extent than its diameter, affects the ability of a partner to achieve vaginal orgasm. Therefore, the desired result is much easier to achieve not by increasing the penis, but by correcting the diameter of the penis.
Penis enlargement and shape correction techniques
Modern methods of male intimate plastic surgery are aimed not only at improving the aesthetic and functional results of interventions, but also at reducing the number of complications. These methods include lipofilling, microsurgical autotransplantation of tissues, transposition of vascularized muscle or fascial fat grafts, and the installation of various implants.
Until recently, lipofilling of autogenous fat was a commonly used method of injection contouring. However, the frequent resorption and migration of the injected autologous fat, as well as cases of fibrosis, have minimized interest in this method.
Various synthetic materials (silicone, paraffin, etc. ) have not found wide application for penis enlargement due to frequent complications such as infection, implant migration, tissue hardening, and necrosis.
For penis enlargement, the professor and co-authors proposed a method of microsurgical autotransplantation of a rotated fascial-fatty flap from the anterior abdominal wall on the supplying vascular pedicle. Despite the obvious advantages, the method requires expensive equipment and a specially trained microsurgical team. In the postoperative period, it is necessary to refuse physical activity for up to 3 months.
Of considerable interest is a new direction in male intimate plastics, based on the implantation of special viscoelastic biogels based on hyaluronic acid under the skin of the penis, which not only replenishes the existing volume deficit, but also improves the structure of the skin of the penis. In 2003, relevant studies were carried out and received the first data on the effectiveness of the use of these biogels in male intimate plastic, indicating the possibility of their clinical use.
Male injectable contouring with hyaluronic acid preparations can help in solving sexual problems that are associated not only with the appearance of the penis, but sometimes with its functional features (premature ejaculation is one of the most common problems of this kind).
So, for injection contour plastics, specialists use viscoelastic gels (fillers) based on hyaluronic acid. The composition of these preparations differs from the composition of fillers that cosmetologists use when carrying out facial contouring. In particular, in our practice we use special gels for this.
The nomenclature of gels includes 6 preparations, each of which has its own characteristics and fields of application.
Since 2005, a drug has been registered specifically for intimate plastic surgery for men and women. With this filler, you can effectively and safely enlarge the penis, correct the size of the corolla, frenum, reshape the body of the penis and treat premature ejaculation.
It allows you to successfully work with intimate areas, as it is easy to insert, well distributed in tissues, effectively compensates for the lack of volume, and provides a long-lasting result without causing allergic reactions. The drug is produced in single-use syringes with a volume of 0. 8 ml, packed in blisters, which guarantee the safety and absolute sterility of the gel.
The procedure for intimate injection contour plastics in men is performed on an outpatient basis under local anesthesia (without sedation).
Hyaluronic acid biodegrades over time, and the rate of biodegradation depends on the level of blood supply in a particular area of the body. So, with the plastic of the head of the penis, the duration of the effect lasts on average for 0. 7-1 year, with the plastic of the body of the penis, the preservation of the effect is possible up to 1. 5-2 years, therefore it is recommended to repeat the procedure after an average of 1-1. 5 years. . .
Enlargement of the glans penis
Normally, the diameter of the head of the penis in its posterior part should exceed the diameter of the body of the penis by 1–2 cm. This contributes to the formation of an "orgasmic cuff" during intercourse. With an insufficient size of the head, the procedure for augmentation of the penis implies the introduction of a filler conditionally into its lower third and along the course of the coronary groove. In both cases, the volume of the injected drug per 1 "step" is from 0. 1–0. 4 ml. When working with the coronary groove, as well as when the head itself is thickened, the filler is inserted using a fan (on the reverse needle stroke) technique (27G needle). The minimum total volume of the drug for the correction of the glans penis is 0. 8 ml, the estimated maximum is 2. 0 ml. For uniform distribution of the gel, we recommend that you first perform the "hydro-preparation" of the tissue, using a 0. 9% NaCl solution in a volume of 10 ml.
Frenuloplasty
This term refers to the procedure for correcting the frenum of the glans penis.
The frenuloplasty technique is to enlarge the penis by filling the frenulum with gel in order to increase its volume. The drug is injected into the soft tissues under the bridle in an amount of 0. 1–0. 3 ml per "step", a 25–27 G needle, the injection technique is drip. The introduction of the drug directly into the bridle (ligament) is unacceptable.
All the techniques of male injection contour plastics can be combined and performed in one procedure, while the terms of rehabilitation and the development of complications do not change in any way.
The tissues of the external genital organs in men, like in women, have a very good blood supply, therefore, healing after such procedures occurs without scarring. During the recovery period, which is on average 2-3 days, active sexual activity is not recommended.