Today, methods of intimate injection contouring have been developed and put 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 at a lower cost. In modern medicine, great importance is attached to improving the quality of human life. Moreover, a full sexual life is an important component of this concept. Interestingly, until recently, sexual health was seen as an integral part of reproductive health, but the Declaration of the World Sexual Health Association adopted in 2005 in Montreal recognized the right of all of us to seek sexual pleasure as a component of general 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. Due to 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, for this, there are various methods of male intimate plastic surgery, 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 put into practice. These include methods of intimate injection contouring, which allow 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 contouring 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 which you can change the shape of the penis and enlarge the penis, which will certainly help improve the quality of sexual life.
When is penis enlargement performed?
According to various sources, at least 70% of men want to enlarge the penis. Approximately 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 penis size causes a man not only stiffness in communicating with women and general lack of confidence in his abilities, but also most negatively affects his ability to produce offspring, that is, fertility. According to 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 not only leads to a slowdown in the growth of penile tissues, but is often the cause of male infertility, as it leads to a decrease, and sometimes even a complete cessation of sperm production. In these cases, it is recommended to consider the possibility of male intimate plastic surgery. Data regarding the size of the "average" penis varies greatly.
Different authors estimate the average size of a normal penis differently, since their ideas are often determined by the cultural and ethnic characteristics of certain countries and regions. Nevertheless, the normal length of the penis in a calm state is estimated at 7. 5-10. 5 cm, and in a state of erection - at 12-18 cm, while its diameter is usually 3. 0-3. 5 cm. read to anyone who is thinking about penis enlargement. A rather large variation in 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 cavernous bodies and their 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, which is 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. There is evidence in the literature that with quite normal testicles and fairly well-defined secondary sexual characteristics, a functioning penis in a state of full erection may not exceed 2. 5 cm. The term "micropenis" is used in relation to organs of this size. A phenomenon known as "congenital hypoplasia" has also been described, in which the body of the penis is practically absent, and its head is attached to the pubic bone. In this case, injection contouring can help.
Although the size of the penis has little to no effect on the possibility of normal sexual intercourse, subject to a normal erection, some men have a desire to enlarge the penis. Dissatisfaction with the appearance and size of your penis can cause serious reproductive health problems. One of the most formidable complications of penile dysmorphophobia is psychogenic erectile dysfunction, which ultimately leads to infertility. Thus, the size of the penis 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 common area of plastic surgery. Based on our own experience and world literature data, we can state that more than 70% of interventions performed in male intimate plastic surgery are operations on persons with completely normal anatomical dimensions of the penis. Thus, the main motives of patients who want penis enlargement are:
- increasing self-esteem;
- increase in sexual attractiveness;
- improving the quality of sexual life;
- removal of the "locker room complex" - a decrease in 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 a vaginal orgasm. Therefore, the desired result is much easier to achieve not by increasing the penis, but by correcting the diameter of the penis.
Methods of penis enlargement and correction of its shape
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. Among such methods are lipofilling, microsurgical tissue autotransplantation, transposition of vascularized muscle or fascial fat grafts, installation of various implants. Until recently, autologous fat lipofilling has been a commonly used method of injection contouring. However, frequent resorption and migration of the injected autofat, as well as cases of fibrosis, have minimized interest in this method. Various synthetic materials (silicone, paraffin, etc. ) have not been widely used for penis enlargement due to frequent complications such as infection, implant migration, tissue sclerosis, and necrosis. Professor D. G. Kurbatov et al. for penis enlargement proposed a method of microsurgical autotransplantation of a rotated fascial fat flap from the anterior abdominal wall on a feeding 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 refrain from physical activity for up to 3 months.
Of considerable interest is a new direction in male intimate plastic surgery, based on the implantation of special viscoelastic biogels based on hyaluronic acid under the skin of the penis, which not only compensates for the existing volume deficit, but also improves the structure of the skin of the penis. Professor J. J Kim in 2003 conducted relevant studies and obtained the first data on the effectiveness of the use of these biogels in male intimate plastic, indicating the possibility of their clinical use. Male injection 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 (the most common problems of this kind include premature ejaculation). So, for injection contour plastics, specialists use viscoelastic gels (fillers) based on hyaluronic acid. The composition of these drugs differs from the composition of fillers, which cosmetologists use when performing 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 applications. Since 2005, another drug of the line has been registered in our country, designed specifically for intimate plastic surgery in men and women. With this filler, you can effectively and safely enlarge the penis, adjust the size of the corolla, frenulum, change the shape of the body of the penis and treat premature ejaculation.
It allows you to successfully work with intimate areas, as it is easily injected, well distributed in tissues, effectively compensates for the missing volume, and provides a lasting result without causing allergic reactions. The drug is produced in syringes for single use with a volume of 0. 8 ml, packed in blisters, which guarantee the safety and absolute sterility of the gel. The procedure of intimate injection contouring for 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 plastic surgery of the glans penis, the duration of the effect lasts an average of 0. 7-1 year, with plastic surgery of the body of the penis, the effect can last up to 1. 5-2 years, so it is recommended to repeat the procedure after an average of 1-1. 5 years.
Enlargement of the head of the penis
Normally, the diameter of the glans penis in its back part should exceed the diameter of the body of the penis by 1–2 cm. This contributes to the formation of an "orgastic cuff" during intercourse. If the size of the head is insufficient, the penis enlargement procedure involves the introduction of a filler conditionally into its lower third and along the course of the coronal groove. In both cases, the volume of the injected drug per 1 "step" is from 0. 1-0. 4 ml. When working with the coronal groove, as well as when thickening the head itself, the filler is introduced using a fan (on the reverse stroke of the needle) technique (needle 27G). The minimum total volume of the drug in the correction of the glans penis is 0. 8 ml, the expected maximum is 2. 0 ml. For uniform distribution of the gel, we recommend that you preliminarily "hydropreparate" the tissue using a 0. 9% sodium chloride solution in a volume of 10 ml.
Frenuloplasty
The frenuloplasty technique consists in enlarging the penis by filling the frenulum with a gel in order to increase its volume. The drug is injected into the soft tissues under the frenulum in the amount of 0. 1–0. 3 ml per "step", the needle is 25–27 G, the injection technique is drip. The introduction of the drug directly into the frenulum (ligament) is unacceptable. All methods of male injection contouring 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, as in women, have a very good blood supply, so healing after such procedures occurs without scarring. During the recovery period, and this is an average of 2-3 days, an active sex life is not recommended.