Techniques & Expectations
techniques used for penile enlargement (enhancement phalloplasty)
-- penile lengthening and penile widening (girth enhancement) --
have been in the urologic literature for many years.
There are various ways of enlarging
the penis. In my practice, patients either have a lengthening or
widening alone, or a lengthening and widening in a single session.
Glanular enhancement may be performed alone or combined with any
I personally see in consultation all
of my patients before and after surgery and perform all the surgical
Click to see before and after photos
of lengthening procedures:
Approximately one-third to one-half
of the penis is inside the body, and is internally attached to the
undersurface of the pubic bone. Penile lengthening involves the
release of the fundiform ligament and the suspensory ligament that
attaches the 2 erectile bodies to the pubic bone. The suspensory
ligament makes the penis arch under the pubic bone. Release of this
ligament allows the penis to protrude on a straighter path, further
outward to give more functional length. I use a 1" to 1½"
lower abdominal incision in the pubic hair area for concealment
or a new incision in the penile-pubic crease for concealment.
This is a relatively minor procedure. There will be no scar on the
penis and there is no possibility of pubic hair on the penis. I
highly recommend use of specially designed penile
to maximize penile lengthening.
Penile length gain in the flaccid
Average expected length gain is 1 inch.
Well motivated patients may gain up to 2 inches. After Allograft Dermal
Matrix Graft (Alloderm ®) widening, the penis does not shrink to its
original small flaccid length, but stays slightly longer.
Penile length gain in the erect
Usually there is a slightly smaller
penile length gain in the erect state than in the flaccid state.
Some penile length may be obtained
by significant weight loss (greater than 35 lbs.) if a large infrapubic
fat pad is present or by a penile stretching device. Complications
may be associated with these forms of treatment. Also review Frequently
Asked Questions about penile enlargement surgery ( phalloplasty
For more information
about your consultation or other surgeries that I perform, please
click on the below links.
AND SUPRAPUBIC FAT PAD