PENIS ENLARGEMENT SURGERY
PENIS ENLARGEMENT SURGERY
The UK’s most Advanced Penis Enlargement Surgery
Penis Lengthening Surgery
Main features
Increase Penis Length by up to 2 inches
Permanent Procedure
Reduces Penis Shrinkage When Cold
Procedure price
Length Only from £5,800
Combined Length + Girth Surgery from £7,500
(Includes silicone buffer to prevent ligament reattachment)
Add on procedures
Mons Pubis Liposuction for Additional Erect Length + £1,800
PRP P-Shot to Improve Erection Quality +£950
Penis Girth / Thickening Surgery
Main features
40-50% Gain in Penis Girth
Use Your Own Body Fat
May Also Increase Flaccid Penis Length
Procedure price
Girth Surgery Only from £5,800
Combined Length + Girth Surgery from £7,500
(Includes silicone buffer to prevent ligament reattachment)
Add on procedures
Mons Pubis Liposuction for Additional Erect Length + £1,800
PRP P-Shot to Improve Erection Quality +£950
Unmatched experience with the most Penis Enlargement procedures carried out in the UK.
Androfill London Reception
Penis Enlargement Surgery
Main features
Increase Penis Length by up to 2 inches
40-50% Gain in Penis Girth
Use Your Own Body Fat
Procedure price
Length Only from £5,800
Girth Only from £5,800
Length + Girth from £7,000
(Includes silicone buffer to prevent ligament reattachment)
Why pay £1,000s more for the same procedure?
Androfill Length + Girth: From £7,000
Elsewhere: £8,000-£10,000
Add on procedures
Mons Pubis Liposuction for Additional Erect Length + £1,800
PRP P-Shot (Erection Quality) +£950
Androfill Surgeon Dr Gary Horn performing Penis Enlargement Surgery
Androfill London Reception
Unmatched experience and results with the most Penis Enlargement procedures carried out in the UK.
More Information
LENGTH SURGERY
- 1-2.4 inches (2 – 6 cm) increase in flaccid penis length.
Note: No erect penis length gain is possible unless opting for Real Penile Lengthening.
- Permanent results (length)
- Finance subject to credit approval
- From £5,800 inclusive of silicone buffer
Penis Lengthening
The first step in Length + Girth Surgery involves division of the Suspensory Ligament.
This allows more of the penis to protrude and hang down from the body.
The penis becomes longer when flaccid and will not shrink as far on a cold day.
A Silicone Buffer ensures that the Suspensory Ligaments do not reattach.
Risk 1
The long term satisfaction rate is low (33% satisfied patients).
“The [penis lengthening] procedure led to an average increase of 1.3 cm in flaccid penis length.
However, only 35% of men who had the operation were happy with the results.” [Emphasis added].
Referenced Study: European Urology
Result:
“Penis length surgery involves cutting the ligament with which the penis is attached to the pubic bone and grafting added skin to the base to increase length. This will increase the size of the flaccid penis by up to 2cm, but it doesn’t affect the size of the erect penis. The cut ligament may also not provide the support it originally did, which means that you might find your erections less satisfactory as a result. There is also a risk that this type of surgery may cause the side effect of pain during sex.” [Emphasis added].
Risk 2
Penis Lengthening Surgery is considered by some important medical bodies not to have been shown to be safe or effective.
“The American Urological Association considers the division of the suspensory ligament of the penis for increasing penile length in adults to be a procedure which has not been shown to be safe or efficacious [effective].” (emphasis added).
Board of Directors, January 1994
Board of Directors, January 1995 (Reaffirmed)
Board of Directors, September 1995 (Revised)
Board of Directors, January 2001 (Reaffirmed)
Board of Directors, February 2006 (Reaffirmed)
Board of Directors, October 2008 (Revised)
Board of Directors, October 2013 (Reaffirmed)
Board of Directors, October 2018 (Reaffirmed)
Risk 3
It can make Sex uncomfortable.
NHS – Penis Length Surgery
The most common technique involves cutting the ligament that attaches the penis to the pubic bone and performing a skin graft at the base of the penis to allow for the extra length. Professor Wylie says the surgery can result in an average gain in length to the flaccid penis of 2cm, but there will be no change to the size of the erect penis.
Furthermore, the erect penis won’t point as high as before the operation because the ligament which was cut no longer offers support.
“A lot of men who have this treatment don’t truly appreciate this loss of angle,” says Professor Wylie. “It can make sex quite uncomfortable. You’ve got to do a lot more manoeuvring with your partner. The advantage of a 2cm gain in flaccid length is far outweighed by the loss of angle of erection.”
Professor Wylie
The ligaments that stabilise your penis are partially cut.
These ligaments function to lift and stabilise your penis when erect.
After lengthening surgery the penis can be less stable horizontally and vertically.
There can also be scarring and infection.
Risk 4
It can leave scarring.
To access the penis suspensory ligaments an incision has to be made, as shown below.
When all healed the scarring is partially covered by the pubic hair, however some of the scarring will always be visible.
Examples of scarring from penis lengthening surgery are below.
Scarring may not be an issue to you, for example, if you are married or in a long-term relationship and your partner knows about your penis lengthening surgery.
In this case, the scarring is unlikely to cause you any embarrassment.
If you are a young man and expect to have numerous sexual partners during your lifetime, then it would be worth considering whether you will feel comfortable explaining the scars under your pubic hair to current and future sexual partners.
Risk 5
The most common complication is Penile Shortening.
Unfortunately, penile shortening is the most common complication of penis lengthening surgery (ligamentolysis).
“Penile shortening is a major complication of penile lengthening surgery, usually resulting from the freely hanging penis reattaching to the pubic bone located higher on the corporal bodies. The likelihood of this complication can be minimised by the placement of surrounding soft tissues, fat tissues, silicone, polytetrafluoroethylene, Gore-Tex, and other artificial materials.” [Emphasis added].
Nam Cheol Park, Kim, Moon, Penile Augmentation 2016
The risk of ligaments reattaching can be lowered by inserting a silicone buffer to help prevent ligaments from reattaching and the penis shortening.
In a small number of cases, the silicone buffer can become infected and may need to be surgically removed.
Wearing a penis extender for 8 hours per day for 1 year after surgery can also help to prevent retraction and penis shortening after surgery.
It is worth purchasing and wearing a penis extender for an extended time before your surgery, to see how it feels and to make sure that wearing one after surgery will not be too uncomfortable for you, or disrupt your normal routine.
Explanation:
If you don’t wear a penis extender after penis lengthening surgery, the ligaments are likely to reattach to the penis shaft, further down towards the head, making your penis shorter than before surgery.
Surgeons have tried to prevent penile shortening and reattachment by inserting plastic or Gore-tex into the gap between the penile base and the pubis, with varying levels of success.
Before having penis lengthening surgery, first buy a penis extender, to make 100% sure you can wear it for 8-10 hours per day, as part of your normal everyday routine. You’ll need to wear an extender every day after lengthening surgery.
Risk 6
Infection.
Infection is a major risk of penis lengthening surgery.
In some cases the results can be severe.
In the field of medicine, penis enlargement surgery remains controversial.
It has among the highest rates of reported complications, and, among the lowest rates of long-term patient satisfaction when participants are questioned about their outcomes over a long-term horizon. Some of the reasons not to go ahead with penis enlargement surgery are outlined in the following links provided by the NHS and various Urology Journals.
European Urology (2008) Link
“…the use of cosmetic surgery to enlarge the penis remains highly controversial. There is a lack of any standardization of all described procedures. Indications and outcome measures are poorly defined, and the reported complications are unacceptably high. In our opinion, until new, reliable, and more objective and reproducible data are available, these procedures should be regarded as investigational and patients should be discouraged from undergoing these invasive treatments.”
UK NHS Link
There is an inordinate amount of misinformation regarding penis enlargement surgery on the internet and in popular culture. We have sought to address some of the most common misconceptions on the page Penis Enlargement Fact vs Fiction.
Penoplasty surgeons will often neglect to inform patients of some risks and limitations of penis enlargement surgery.
In many instances it is not explained to the patient that penis lengthening by suspensory ligament division is only effective in achieving increased flaccid penis length: in the erect state, no gain in length is s possible.
All prospective patients should read widely on the subject of penis enlargement, particularly the surgical approaches, before committing to a procedure. Our non-surgical procedures may be a better option for those who do not wish to accept the risk of higher than normal levels of reported complications; the invasive aspect of surgery, and the lengthy recovery time.
Information from government sources or industry associations is worth considering, as the information often provides an independent perspective on the pros and cons of penis enlargement surgery. We recommend searching online for cases in which penis enlargement surgery has not been successful, in order to be fully informed of the risks and limitations. The possible downside risks to surgery are real, potentially severe, and occur not infrequently.
Penis enlargement has become safer and more effective in recent years. It is possible to undergo a lower risk enlargement procedure for penis thickening using dermal fillers proven in facial aesthetics, and supported by peer-reviewed research, such as those based on Hyaluronic Acid. This procedure is available at our London Harley Street address.
There is a wealth of information available to those considering undertaking penis enlargement surgery, including in our medical literature section. Our surgeons are experienced in dealing with all aspects of male genital surgery and will clarify any questions you may have.
Methods for additional Flaccid Length
By adding Hyaluronic Acid fillers such as Voluma to the penis, or by having a fat transfer to the penis, the patient can achieve almost the same amount of increased flaccid length as can be achieved by the ligamentolysis (penis lengthening surgery).
Penis lengthening surgery is not suitable for the majority of patients given the risks of this procedure, the limited benefits, and the effective alternatives available.
A penis extender device (below) is also an option to increase flaccid and erect penis length.
Short Answer: Penis Lengthening Surgery won’t make the ERECT penis any longer, it only makes the FLACCID (soft penis) hang out lower from the body.
This point is often misunderstood, and it is not well explained in most cases.
Penis Lengthening Surgery involves cutting through ligaments which work like elastic bands, pulling the penis back up inside the body after losing an erection and going limp.
These ‘elastic bands’ are anchored at one end to the pubic bone and at the other end to the penis shaft. During an erection, the bands are stretched out to their maximum length. After losing the erection the ligaments pull the penis back up inside the body causing it to retract inside and appear smaller.
Cutting through these elastic bands means there is nothing left to pull the penis back up inside the body after losing an erection, therefore, it hangs out at nearly its full erect length, giving the illusion of a longer flaccid penis.
As the penis shaft itself has not been made longer, there is no increase in erect length.
A photograph of the anatomy of the penis ligaments is attached here. Warning the photo may be disturbing to some.
In order for the erect length of the penis to be increased surgically, the penile shaft itself (in pink below) has to be lengthened. This involves dividing the penis in two and grafting new tissue into the middle. It is invasive and expensive, with a cost of approximately £40,000.
Because the penis shaft hasn’t been made any longer (highlighted in yellow above), you will not gain any erect length.
After penis lengthening surgery you must wear a penis extender every day for 1 year to prevent reattachment of the ligaments.
If any minor increase in erect length is observed by the patient during the year following surgery, it is due to the wearing of the penis extender rather than the surgery.
“A penis extender, or liposuction of the pubic fat pad, are the only options that work if the patient is seeking additional erect length.”
Alternative methods to increase your erect penis length are:
Method 1.
Wear a Penis Extender for a very long time, there is some evidence that you will gain length.
Method 2.
Liposuction of the fat below the abdominal region.
(An excellent method if you are overweight)
For men with a large stomach, liposuction to remove fat below the abdomen (area highlighted below in blue) can make the penis protrude further out from the body, making it appear longer.
The stomach can be so large as to partially bury the penis.
Patient’s who are obese may find that a lot of their penis is hidden away under excess fat.
This fat can be removed by the surgeon to bring more of the penis out.
(Blue area highlighted is where fat is removed from).
Method 3
Elongating Circular Corporoplasty
A highly invasive surgical approach that increases both erect and flaccid length.
Price from: £30,000
Penis-lengthening surgery is not popular among mainstream Urologists.
As it has not been shown to be safe or effective the procedure is not available from the NHS.
American Urological Association statement of Penis Lengthening Surgery (division of the suspensory ligament).
The American Urological Association considers the division of the suspensory ligament of the penis [penis lengthening surgery] for increasing penile length in adults to be a procedure which has not been shown to be safe or effective.
Board of Directors, January 1994
Board of Directors, January 1995 (Reaffirmed)
Board of Directors, September 1995 (Revised)
Board of Directors, January 2001 (Reaffirmed)
Board of Directors, February 2006 (Reaffirmed)
Board of Directors, October 2008 (Revised)
Board of Directors, October 2013 (Reaffirmed)
Board of Directors, October 2018 (Reaffirmed)
NHS: “A lot of men who have this treatment don’t truly appreciate this loss of angle,” says Professor Wylie. “It can make sex quite uncomfortable. You’ve got to do a lot more manoeuvring with your partner. The advantage of a 2cm gain in flaccid length is far outweighed by the loss of angle of erection.”
Short Answer: 35% satisfaction rate
Unfortunately, satisfaction rates with penis lengthening surgery are not high. A 7-year study by St Peters Andrology Centre in London (link) found that only 35% of patients were happy with the results after penis lengthening surgery.
We believe this is down to poor technique, and mis-selling of the benefits of penis lengthening surgery (for example by claiming it makes the erect penis longer).
Explanation:
“The [penis lengthening] procedure led to an average increase of 1.3 cm in flaccid penis length.
However, only 35% of men who had the operation were happy with the results.”
Source: NHS referenced study 2006.
“Penis length surgery involves cutting the ligament with which the penis is attached to the pubic bone and grafting added skin to the base to increase length. This will increase the size of the flaccid penis by up to 2cm, but it doesn’t affect the size of the erect penis. The cut ligament may also not provide the support it originally did, which means that you might find your erections less satisfactory as a result. There is also a risk that this type of surgery may cause the side effect of pain during sex.”
Short Answer: Unfortunately penile shortening is the most common complication of penis lengthening surgery (ligamentolysis).
But only if the ligaments reattach. We always use a silicone buffer to help prevent ligaments from reattaching and the penis shortening.
In a small number of cases the silicone buffer can become infected and may need to be surgically removed.
Wearing a penis extender for 8 hours per day for 1 year after surgery also helps to prevent retraction and shortening of the penis.
Make sure you are familiar with wearing a penis extender before your surgery and are convinced that wearing one for this length of time will not disrupt your normal routine.
Explanation:
If you don’t wear a penis extender after penis lengthening surgery, the ligaments are likely to reattach to the penis shaft, further down towards the head, making your penis shorter than before surgery.
Surgeons have tried to prevent penile shortening and reattachment by inserting plastic or Gore-tex into the gap between the penile base and the pubis, with varying levels of success.
Before having penis lengthening surgery, first buy a penis extender, to make 100% sure you can wear it for 8-10 hours per day, as part of your normal everyday routine. You’ll need to wear one after lengthening surgery.
“Penile shortening is a major complication of penile lengthening surgery, usually resulting from the freely hanging penis reattaching to the pubic bone located higher on the corporal bodies. The likelihood of this complication can be minimised by the placement of surrounding soft tissues, fat tissues, silicone, polytetrafluoroethylene, Gore-Tex, and other artificial materials.”
Nam Cheol Park, Kim, Moon, Penile Augmentation 2016.
Short Answer: Yes, a V, Y or Z-shaped scar.
This is what the scarring looks like (UK and EU clinic photos 2011-2018).
UK Penis Lengthening Surgery in 2016. BBC Television
Germany – Penile Lengthening 2016
Germany – Penile Lengthening 2016
Explanation:
If you are in a long-term relationship, and your partner knows about your penis lengthening surgery, then scarring may not cause you any embarrassment.
If you are a young man and expect to have numerous sexual partners during your lifetime, then ask yourself whether you will feel comfortable explaining away the scars under your pubic hair; in the shape of the letters V, Y, Z.
A scar will need to be made to cut the ligaments. It won’t be fully hidden by your pubic hair.
More Information
GIRTH SURGERY
- Day case surgery
- 40-50% gain in girth
- Some increase in flaccid penis length is possible
- Some (but not all) of the fat may survive permanently
- Finance available, subject to credit approval
- From £5,800 inclusive
- Length + Girth Combined £7,500
Penis Fat Transfer
The thickness is increased using the patient’s own body fat
LipiVage creates a closed circuit from the fat donor site (typically the stomach, flanks and lower back) to the fat recipient site (the penis).
The closed-circuit improves the rate of fat survival and improves the sterility of the fat transfer process (reducing the infection rate).
Penis Thickness can be Significantly Increased
With advanced techniques in fat harvesting, transfer and reinjection, we are able to achieve the highest rate of fat survival possible.
40-50% gain in girth is possible.
* Individual results may vary from person to person.
Risks:
Swelling, which can last up to 3 months
Bruising (2 weeks)
Infection (rare, but serious). Antibiotics are prescribed.
Skin fibrosis
Scarring
Skin necrosis requiring surgical removal
Fat necrosis, fat nodule formation
Embolism, death (very rare)
* Individual results will vary from person to person.
Fat transfer is generally safe for penis enlargement, however, the results are inferior to dermal fillers.
Fat Transfer Issues
Lumps of necrotic fat
Uneven, lumpy results after fat reabsorption
Recovery time 6 weeks
Depending on your profession more than 2 weeks may be required off work and patients should not have sex for 6 weeks.
Fat transfer surgery typically takes 1-2 hours in a private hospital and typically does not require an overnight stay.
Size increase typically up to a 1-inch increase in girth *
* As with penis fillers, it is possible to increase the girth of the penis by up to 2 inches, however, this requires multiple fat transfer surgeries.
More fat transfer surgery results in more penis girth.
Permanent Results
Claims are often made that a fat transfer to the penis will provide a permanent result, however, this is misleading. A small amount of the fat transferred to the penis may survive for a long time, however, any permanent size gain is most likely to be in the form of hard nodules of necrotic fat with calcification. In almost all cases a fat transfer will need to be repeated a number of times in order to smooth out irregularities and maintain any increase in size.
Temporary – Usually lasts 3 – 12 months *
Fat is reabsorbed by the body over 3 – 12 months after which ‘top-ups’ are required. A small amount of fat can survive in the penis for a very long time, however, the result is not permanent.
Fat is living tissue and its survival requires it to establish a new blood supply after being removed from the stomach. There is no fat in penile tissue naturally, so the survival rate, when transferred to the penis is low. Any fat that survives is distributed arbitrarily along the shaft with areas of fat survival and areas in which no blood supply has been established (fat necrosis). The result is lumpiness.
* Results will vary from person to person.
Fat is not found naturally in the penis
Fat is made by the body and found in most places, however, the body does put any fat in the penis naturally. The penis needs to be firm when erect rather than surrounded in a layer of fat.
Generally Less Safe (Penis Surgery is Higher Risk)
Fat transfer surgery is higher risk than penis filler injections due to the need to go under general anaesthetic, and a greater risk of complications. See recent death from fat embolism.
From £5,500, with LipiVage or PureGraft and Vibrosat, PRP is extra.
Combined with Penis-Lengthening £7,500 (Length + Girth).
Free removal of Hard Fat Nodules that may form in the first 2 years.
Due to the additional time required by advanced filtration techniques, the initial price is above average for this procedure.
Patients will save significant time and money in the long run, however, with fewer repeat fat transfer procedures required.
* Individual results may vary from person to person.
Significantly better filtration and injection techniques (Lipivage) allow us to achieve the highest rate of fat survival possible.
A higher rate of fat survival means that you might need fewer top-up procedures in future (potentially requiring as little as 5 or 6 fat transfer surgeries over a lifetime).
After the first injection, the patient will notice a significant increase in penis girth as most of the fat cells will still be intact.
The initial size will be enhanced somewhat by swelling, usually mild. The final result will depend on the amount of transferred fat that survives and the overall amount and distribution of fat necrosis (fall cells that do not survive), together with the extent of fibrosis and scarring which is usually minimal.
Fat is usually described as having a fat-like, or slightly softer feel to it, with a marshmallow-like consistency, generally having the same texture as fat in the stomach.
The texture does improve somewhat in the erect state, as the fat is compressed a little between the penile tissue and the skin.
Necrotic fat cells (fat cells which did not survive) can clump together to form had nodules in the penis. This is usually addressed by the injection of steroids (Kenalog 10) at the clinic for a number of months to try to break up the hard lumps.
More Information
PENIS LENGTH SURGERY
Result
- 1-2.4 inches (2 – 6 cm) increase in flaccid penis length.
Note: No erect penis length gain is possible unless opting for Real Penile Lengthening.
- Permanent results (length)
- Finance subject to credit approval
- From £5,800 inclusive of silicone buffer
Penis Lengthening
The first step in Length + Girth Surgery involves division of the Suspensory Ligament.
This allows more of the penis to protrude and hang down from the body.
The penis becomes longer when flaccid and will not shrink as far on a cold day.
A Silicone Buffer ensures that the Suspensory Ligaments do not reattach.
Risk 1
The long term satisfaction rate is low (33% satisfied patients).
“The [penis lengthening] procedure led to an average increase of 1.3 cm in flaccid penis length.
However, only 35% of men who had the operation were happy with the results.” [Emphasis added].
Referenced Study: European Urology
Result:
“Penis length surgery involves cutting the ligament with which the penis is attached to the pubic bone and grafting added skin to the base to increase length. This will increase the size of the flaccid penis by up to 2cm, but it doesn’t affect the size of the erect penis. The cut ligament may also not provide the support it originally did, which means that you might find your erections less satisfactory as a result. There is also a risk that this type of surgery may cause the side effect of pain during sex.” [Emphasis added].
Risk 2
Penis Lengthening Surgery is considered by some important medical bodies not to have been shown to be safe or effective.
“The American Urological Association considers the division of the suspensory ligament of the penis for increasing penile length in adults to be a procedure which has not been shown to be safe or efficacious [effective].” (emphasis added).
Board of Directors, January 1994
Board of Directors, January 1995 (Reaffirmed)
Board of Directors, September 1995 (Revised)
Board of Directors, January 2001 (Reaffirmed)
Board of Directors, February 2006 (Reaffirmed)
Board of Directors, October 2008 (Revised)
Board of Directors, October 2013 (Reaffirmed)
Board of Directors, October 2018 (Reaffirmed)
Risk 3
It can make Sex uncomfortable.
NHS – Penis Length Surgery
The most common technique involves cutting the ligament that attaches the penis to the pubic bone and performing a skin graft at the base of the penis to allow for the extra length. Professor Wylie says the surgery can result in an average gain in length to the flaccid penis of 2cm, but there will be no change to the size of the erect penis.
Furthermore, the erect penis won’t point as high as before the operation because the ligament which was cut no longer offers support.
“A lot of men who have this treatment don’t truly appreciate this loss of angle,” says Professor Wylie. “It can make sex quite uncomfortable. You’ve got to do a lot more manoeuvring with your partner. The advantage of a 2cm gain in flaccid length is far outweighed by the loss of angle of erection.”
Professor Wylie
The ligaments that stabilise your penis are partially cut.
These ligaments function to lift and stabilise your penis when erect.
After lengthening surgery the penis can be less stable horizontally and vertically.
There can also be scarring and infection.
Risk 4
It can leave scarring.
To access the penis suspensory ligaments an incision has to be made, as shown below.
When all healed the scarring is partially covered by the pubic hair, however some of the scarring will always be visible.
Examples of scarring from penis lengthening surgery are below.
Scarring may not be an issue to you, for example, if you are married or in a long-term relationship and your partner knows about your penis lengthening surgery.
In this case, the scarring is unlikely to cause you any embarrassment.
If you are a young man and expect to have numerous sexual partners during your lifetime, then it would be worth considering whether you will feel comfortable explaining the scars under your pubic hair to current and future sexual partners.
Risk 5
The most common complication is Penile Shortening.
Unfortunately, penile shortening is the most common complication of penis lengthening surgery (ligamentolysis).
“Penile shortening is a major complication of penile lengthening surgery, usually resulting from the freely hanging penis reattaching to the pubic bone located higher on the corporal bodies. The likelihood of this complication can be minimised by the placement of surrounding soft tissues, fat tissues, silicone, polytetrafluoroethylene, Gore-Tex, and other artificial materials.” [Emphasis added].
Nam Cheol Park, Kim, Moon, Penile Augmentation 2016
The risk of ligaments reattaching can be lowered by inserting a silicone buffer to help prevent ligaments from reattaching and the penis shortening.
In a small number of cases, the silicone buffer can become infected and may need to be surgically removed.
Wearing a penis extender for 8 hours per day for 1 year after surgery can also help to prevent retraction and penis shortening after surgery.
It is worth purchasing and wearing a penis extender for an extended time before your surgery, to see how it feels and to make sure that wearing one after surgery will not be too uncomfortable for you, or disrupt your normal routine.
Explanation:
If you don’t wear a penis extender after penis lengthening surgery, the ligaments are likely to reattach to the penis shaft, further down towards the head, making your penis shorter than before surgery.
Surgeons have tried to prevent penile shortening and reattachment by inserting plastic or Gore-tex into the gap between the penile base and the pubis, with varying levels of success.
Before having penis lengthening surgery, first buy a penis extender, to make 100% sure you can wear it for 8-10 hours per day, as part of your normal everyday routine. You’ll need to wear an extender every day after lengthening surgery.
Risk 6
Infection.
Infection is a major risk of penis lengthening surgery.
In some cases the results can be severe.
In the field of medicine, penis enlargement surgery remains controversial.
It has among the highest rates of reported complications, and, among the lowest rates of long-term patient satisfaction when participants are questioned about their outcomes over a long-term horizon. Some of the reasons not to go ahead with penis enlargement surgery are outlined in the following links provided by the NHS and various Urology Journals.
European Urology (2008) Link
“…the use of cosmetic surgery to enlarge the penis remains highly controversial. There is a lack of any standardization of all described procedures. Indications and outcome measures are poorly defined, and the reported complications are unacceptably high. In our opinion, until new, reliable, and more objective and reproducible data are available, these procedures should be regarded as investigational and patients should be discouraged from undergoing these invasive treatments.”
UK NHS Link
There is an inordinate amount of misinformation regarding penis enlargement surgery on the internet and in popular culture. We have sought to address some of the most common misconceptions on the page Penis Enlargement Fact vs Fiction.
Penoplasty surgeons will often neglect to inform patients of some risks and limitations of penis enlargement surgery.
In many instances it is not explained to the patient that penis lengthening by suspensory ligament division is only effective in achieving increased flaccid penis length: in the erect state, no gain in length is s possible.
All prospective patients should read widely on the subject of penis enlargement, particularly the surgical approaches, before committing to a procedure. Our non-surgical procedures may be a better option for those who do not wish to accept the risk of higher than normal levels of reported complications; the invasive aspect of surgery, and the lengthy recovery time.
Information from government sources or industry associations is worth considering, as the information often provides an independent perspective on the pros and cons of penis enlargement surgery. We recommend searching online for cases in which penis enlargement surgery has not been successful, in order to be fully informed of the risks and limitations. The possible downside risks to surgery are real, potentially severe, and occur not infrequently.
Penis enlargement has become safer and more effective in recent years. It is possible to undergo a lower risk enlargement procedure for penis thickening using dermal fillers proven in facial aesthetics, and supported by peer-reviewed research, such as those based on Hyaluronic Acid. This procedure is available at our London Harley Street address.
There is a wealth of information available to those considering undertaking penis enlargement surgery, including in our medical literature section. Our surgeons are experienced in dealing with all aspects of male genital surgery and will clarify any questions you may have.
Methods for additional Flaccid Length
By adding Hyaluronic Acid fillers such as Voluma to the penis, or by having a fat transfer to the penis, the patient can achieve almost the same amount of increased flaccid length as can be achieved by the ligamentolysis (penis lengthening surgery).
Penis lengthening surgery is not suitable for the majority of patients given the risks of this procedure, the limited benefits, and the effective alternatives available.
A penis extender device (below) is also an option to increase flaccid and erect penis length.
Short Answer: Penis Lengthening Surgery won’t make the ERECT penis any longer, it only makes the FLACCID (soft penis) hang out lower from the body.
This point is often misunderstood, and it is not well explained in most cases.
Penis Lengthening Surgery involves cutting through ligaments which work like elastic bands, pulling the penis back up inside the body after losing an erection and going limp.
These ‘elastic bands’ are anchored at one end to the pubic bone and at the other end to the penis shaft. During an erection, the bands are stretched out to their maximum length. After losing the erection the ligaments pull the penis back up inside the body causing it to retract inside and appear smaller.
Cutting through these elastic bands means there is nothing left to pull the penis back up inside the body after losing an erection, therefore, it hangs out at nearly its full erect length, giving the illusion of a longer flaccid penis.
As the penis shaft itself has not been made longer, there is no increase in erect length.
A photograph of the anatomy of the penis ligaments is attached here. Warning the photo may be disturbing to some.
In order for the erect length of the penis to be increased surgically, the penile shaft itself (in pink below) has to be lengthened. This involves dividing the penis in two and grafting new tissue into the middle. It is invasive and expensive, with a cost of approximately £40,000.
Because the penis shaft hasn’t been made any longer (highlighted in yellow above), you will not gain any erect length.
After penis lengthening surgery you must wear a penis extender every day for 1 year to prevent reattachment of the ligaments.
If any minor increase in erect length is observed by the patient during the year following surgery, it is due to the wearing of the penis extender rather than the surgery.
“A penis extender, or liposuction of the pubic fat pad, are the only options that work if the patient is seeking additional erect length.”
Alternative methods to increase your erect penis length are:
Method 1.
Wear a Penis Extender for a very long time, there is some evidence that you will gain length.
Method 2.
Liposuction of the fat below the abdominal region.
(An excellent method if you are overweight)
For men with a large stomach, liposuction to remove fat below the abdomen (area highlighted below in blue) can make the penis protrude further out from the body, making it appear longer.
The stomach can be so large as to partially bury the penis.
Patient’s who are obese may find that a lot of their penis is hidden away under excess fat.
This fat can be removed by the surgeon to bring more of the penis out.
(Blue area highlighted is where fat is removed from).
Method 3
Elongating Circular Corporoplasty
A highly invasive surgical approach that increases both erect and flaccid length.
Price from: £30,000
Penis-lengthening surgery is not popular among mainstream Urologists.
As it has not been shown to be safe or effective the procedure is not available from the NHS.
American Urological Association statement of Penis Lengthening Surgery (division of the suspensory ligament).
The American Urological Association considers the division of the suspensory ligament of the penis [penis lengthening surgery] for increasing penile length in adults to be a procedure which has not been shown to be safe or effective.
Board of Directors, January 1994
Board of Directors, January 1995 (Reaffirmed)
Board of Directors, September 1995 (Revised)
Board of Directors, January 2001 (Reaffirmed)
Board of Directors, February 2006 (Reaffirmed)
Board of Directors, October 2008 (Revised)
Board of Directors, October 2013 (Reaffirmed)
Board of Directors, October 2018 (Reaffirmed)
NHS: “A lot of men who have this treatment don’t truly appreciate this loss of angle,” says Professor Wylie. “It can make sex quite uncomfortable. You’ve got to do a lot more manoeuvring with your partner. The advantage of a 2cm gain in flaccid length is far outweighed by the loss of angle of erection.”
Short Answer: 35% satisfaction rate
Unfortunately, satisfaction rates with penis lengthening surgery are not high. A 7-year study by St Peters Andrology Centre in London (link) found that only 35% of patients were happy with the results after penis lengthening surgery.
We believe this is down to poor technique, and mis-selling of the benefits of penis lengthening surgery (for example by claiming it makes the erect penis longer).
Explanation:
“The [penis lengthening] procedure led to an average increase of 1.3 cm in flaccid penis length.
However, only 35% of men who had the operation were happy with the results.”
Source: NHS referenced study 2006.
“Penis length surgery involves cutting the ligament with which the penis is attached to the pubic bone and grafting added skin to the base to increase length. This will increase the size of the flaccid penis by up to 2cm, but it doesn’t affect the size of the erect penis. The cut ligament may also not provide the support it originally did, which means that you might find your erections less satisfactory as a result. There is also a risk that this type of surgery may cause the side effect of pain during sex.”
Short Answer: Unfortunately penile shortening is the most common complication of penis lengthening surgery (ligamentolysis).
But only if the ligaments reattach. We always use a silicone buffer to help prevent ligaments from reattaching and the penis shortening.
In a small number of cases the silicone buffer can become infected and may need to be surgically removed.
Wearing a penis extender for 8 hours per day for 1 year after surgery also helps to prevent retraction and shortening of the penis.
Make sure you are familiar with wearing a penis extender before your surgery and are convinced that wearing one for this length of time will not disrupt your normal routine.
Explanation:
If you don’t wear a penis extender after penis lengthening surgery, the ligaments are likely to reattach to the penis shaft, further down towards the head, making your penis shorter than before surgery.
Surgeons have tried to prevent penile shortening and reattachment by inserting plastic or Gore-tex into the gap between the penile base and the pubis, with varying levels of success.
Before having penis lengthening surgery, first buy a penis extender, to make 100% sure you can wear it for 8-10 hours per day, as part of your normal everyday routine. You’ll need to wear one after lengthening surgery.
“Penile shortening is a major complication of penile lengthening surgery, usually resulting from the freely hanging penis reattaching to the pubic bone located higher on the corporal bodies. The likelihood of this complication can be minimised by the placement of surrounding soft tissues, fat tissues, silicone, polytetrafluoroethylene, Gore-Tex, and other artificial materials.”
Nam Cheol Park, Kim, Moon, Penile Augmentation 2016.
Short Answer: Yes, a V, Y or Z-shaped scar.
This is what the scarring looks like (UK and EU clinic photos 2011-2018).
UK Penis Lengthening Surgery in 2016. BBC Television
Germany – Penile Lengthening 2016
Germany – Penile Lengthening 2016
Explanation:
If you are in a long-term relationship, and your partner knows about your penis lengthening surgery, then scarring may not cause you any embarrassment.
If you are a young man and expect to have numerous sexual partners during your lifetime, then ask yourself whether you will feel comfortable explaining away the scars under your pubic hair; in the shape of the letters V, Y, Z.
A scar will need to be made to cut the ligaments. It won’t be fully hidden by your pubic hair.
More Information
PENIS GIRTH SURGERY
- Day case surgery
- 40-50% gain in girth
- Some increase in flaccid penis length is possible
- Some (but not all) of the fat may survive permanently
- Finance available, subject to credit approval
- From £5,800 inclusive
- Length + Girth Combined £7,500
Penis Fat Transfer
The thickness is increased using the patient’s own body fat
LipiVage creates a closed circuit from the fat donor site (typically the stomach, flanks and lower back) to the fat recipient site (the penis).
The closed-circuit improves the rate of fat survival and improves the sterility of the fat transfer process (reducing the infection rate).
Penis Thickness can be Significantly Increased
With advanced techniques in fat harvesting, transfer and reinjection, we are able to achieve the highest rate of fat survival possible.
40-50% gain in girth is possible.
* Individual results may vary from person to person.
Risks:
Swelling, which can last up to 3 months
Bruising (2 weeks)
Infection (rare, but serious). Antibiotics are prescribed.
Skin fibrosis
Scarring
Skin necrosis requiring surgical removal
Fat necrosis, fat nodule formation
Embolism, death (very rare)
* Individual results will vary from person to person.
Fat transfer is generally safe for penis enlargement, however, the results are inferior to dermal fillers.
Fat Transfer Issues
Lumps of necrotic fat
Uneven, lumpy results after fat reabsorption
Recovery time 6 weeks
Depending on your profession more than 2 weeks may be required off work and patients should not have sex for 6 weeks.
Fat transfer surgery typically takes 1-2 hours in a private hospital and typically does not require an overnight stay.
Size increase typically up to a 1-inch increase in girth *
* As with penis fillers, it is possible to increase the girth of the penis by up to 2 inches, however, this requires multiple fat transfer surgeries.
More fat transfer surgery results in more penis girth.
Permanent Results
Claims are often made that a fat transfer to the penis will provide a permanent result, however, this is misleading. A small amount of the fat transferred to the penis may survive for a long time, however, any permanent size gain is most likely to be in the form of hard nodules of necrotic fat with calcification. In almost all cases a fat transfer will need to be repeated a number of times in order to smooth out irregularities and maintain any increase in size.
Temporary – Usually lasts 3 – 12 months *
Fat is reabsorbed by the body over 3 – 12 months after which ‘top-ups’ are required. A small amount of fat can survive in the penis for a very long time, however, the result is not permanent.
Fat is living tissue and its survival requires it to establish a new blood supply after being removed from the stomach. There is no fat in penile tissue naturally, so the survival rate, when transferred to the penis is low. Any fat that survives is distributed arbitrarily along the shaft with areas of fat survival and areas in which no blood supply has been established (fat necrosis). The result is lumpiness.
* Results will vary from person to person.
Fat is not found naturally in the penis
Fat is made by the body and found in most places, however, the body does put any fat in the penis naturally. The penis needs to be firm when erect rather than surrounded in a layer of fat.
Generally Less Safe (Penis Surgery is Higher Risk)
Fat transfer surgery is higher risk than penis filler injections due to the need to go under general anaesthetic, and a greater risk of complications. See recent death from fat embolism.
From £5,500, with LipiVage or PureGraft and Vibrosat, PRP is extra.
Combined with Penis-Lengthening £7,500 (Length + Girth).
Free removal of Hard Fat Nodules that may form in the first 2 years.
Due to the additional time required by advanced filtration techniques, the initial price is above average for this procedure.
Patients will save significant time and money in the long run, however, with fewer repeat fat transfer procedures required.
* Individual results may vary from person to person.
Significantly better filtration and injection techniques (Lipivage) allow us to achieve the highest rate of fat survival possible.
A higher rate of fat survival means that you might need fewer top-up procedures in future (potentially requiring as little as 5 or 6 fat transfer surgeries over a lifetime).
After the first injection, the patient will notice a significant increase in penis girth as most of the fat cells will still be intact.
The initial size will be enhanced somewhat by swelling, usually mild. The final result will depend on the amount of transferred fat that survives and the overall amount and distribution of fat necrosis (fall cells that do not survive), together with the extent of fibrosis and scarring which is usually minimal.
Fat is usually described as having a fat-like, or slightly softer feel to it, with a marshmallow-like consistency, generally having the same texture as fat in the stomach.
The texture does improve somewhat in the erect state, as the fat is compressed a little between the penile tissue and the skin.
Necrotic fat cells (fat cells which did not survive) can clump together to form had nodules in the penis. This is usually addressed by the injection of steroids (Kenalog 10) at the clinic for a number of months to try to break up the hard lumps.
Alternative to Surgery
ANDROFILL INJECTIONS
Non-surgical Hyaluronic Acid Injections
(The most popular enlargement procedure in the UK 2017 to 2022)
- Androfill Voluma Penis Injections
- 10-20% gain in girth is typical
- Usually requires around 1/2 of the original amount again in 12-18 months (at about 1/2 the price)
- Safest option (reversible when using Hyaluronic acid)
- Finance Available, subject to credit approval
- From £1,750 all-inclusive for a high-quality filler.
FAQs
Androfill Injections
Estimate Only
There is variation from patient to patient, so we have provided conservative estimates.
Many patients will achieve more girth than this (and a few potentially less).
Based on measurements of approximately 450 patients.
The amount of girth gained depends on the length of the penis and the amount of filler injected.
A shorter penis will require less filler, and therefore less cost. Conversely, a longer penis will require more filler.
Individual results will vary from patient to patient and results cannot be precisely predicted.
A substantial gain in penis size and will require some adjustment before any additional increase is contemplated.
The increase in girth can certainly be noticeable during sex, for both you and your partner, and we strongly recommend testing your new girth with any long-term partner, before opting for any additional size gains.
Further injections can be provided at a follow-up appointment as soon as two weeks later if additional girth is desired, and patients have flexibility in determining the amount of girth gained, within medically acceptable limits.
The safest and most effective approach is to add girth cumulatively, in manageable steps and with repeat visits, rather than an ‘all in one go’ approach.
As the recovery time is quite short, it is not a major inconvenience to have a small amount of additional filler on a subsequent visit should that be desired.
* Individual results will vary from person to person.
See our Before and After section for typical results.
This is the safest medical approach available to thicken the penis and considerably safer than surgery.
Complications are rare and usually minor, including temporary swelling and mild bruising.
For more details on risks and possible complications, see here
Infection is a rare possibility. The risk is reduced with a course of antibiotics.
Worldwide, the number of facial aesthetic procedures performed using Hyaluronic acid-based fillers exceeds 5 million each year.
Complications are exceedingly rare when HA filler is injected by an experienced doctor.
The number of procedures performed using HA to enlarge the penis is lower at approximately 15,000 per year worldwide, of which approximately 10% are carried out at an Androfill Clinic.
You could, for example, come in during your lunch hour and have a 30-minute consultation with the doctor.
Then, if you wanted to go ahead, the doctor would give you some numbing cream to apply to the penis.
Then wait 30 minutes; for the penis to go numb.
You then lay back, and the doctor injects the filler into the penis.
The injection points from the needle close over in a matter of seconds, or a few minutes at most.
You could go straight back to work if you take it easy, for example, if you work in an office.
However no manual labour or heavy lifting for one week.
– You’re unlikely to experience pain during the procedure, or the recovery.
A video of the complete procedure is shown below.
Yes.
You are able to drive home following the procedure.
No stitches are required. Tiny holes are made by the needle in order to inject the filler solution.
You must not have sexual intercourse for 14 days following the procedure, until the filler ‘sets’.
During the first 14 days after the procedure, the filler remains malleable and can shift should the patient engage in sexual intercourse.
Waiting 14 days also ensures that all injection points are completely healed over, in order to reduce any chance of infection.
Yes.
Your penis will be instantly thicker following the treatment, due to the filler added to the penis.
You can book in for the treatment on the same day as your consultation with the plastic surgeon and have both the consultation and the treatment completed within the hour.
Depending on the rate of reabsorption, a repeat will be required within 12-18 months.
Less filler is usually required for top-ups due to some residual filler remaining.
The growth of new tissue is stimulated by the procedure including, through the process of neocollagenesis. However, we do not guarantee a specific level of new tissue gain.
It is important to know that while very rare, it is possible for the Hyaluronic acid filler to be reabsorbed in only a matter of months. This is not the expected outcome, but it is possible.
For erect length, no.
For flaccid length, yes, the weight of the filler can cause it to hang lower in the flaccid state.
* Individual results may vary from person to person.
However, as is also the case for penis lengthening surgery, there is no increased length in the erect state.
For the majority of men, it is extra length when hard that matters, not more length when soft.
The good news for heterosexual couples is that there is evidence that the majority of women prefer penis girth over penis length. Penis girth is what is provided by this procedure.
In a University of Texas Study, 90% of partners preferred a wider penis while only 10% preferred a longer penis, a link to the study is here.
A study by UCLA’s Sexual Psychophysiology and Affective Neuroscience (SPAN) Laboratory found that women prefer a larger penis girth for casual sex.
Results of this study, as reported by LiveScience, have not yet been published in a peer-reviewed journal.
Hyaluronic acid is a natural ingredient in the skin responsible for retaining moisture and supporting the skin structure.
Find more information click here
Men choose to have girth enhancement purely to increase self-confidence or as an ego boost, and may not have a small penis at all.
The majority of our patients have an average penis size.
For those in long-term relationships, consideration should be given to the penis size preference of one’s partner.
Incompatibility in sizes can be the cause of significant dissatisfaction in sexual relationships.
It may be inadvisable to proceed with a girth increase (if your partner prefers a smaller or thinner penis, for example).
Average Penis Length
Average Penis Girth
Hyaluronic acid ‘HA’ is not toxic. HA is naturally produced by the body.
HA has been used in facial fillers for a number of years, and in osteoarthritis, where it is an important part of the synovial fluid that cushions the joints.
Hyaluronic acid is sold as an oral supplement for some conditions.
Find more information on HA, see here
Yes. As explained in the section What is Hyaluronic Acid, an enzyme Hyaluronidase can be used to dissolve the filler into water, after which it passes safely out of the body. This can be done at any time.
This is the reason why Hyaluronic acid penis enlargement is a safer approach to penis enlargement than other methods.
Put simply, in the unlikely event you wish to return to your normal penis size, you can do so, by either waiting for the filler to naturally dissolve itself or by injecting an enzyme to dissolve it away.
The procedure takes less than 30 minutes on an outpatient basis. However, 2 hours should be set aside in order to have a consultation with the surgeon and ask any additional questions you have. Topical anaesthetic (numbing cream) also has to be given time to work.
You can leave the clinic and walk or drive home straight away.
For a complete list of frequently asked questions, see our Penis Fillers section.
Significant quantities of counterfeit Voluma, Volux and Ultra fillers are currently being used in the United Kingdom.
These products are purchased at 10% of the price of genuine filler and then sold for as little as £120 per ml.
The filler is manufactured in China in conditions that are not sterile and transported in inadequate conditions.
Read about Androfill’s attempts over the years to stamp out the use of fake filler in the UK here
Penis Enlargement Surgery Claims
Gain 2.5 Inches in Length!
6cm Extra Girth With FAT
Permanent Results!
Transform Your Sex Life
Improve Your Confidence
We’re Here to Help!
The Downsides
Length Surgery
There is a loss of penis angle when erect (the penis will point lower, towards the floor) and some loss of erection stability.
The most common result from penis lengthening surgery is a 1 to 2cm gain in flaccid penis length with zero increase in erect length.
Flaccid penis length can be achieved without length surgery by injecting filler (or fat) into the penis to add weight to the penis and scaffold the shaft preventing it from retracting as far after an erection.
Girth Surgery (Fat Transfer)
Yes, the penis will be thicker by injecting fat; however, it will be softer.
Fat is quite different to the tissue that exists in the penis naturally. Fat is more ideally transferred to the buttocks, breasts and areas of the body where fat naturally exists and the soft feeling of fat is suitable. Indeed, the penis contains no fat naturally as the penis is designed to be hard for sexual intercourse.
Permanent Results
Most of the fat transferred to the penis will reabsorb within 9-12 months.
Patients must then purchase additional fat ‘top up’ surgery, often returning every 1 to 2 years for more fat.
Why is fat transfer marketed as a permanent procedure?
As a small amount of fat will survive for a long time, perhaps permanently, many doctors feel that this technically means the procedure can be sold to patients as permanent.
Hard lumps of necrotic fat (dead fat which did not survive) and hard nodules may remain permanently.
Does Androfill provide Length and Girth Surgery?
Yes.
The price for length surgery is £5,800, as is girth surgery. Length and Girth combined is £7,500.
Dr Horn Performing Surgery
Patient Perspectives on Surgery
Penis Enlargement Surgery
Typical Advertising
Gain 2.5 Inches in Length!
The Downsides
Length Surgery
There is a loss of penis angle when erect (the penis will point lower, towards the floor) and some loss of erection stability.
The most common result from penis lengthening surgery is a 1 to 2cm gain in flaccid penis length with zero increase in erect length.
Flaccid penis length can be achieved without length surgery by injecting filler (or fat) into the penis to add weight to the penis and scaffold the shaft preventing it from retracting as far after an erection.
Gain 6cm Extra Girth With Your Own FAT
Girth Surgery (Fat Transfer)
Yes, the penis will be thicker by injecting fat; however, it will be softer.
Fat is quite different to the tissue that exists in the penis naturally. Fat is more ideally transferred to the buttocks, breasts and areas of the body where fat naturally exists and the soft feeling of fat is suitable. Indeed, the penis contains no fat naturally as the penis is designed to be hard for sexual intercourse.
Permanent Results!
Permanent Results
Most of the fat transferred to the penis will reabsorb within 9-12 months.
Patients must then purchase additional fat ‘top up’ surgery, often returning every 1 to 2 years for more fat.
Why is fat transfer marketed as a permanent procedure?
As a small amount of fat will survive for a long time, perhaps permanently, many doctors feel that this technically means the procedure can be sold to patients as permanent.
Hard lumps of necrotic fat (dead fat which did not survive) and hard nodules may remain permanently.
Dr Horn Performing Surgery
Patient Perspectives on Surgery
Transform Your Sex Life
Improve Your Confidence
We’re Here to Help!
About the author
Clinic Director Dr Gary Horn
Dr Gary Horn is the Lead Surgeon and Director of the Androfill Clinic and is responsible for all website content.
Dr Horn is responsible for the outcome of all medical procedures.
Dr Horn is a registered Plastic Surgeon in the UK (GMC 4267803) and Belgium.
Dr Gary Horn is a highly acclaimed Consultant Plastic and Reconstructive Surgeon and Uro-Andrologist with over 25 years of experience.
Dr Horn has published widely in international journals and is regularly invited to give lectures and to perform live surgery and non-surgical procedures.
Dr Horn has been filmed by the BBC for the Plastic Fantastic series.
In 2016 Dr Horn was filmed performing penis enlargement surgery for a BBC documentary The Penis Extension Clinic
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