PENIS ENLARGEMENT SURGERY
The UK’s most advanced Penis Enlargement Surgery
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The long term satisfaction rate is low (33% satisfied patients).
“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].
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.
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:
Penis lengthening surgery is not popular among mainstream doctors and Urologists.
As it has not been shown to be safe or effective, and as it is cosmetic surgery, it 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).
“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.
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
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.
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The procedure takes less than 30 minutes on an out-patient 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.
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.
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
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).
You can have a permanent result; but, the risks are higher.
It is possible to travel to Tijuana, Mexico or Brazil to have PMMA or silicone injected, where there is no regulation against its use.
However, PMMA is a processed polymer similar to plastic and does not belong in the body.
It is near impossible to surgically remove PMMA beads from the penis if there is a bad reaction.
The cost of doing so is high financially, as well as causing damage to tissue into which the PPMA has integrated.
Hyaluronic acid, by comparison, can be dissolved away by injecting Hyaluronidase enzyme solution.
It might sound like a good idea to make the penis “fatter” by using fat.
However, the penis is not made of fat, to begin with, and fat has a soft fatty texture which is not ideal in the penis.
Penile surgery is a higher risk and largely obsolete approach to penis enlargement.
A surgical approach is taking unnecessary risks, with your penis.
For penis thickness, surgery is no longer necessary.
The solution used in the penis is smooth and firm and will integrate with the surrounding tissue naturally, taking on its warmth and feel to the touch.
Hyaluronic acid is a natural ingredient in the skin responsible for retaining moisture and supporting the skin structure. Find more information here
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.
You fit squarely within the normal range of men.
If you want a bigger penis you are in the majority – most men would enjoy a larger penis.
Opting to increase penis girth is more normal (some might argue) than:
- Investing significant time in the gym body-building (steroids and supplements)
- Spending excessively on luxuries for the ego, such as the cliché of a sports car
- Just going through life unsatisfied with an important aspect of your body and identity when there is a relatively easy solution.
In 2016 Dr Oates of Perth, Australia set up the Calibre Clinic, his website is linked here – Dr Oates
We suggest having the procedure in the UK for reasons of safety and after-care.
Enlarging the girth of the penis through the injection of Hyaluronic acid fillers is steadily replacing surgery due to the relative safety of the procedure versus surgery.
In countries where girth enhancement is more commonplace, such as in South Korea, an injectable filler is now used in over 80% of penile girth enhancement procedures and the percentage is steadily increasing.
Injectable filler enlargement of the penis is now the most popular penis girth procedure in the UK.
It is best not to try to economise with penis enlargement.
You need to see a surgeon who is experienced in penoplasty for this procedure.
We offer an initial 8-10 syringes of filler, after which additional filler can be added, if desired, after 2 weeks.
This is the safest approach.
It is possible to have more filler, but this must be done cumulatively for the best result, and the highest level of safety.
Ultimately, the girth limit will be determined by the doctor.
Depending on the rate of reabsorption, a repeat will be required within 12-18 months.
If you require 4 syringes of filler, for example, this would cost £1,060 (4 x £265 per ml) at the lower top-up price per ml.
The volume of additional filler required will be lower than in the initial procedure, due to 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.
Foreign clinics using Hyaluronic acid for penis girth have reported that up to 50% of the volume of filler injected, will become permanent penis girth gain.
It is important to know, that while very rare, it is possible for the filler to be reabsorbed in only a matter of months. This is not the expected outcome, but it is possible.
The filler will slowly reabsorb, usually over 12-18 months (Voluma option).
Eventually, all of the filler will be dissolved. You may need approximately 1/2 the original amount of filler again in a repeat treatment in 12 months if you wish to maintain your extra penis girth.
*Results may vary from person to person.
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.
The penis will function normally in terms of erection and urination. The angle of the erection may be lower due to the increased weight of the penis, and the penis may hang slightly lower when soft (less retraction). The penis will have more girth or thickness when soft and when hard.
The angle of the erection may be lower due to the increased weight of the penis, and the penis may hang slightly lower when soft (less retraction). The penis will have more girth or thickness when soft and when hard.
The penis will have more girth or thickness when soft and when hard.
You should not have sexual intercourse for seven days following the procedure.
This ensures that all injection points are completely healed over, in order to reduce any chance of infection.
During the first 3-5 days, the filler is also semi-malleable and will be susceptible to movement should the patient engage in sexual intercourse.
No stitches are required. Tiny holes are made by the needle in order to inject the filler solution.
You are able to drive home following the procedure.
This is a non-invasive approach to increasing the girth of the penis, using established techniques from aesthetic medicine.
The procedure itself is completed in less than 30 minutes, with the application of topical anaesthetic cream only.
You will be awake during the procedure which involves the doctor injecting the Hyaluronic acid filler under the skin of the penis around the penis shaft.
Patients are able to leave the clinic directly after the procedure and are free to walk or drive home.
The procedure requires no stitches and leaves only tiny injection points from the filler syringe, which close on their own in a matter of seconds.
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 space between the loose skin onthe penis and the penis shaft.
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. It is possible to complete the procedure with only one incision through the use of a cannula if preferred.
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 (HA) 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 1-2,000 per year in the UK.
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.
About the author
Clinic Director Dr Gary Horn
Dr Gary Horn is the owner and director of the Androfill Clinic and is responsible for all website content.
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