Surgery
PENIS ENLARGEMENT SURGERY UK
The UK’s most Advanced Penis Enlargement Surgery
ANDROFILL PLASTIC SURGEON DR GARY HORN
The procedures & prices
Penis Lengthening Surgery
Main features
Procedure price
(Includes silicone buffer to prevent ligament reattachment)
Add on procedures
Penis Girth / Thickening Surgery
Main features
Procedure price
(Includes silicone buffer to prevent ligament reattachment)
Add on procedures
Androfill London Reception
0
Penis Enlargement Procedures Performed since 2012
Unmatched experience and results with the most Penis Enlargement procedures carried out in the UK.
Penis Enlargement Surgery
What is Really Possible?
Gain Penis Length
Most commonly, patients will achieve a 0.5-inch to 1.0-inch increase in flaccid penis length.
Gain 1.0 inch Extra Girth With FAT
Most commonly, patients initially gain 1.0 inches in girth. However, they may lose substantial fat and size over the following 12 months.
Permanent Results?
The Reality
A large amount of fat can be lost over the 12 months following the fat transfer to the penis.
Transform Your Sex Life
(It probably won’t)
Improve Your Confidence
(It probably won’t)
We’re Here to Help!
(It probably won’t)
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 2 to 3-cm 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 and is more suited to the buttocks, breasts and areas of the body where fat naturally exists. Your penis does not naturally contain any fat, as fat is a soft substance and 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 that 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 from £7,000.
Dr Horn Performing Surgery
Patient Perspectives on Surgery
Medical Studies Penis Enlargement
Clinical studies were used to support the content on this page.
Penis Length Surgery
Penis Girth Surgery
Penis Fillers
Studies have been undertaken since 2002 to determine the suitability of injectable Hyaluronic acid gel for penile girth enhancement. Concerning the use of Hyaluronic acid in the face, studies go back to the 1980s and show the substance to be safe and effective.
Hyaluronic acid-based filler was an effective technique to enhance penis size with no serious adverse reactions in all participants.
‘Psychological Outcomes of Penile Augmentation ‘
‘The Effects of Penile Girth Enhancement using Injectable Hyaluronic Acid Gel, a Filler’ – The Journal of Sexual Medicine (2011)
‘Comparison of Clinical Outcomes between Hyaluronic and Polylactic Acid Filler Injections for Penile Augmentation in Men Reporting a Small Penis: A Multicenter, Patient-Blinded/Evaluator-Blinded, Non-Inferiority, Randomized Comparative Trial with 18 Months of Follow-up’ – Journal of Clinical Medicine
Abstract:
At 18 months, the mean penile girths had significantly increased in both groups (each p < 0.001). Satisfaction levels at 18 months were significantly higher than those at baseline in both groups (each p < 0.01). Changes in satisfaction levels did not differ significantly during the study period. Injection-associated adverse events (AEs) occurred in three (9.1%) patients in the HA group and in two (5.9%) patients in the PLA group; no serious AEs occurred. In conclusion, HA and PLA filler injections for PA led to significant augmentation and increased satisfaction. Clinical efficacy and safety were comparable between groups.
‘Use of Macrolane VRF 30 [Hyaluronic Acid] in emicircumferential penis enlargement’ – Aesthetic Surgery Journal / The American Society for Aesthetic Plastic Surgery 33.2 (Feb 2013): 258-64
‘Nonsurgical Medical Penile Girth Augmentation: A Retrospective Study of Psychological and Psychosexual Outcomes’ – Aesthetic Surgery Journal 2018, 1–11
‘Nonsurgical Medical Penile Girth Augmentation: Experience-Based Recommendations’ – Aesthetic Surgery Journal 2017, Vol 37(9) 1032–1038
‘Effects of hyaluronic acid gel in penile augmentation’ Int Journal of Impotence Research 2002; 14 (Suppl 3): S40
Public Health Sources:
EMAIL US BOOK APPOINTMENT TO HOMEPAGE BEFORE & AFTER Penis Lengthening Surgery Amount of Filler Required PENIS FILLERS LONDON Price Information BOOK CONSULTATION SCHEDULE CALL ARTICLES PENIS FAT TRANSFER PENIS HEAD FILLER REAL PENILE LENGTHENING MONS PUBIS LIPOSUCTIONLength surgery — in depth
- 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.
What are the Risks?
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2022-03-22T19:12:39+00:00
What are the Risks?
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
“This study assessed the management of patients requesting penile length enhancement by division of the penile suspensory ligament.”Result:
“The overall patient satisfaction rate was 35% but lower in the group with penile dysmorphic disorder at 27%.”
“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)
American Urological Society Link
American Urological Society Link
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
National Health Service – UK NHS
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.
Image Credit: European Urology
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.
Image Credit: European Urology
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.
Is Penis Lengthening Surgery effective? Dr Gary Horn 2018-12-31T22:45:06+00:00Is Penis Lengthening Surgery effective?
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.
Better methods to increase Flaccid Length admin 2022-03-22T19:19:40+00:00Better methods to increase Flaccid Length
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.
Link to British Journal of Urology Article
Why is there no increase in Erect Length? admin 2018-12-31T20:34:43+00:00Why is there no increase in Erect 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.”
How can I increase my Erect Length? Dr Gary Horn 2022-03-22T19:33:36+00:00How can I increase my 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)
Androfill Mons Pubis Liposuction
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
Elongating Circular CorporoplastyA highly invasive surgical approach that increases both erect and flaccid length.
Price from: £30,000
Is Penis Lengthening Surgery supported by mainstream doctors? Dr Gary Horn 2020-11-25T17:03:18+00:00Is Penis Lengthening Surgery supported by mainstream doctors?
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, October 2018 (Reaffirmed)
American Urological Society Link
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.”
What is the satisfaction rate after Penis Lengthening Surgery? Dr Gary Horn 2018-12-31T20:52:38+00:00What is the satisfaction rate after Penis Lengthening Surgery?
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.
European Journal of Urology Study – Patient Satisfaction Penis Lengthening Surgery
What is the most common complication of penis lengthening surgery? Dr Gary Horn 2018-08-10T13:27:51+01:00What is the most common complication of penis lengthening surgery?
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:
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.
Will I be left with any scarring after penis length surgery? Dr Gary Horn 2018-08-10T13:27:44+01:00Will I be left with any scarring after penis length surgery?
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.
A scar will need to be made to cut the ligaments. It won’t be fully hidden by your pubic hair.
Girth surgery — in depth
- 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 £7,000
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.
Fat transfer – most common complications
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2022-03-22T19:36:33+00:00
Fat transfer – most common complications
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
admin
2019-01-01T00:28:50+00:00
Recovery time 6 weeks
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 admin 2019-01-01T00:35:49+00:00Size increase typically up to a 1-inch
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 admin 2019-01-01T00:28:18+00:00Permanent Results
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 admin 2019-01-01T00:27:41+00:00Temporary
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 admin 2019-01-01T00:27:08+00:00Fat is not found naturally in the penis
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.
Higher Risk admin 2019-01-01T00:25:45+00:00Higher Risk
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.
How much do you charge to transfer fat the penis? Dr Gary Horn 2022-03-22T19:27:41+00:00How much do you charge to transfer fat the penis?
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.
How much better are your results that traditional clinics? Dr Gary Horn 2018-08-10T15:56:15+01:00How much better are your results that traditional clinics?
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).
How will the penis feel after fat is injected into it? Dr Gary Horn 2020-07-09T23:03:51+01:00How will the penis feel after fat is injected into it?
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.
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Alternative to Surgery
ANDROFILL INJECTIONS
Non-surgical Hyaluronic Acid Injections
(The most popular enlargement procedure in the UK from 2015 to 2025)
- Androfill Penis Filler Injections
- A 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.
Penis Injections
Frequently Asked Questions
What are the risks of penis filler? Dr Gary Horn 2025-11-03T21:33:01+00:00What are the risks of penis filler?
We consider this procedure to be low risk when injecting a reversible Hyaluronic acid-based filler.
If injecting a collagen stimulator, hybrid, or polymer-based filler (PLLA), the procedure is high-risk .
Collagen stimulator fillers fuse the sliding layers of the penis together unnaturally and can cause serious complications which are difficult to address.
When using a Hyaluronic acid-based filler, the procedure has a low risk profile, commensurate with common HA-based facial dermal filler injections.
If using a Hyaluronic acid-based filler, this is the safest medical approach available to thicken the penis and is less invasive than surgical penis enlargement.
Our experience with complications at Androfill
- Complications are rare and usually minor, including temporary swelling and mild bruising.
- Infection is a rare possibility, but if it does occur, it can be a serious complication. The risk of infection is lowered by following the aftercare instructions and completing a course of antibiotics.
- Infection is our primary concern at Androfill Clinic. In a typical year, we have approximately 2 or 3 patients out of more than 1,000 who experience an infection. In some cases, an infection can be severe. In rare cases, all of the filler has been required to be dissolved away, and the infection (cyst) has needed to be drained.
- Worldwide, the number of facial aesthetic procedures performed using Hyaluronic acid-based fillers exceeds 5 million each year.
- Complications are exceedingly rare when an experienced doctor injects filler.
Putting the risk in context
Androfill Clinic has performed this procedure for over 12 years, treating more than 15,000 patients without any severe permanent issues.
Reversibility
Hyaluronic acid-based filler procedures can be reversed by dissolving away the filler with an injection of Hyalase enzyme at any time following the procedure.
Please read more information on the risks and possible complications.
Side Effects
The procedures are generally considered safe when performed by qualified practitioners, with complications occurring in approximately 4-12% of patients link to reference
Mild complications (most common):
Bruising and swelling (typically resolving within 2 weeks) link to reference
Temporary pain and tenderness link to reference
Minor bleeding at injection sites link to reference
Moderate complications:
Subcutaneous nodules (2.2% of patients) link to reference
Infection (0.9% of patients) link to reference
Penile edema, particularly in uncircumcised men link to reference
Serious Complications (rare):
While rare, more serious complications can occur:
Granuloma formation (0.63% of patients) link to reference
Penile deformity or asymmetry link to reference
Migration of filler material link to reference
Priapism (when combined with other treatments) link to reference
One study of 471 men found that all complications were minor (Clavien-Dindo grade 1-2) and treatable in an outpatient setting link to reference
Medical Society Positions
In the USA: FDA Approval Status
Hyaluronic acid fillers have been FDA-approved for various cosmetic uses since 2003, but not specifically for penile enhancement . Their use for penis enlargement is considered “off-label,” meaning physicians can legally use them for this purpose based on their clinical judgment, but without specific FDA approval for this indication.
Professional Medical Consensus
The Sexual Medicine Society of North America (SMSNA) issued a cautious position statement in 2024: link to reference
Limited recommendation: “Limited data suggest potential cosmetic benefits of temporary injectable hyaluronic acid (HA) and polyactic acid (PLA) fillers to increase penile girth with an acceptable safety profile”
Research emphasis: Clinicians are “urged to conduct safety and efficacy analyses using Institutional Review Board (IRB)–approved research protocols”
This page was first published on 3 June 2013.
The page was updated on 16 October 2025.
The Author of this page is Dr Gary Horn.
The page has been reviewed by Urologist Dr Greta Peciulyte.
How long does is take to work? Is the result Instant? Dr Gary Horn 2025-07-17T10:35:31+01:00How long does is take to work? Is the result Instant?
Yes, the result is instant; you will see the change before you leave the clinic.
Your penis will be immediately thicker following the treatment, as you have added filler to the penis, which increases the volume of the penis.
You can book the treatment on the same day as your consultation, and you will leave the clinic with a bigger penis.
Do penis filler procedures work? Androfill 2025-11-03T19:51:16+00:00Do penis filler procedures work?
Yes!
Androfill is a medical penis enlargement procedure performed by a doctor that is proven to increase penis size.
Androfill introduced dermal filler penis enlargement to the U.K. in 2012, and we have subsequently treated over 15,000 men.
Androfill began in the U.K. and has since expanded to over 20 clinics worldwide.
Since the late 1990s, people have been increasing the size of their lips and cheekbones with dermal fillers; the Androfill procedure works similarly.
Please check out our:
Medical Studies
A significant number of medical studies published in international journals since 2001 have supported the use of hyaluronic acid-based dermal fillers for penile augmentation.
Link to Androfill’s medical studies page
Link to a .csv (spreadsheet) file containing a list of relevant medical studies
Published evidence supports hyaluronic acid dermal fillers as a safe, effective, and reversible option for penile girth enhancement, yielding clinically meaningful circumference gains, durable patient satisfaction, and minimal risk.
How much do penis fillers cost? Dr Gary Horn 2026-07-14T14:55:11+01:00How much do penis fillers cost?
The price of the filler depends on the quality and brand of the filler, as well as the amount used (most likely 10-15 ml of filler).
Generally, the more expensive the filler is, the longer it will last in the body, and the harder it will feel compared to regular erections.
Current Prices
Androfill Premium
10ml Androfill Premium £1,690
15ml Androfill Premium £1,990
20ml Androfill Premium £2,390
LumiFill Max
10ml LumiFill Max £1,490
15ml LumiFill Max £1,890
20ml LumiFill Max £2,290
Ultra Deep
9.6ml Ultra Deep £2,300
14.4ml Ultra Deep £3,450
19.2ml Ultra Deep £3,990
(Ultra Deep comes in 1.2ml syringes)
Our least expensive filler is LumiFill, which allows patients to try the procedure for minimal cost.
Ultra Deep is our firmest, most durable, and long-lasting filler, with an estimated half-life of 18-24 months. The half-life refers to the time before we estimate that half (50%) of the filler is likely to have been absorbed. This varies from patient to patient.
Androfill is our most popular filler, as it is a premium product at an affordable price.
Can it be reversed if I don’t like the result? Dr Gary Horn 2025-07-17T10:32:33+01:00Can it be reversed if I don’t like the result?
Yes, Hyaluronic acid-based filler procedures can be reversed by dissolving them away.
As explained in the section What is Hyaluronic Acid, an enzyme called Hyaluronidase can be used to dissolve Hyaluronic acid-based fillers into water, after which they are safely eliminated from the body. This can be done at any time.
This is one of the main reasons why Hyaluronic acid penis enlargement is a safer approach to penis enlargement than other methods.
In the unlikely event you wish to return to your normal penis size, you can do so by either waiting for the filler to dissolve naturally or by injecting an enzyme to dissolve it away.
You can see a video of a Hyaluronic acid-based filler being dissolved.
Is the treatment painful? Dr Gary Horn 2025-07-17T10:34:26+01:00Is the treatment painful?
This procedure is not painful; many patients state that the treatment is almost pain-free and less painful than a visit to the dentist.
The doctor will make the penis numb with a local anaesthetic, a process called a dorsal penile nerve block.
This entirely numbs all the nerves in the region, so you don’t feel a thing.
The doctor has the training to perform this type of numbing procedure, which is better than relying on topical anaesthetics or numbing creams.
To further reduce the possibility of any pain, the dermal filler products that we use are laced with local anaesthetic (lidocaine).
How long will the treatment take? Dr Gary Horn 2025-07-17T10:37:17+01:00How long will the treatment take?
The procedure can be completed in as little as 45 minutes.
During your visit for the Androfill treatment, you will also have a consultation, which may take some time (depending on the number of questions you have), and it will take a little time to read and sign the necessary consent forms.
Patients travelling from abroad for Androfill should expect to spend 2 hours in the hospital.
If travelling to the clinic, please do not underestimate the time required to get to the hospital from the airport.
How long does it last? Filler half-life Dr Gary Horn 2025-07-17T10:38:17+01:00How long does it last? Filler half-life
Filler Lifespan (1/2 life, months)
* Individual results will vary from patient to patient.
Hyaluronic acid-based fillers have a half-life (the point where we estimate the half will be gone), of 15-24 months, depending on:
- The brand of the filler. Generally, the more expensive the filler is, the longer it will last and the firmer it feels.
- Juvederm Volux and Teosyal Ultra Deep have the longest estimated half-life of all the fillers we provide.
- The patient’s metabolic rate (related somewhat to their age and fitness level).
- The filler will generally last a little longer in a 40-year-old patient than in an 18-year-old patient.
- Lifestyle and individual factors.
- Some people metabolise Hyaluronic filler faster than others, for unknown reasons.
Reabsorption Profile
Hyaluronic acid fillers are metabolised (reabsorb) at a roughly even rate each month (2 – 7% p.m., depending on the brand).
The durability quoted is a half-life, meaning the point at which it is estimated that 50% of the filler will remain.
Hyaluronic acid in vitro reabsorption.
Ellansé is a higher-risk filler based on a polymer (plastic-like) substance. It lasts longer than Hyaluronic acid; however, it is not as safe.
Ellansé
Ellansé is broken down by the body in a different way than Hyaluronic acid.
Almost all of the effects of Ellansé are present up until the estimated end-of-life of the product.
Once the active ingredient Polycaprolactone degrades (~4 years), nothing remains to stimulate type III collagen, and the results quickly fade within 6-12 months.
Ellansé in vitro degradation.
Body fat as a filler. Fat surgically transferred to the penis generally lasts around 12 months before the body reabsorbs most of it.
A small amount of fat may survive for several years where fat has successfully vascularised (gained a blood supply) in sections along the penis.
The penis does not naturally contain fat, making the survival of transferred fat less likely than in other areas of the body such as the buttocks, breasts, and face.
Fat Reabsorption Profile
Any transferred fat which has not attained a viable blood supply within a matter of days will be either passed out of the body or form hard calcified nodules of necrotic fat. Successfully transferred fat and calcified necrotic fat nodules may survive for a number of years in the penis.
* Individual results may vary from patient to patient.
Next steps: How do I proceed? Androfill 2025-07-17T10:39:34+01:00Next steps: How do I proceed?
Steps to proceed with Androfill
1. Please book an appointment to see the Urologist at the link below.
For filler procedures, select Enlargement Filler Consultation / Procedure, London or Manchester.
Select a suitable date and time.
Please note that if you wish to have both the consultation and the procedure on the same day, you may be required to spend up to two hours at the clinic.
If you have all the necessary information and wish to proceed, you can have the procedure on the same day, directly after your consultation.
Book ProcedureFinance Matters
If you wish to pay for the procedure using finance, please apply for finance in advance of your procedure.
If you change your mind or the procedure is not for you, the finance can be cancelled, and any payments can be refunded in full without additional charges.
The amount you finance can also be decreased without any costs, for example, if you need less filler than you anticipated.
It is also possible to apply for finance on the day of your procedure; however, finance applications are not assessed on weekends and may require some additional time at the clinic while our finance provider evaluates the credit.
Patients travelling from abroad are advised to contact their bank or credit card provider in advance if they believe the transaction amount may trigger a payment block. Generally, all foreign cards are accepted, including Amex. If your card provider blocks the transaction, you may spend a considerable amount of time in the clinic calling your bank back home.
Arrange Finance 0%Preparation
There is nothing else you need to do before coming in for the Androfill treatment.
No blood tests are required in advance.
We recommend wearing supportive underwear, such as boxer briefs, and having a thorough wash in the morning of the procedure.
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This website is for Androfill United Kingdom
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Written and medically reviewed by Dr Gary Horn — consultant plastic and reconstructive surgeon, GMC 4267803. Reviewed by Dr Greta Peciulyte, Urologist, GMC 7539240. Last reviewed 28 August 2026. General information only, not a substitute for a consultation. Individual results vary.