Penis enlargement surgery has has gained popularity over the last couple of years.  Part of the reason for the trend relates to an overall acceptance of plastic surgery among men.  According to the American Society of Plastic Surgery (ASPS), marked increases in procedures among men include everything from minimally invasive procedures such as fillers, to cheek augmentation and body contouring.

For instance, Botox® injections have seen a 481% increase from 2000.  And buttock lifting in men has seen a remarkable increase of 681%

The heightened awareness over procedures that exist to improve male appearance could be related to the simple idea that men may be becoming more vain.  With the ability to take and share a photo to hundreds to thousands of people in just a thumb twitch or two, it should e no surprise that men are starting to not only care more about how they look — but are also more willing to do something invasive about it.

Facial injections to improve cheekbones, chin augmentations, and neck tightening will always be in demand since these subtle (yet significant) changes can improve a man’s social and professional game.  For more intimate enhancements, there is penis enlargement surgery.

When it comes to penis surgery, there are several options that exist to improve length, girth, or both.  

1. Dermal Fillers

Dermal fillers such as Restylane® and Juvederm® can offer subtle enhancements to girth but will do very little to improve length.  The filler is injected with a blunt cannula just beneath the skin.  It often takes several syringes of product to gain an appreciable size.  And, the product is temporary.  One can expect the hyaluronic acid to dissolve within six to eight months.

2. PRP

Platelet Rich Plasma (PRP) has gained popularity within the last couple of years in the arena of sports medicine, hair loss, and skin rejuvenation.  With PRP therapy (also termed STIM™️), blood is drawn from the arm of the patient and then processed with centrifugation to isolate platelets.  This serum consisting of platelets (or thrombocytes) harbor growth factors and cytokines that aid in the generation of tissue.  When PRP is injected into the penis, the platelets and their molecules released act on the tissue to improve the microcirculation and nerve function.  Often, three sessions are required to obtain maximum effects.

3. ADM

Acellular Dermal Matrix (ADM) refers to processed dermis from either human cadaver or animal to eliminate cells.  When the product is inserted into the penis, it often incorporates into the tissue to add volume and possibly length.  The downside to this procedure is the risk for infection and subsequent deformity of the penis, since ADM is a foreign body.

4.Ligament Release

A ligament release for penile lengthening refers to the cutting of a suspensory ligament that attaches the penis to the pubic bone.  The procedure is somewhat controversial because the cutting of the ligament does not truly increase penis length.  The penis may look longer in the flaccid state since it is not longer attached to the pubic bone as it once was, but it probably won’t improve erectile length.  Furthermore, with erection, the penis protrudes straight out from the body rather than “up”. 

5. Fat Transfer

Fat transfer to the penis, termed the STIF™️ procedure, refers to the transfer of fat along with PRP to the penis to add volume to the penis.  The procedure involves the extraction of fat from the abdomen or love handles.  The fat is then purified and injected into the penis from the base of the penis to the glans (head).  PRP is added to the fat to improve fat survival.  Significant gains in girth can be obtained as well as some improvements in length.

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