Cosmetic surgery of the penis is becoming increasingly popular.
Many men complain about their penis size being too small. This “small penis syndrome” is the cause of low self-esteem and even problems during sex.
Although penoplasty (or phalloplasty) is becoming more common, patients should remain realistic about the end result
Penis Extension Surgery
A surgical incision of the penis’s suspensory ligament can add several centimetres.
This increase in length is variable and depends on the anatomy of each patient. The gain is mostly noticeable in the flaccid state although can sometimes be seen when the penis is erect.
A very discreet scar is located at the base of the penis in the pubis.
There are several muscles that ensure the stability of the erect penis, and changes to the suspensory ligament will not affect the stability either when flaccid or erect.
On extremely rare occasions the erect penis can bend downwards but this will not cause any problems during intercourse
This technique can only be done one time, and it can be combined with the enlargement procedure.
Enlargement of the shaft of the Penis
Two techniques can be offered :
– Either using injections of fat taken from the patient’s thigh or abdomen. This is permanent and may require several sessions 2 weeks apart in order to achieve the desired result.
– Injections of thick hyaluronic acid. Because of the product’s dissolvability, these injections will need to be repeated every 12 to 18 months.
These two procedures can be combined with the extension surgery.
The enlargement can be seen in both flaccid and erect states.
Enlargement of the head of the penis
Increasing the penis head size can only be done by injections of hyaluronic acid, which need to be repeated every 6-9 months. The patient can expect a moderate result.
Injections of hyaluronic acid in the head causes increased stimulation for the man during intercourse, and sometimes also for women. These injections can be performed for this purpose only.
In some patients, the scrotum is saggy, sometimes appearing lower than the head of the penis.
This skin can be tightened by a concealed incision behind the scrotum.
This procedure improves the overall aesthetic and gives the impression of a longer penis.
Similarly, an excess of scrotal skin visible in the form of a ridge located along the penis can be removed.
These scrotal skin reductions can be performed in combination with penoplasty or as an individual procedure.
Guidelines for penoplasties
Complete surgery (elongation + enlargement) or individual extension procedures, are performed under a short 90 minutes general anaesthesia as an outpatient (only a few hours of hospitalisation).
Individual Enlargement (Lipofilling) procedures and scrotal liftings are performed either under general anaesthesia or under local anaesthesia. Sedation is also possible according to the wish of the patient.
The injections of hyaluronic acid are carried out under local anaesthesia in Doctor Laveaux’s clinic.
After the penoplasty, the penis, scrotum and areas where fat were removed are bruised (ecchymosis) and swollen (oedema). The pain is very moderate or even non-existent.
The wounds heal in 15 days.
Gentle massages are recommended after one week; Sexual intercourse will normally be resumed from the third postoperative week; Sports such as cycling, horse riding or motorcycling will be resumed from the second month.
Due to the sometimes significant swelling, the penis appears abnormally large during the first few days after surgery. Then, during the first month, the deflation is rapid due to the absorption of the oedema and because the injected fat partially dissolves (about 50%). The volume can decrease slightly for up to six months.
Around the sixth month, the patient can see the final result. At this stage it is possible to decide to carry out another lipofilling procedure to increase the volume of the penis, or to have additional injections of hyaluronic acid administered at the doctor’s office.
Further extensions cannot be performed. The gain in length is seen mainly when the penis is soft and sometimes slightly during an erection.
For uncircumcised patients, foreskin may turn out to be thinner than the shaft of the penis due to a poor distribution of fat in this area. Thus, circumcision under local anaesthesia can be offered to patients either a few weeks before (preferably) or after penoplasty in order to improve the result of enlargement during erection.
Risk of complications
As with any surgery, a number of complications can occur. But the likelihood of these complications is reduced in the hands of a qualified plastic surgeon and in the presence of a competent anaesthetist. The patient’s compliance to instructions given by the surgeon is also essential and include :
- stopping smoking 1 month before and after the procedure (reduction of all risks);
- not taking aspirin for 10 days before and after the procedure (reduced risk of hematoma).
For this type of procedure any complications are very rare and are not usually serious: small bleeding around the scar tissue, delay of healing, temporary increase or decrease of sensitivity, etc.
To avoid the formation of hard nodules during penoplasties, Doctor Laveaux administers micro-lipofilling (with fat removed and injected in small doses).
Health Insurance coverage
As this procedure is considered purely for aesthetic purposes, no coverage is provided by health insurance.