Genital surgery • Men

• Penoplasty • Scrotal lifting •

Penis enlargement

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 length augmentation

A surgical incision of the penis’s suspensory ligament can add one to several centimetres to the flaccid state. This increase in length is variable and depends on the anatomy of each patient. The gain is mostly noticeable in the flaccid state although a modest difference 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 to enlarge the shaft of the penis:

  • using injections of fat taken from the patient’s thigh or abdomen (lipofilling of the penis). This is permanent and may require several sessions, with 2 week interludes, 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. It is important to be wary of low-cost penile injections made with inexpensive hyaluronic acids that are ultimately not adapted to this procedure; A top quality hyaluronic acid must be used to obtain a satisfactory and lasting result.

During the consultation Dr Laveaux may propose other more confidential surgical methods of enlargement should they better suit your needs.

These enlargement procedures can be combined with penis extension surgery by sectioning the suspensory ligament of the penis.

The enlargement can be seen in both flaccid and erect states.

Enlargement of the head of the penis

Increasing the penis head size can be done by injections of hyaluronic acid which are painlessly administered after application of anaesthetic cream at the clinic.

These need to be repeated on average every 6 to 9 months.

Hyaluronic acid injections can help with treating premature ejaculation by reducing the hypersensitivity often experienced with rapid climax. However, chronic premature ejaculation should be treated from a more global perspective ( strength training of pubic muscles, breathing exercises, psychological check-ups, sexologist, correction of a short foreskin etc …).

Glans augmentation often requires several sessions (up to 3 or 4) before reaching a satisfactory increase in volume. This is due to the highly absorbent spongy character of the glans.
A follow up session is then necessary every 6 to 9 months on average.

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).

Enlargement alone (Lipofilling) and scrotal liftings are performed either under general anaesthesia or under local anaesthesia. Sedation is also possible according to the patient’s wish.

The injections of hyaluronic acid are carried out under local anaesthesia in Doctor Laveaux’s clinic.

Postoperative effects

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.
Stretching exercises are recommended for 2 months in the case of an incised suspensory ligament.

Outcome

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.
Erectile dysfunction is uncommon however if this does occur it will only last a few days.

To avoid the formation of hard nodules during penoplastie surgery, 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.

Scrotal lifting

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 testicular lift (or scrotum lift or scrotoplasty) improves the overall aesthetic and gives the impression of a longer penis.

Guidelines for scrotum lift (scrotoplasty)

The testicular lift is performed in 30 minutes either under general anaesthesia or under local anaesthesia. Sedation is also possible according to the patient’s wish.

Hospitalisation lasts from 3 to 4 hours.

Postoperative effects
Pain is very moderate or even absent.
Day to day activities and sexual activity can be resumed immediately however with caution.
Sporting activities can be resumed after complete healing, 15 days after the procedure.
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 or delay of healing.

Health Insurance coverage
As this procedure is considered purely for aesthetic purposes, no coverage is provided by health insurance.
Chirurgie intime de l'homme à Cannes, Antibes et Monaco - Dr Laveaux

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