The penis is made up of many structures: the urethra, the corpora cavernosa that contain the erectile tissue, arteries, veins, nerves, lymphatic vessels. Getting to lengthen all these elements is practically impossible. There are mechanisms to traction the penis continuously for long periods of time, being able to achieve some degree of elongation, depending mainly on the laxity of the anatomical structures, which happens at an early age. The greatest chance of success is surgery called phalloplasty. It consists of sectioning the ligament that holds the part of the penis that is inside the body to the pubic bone (suspensory ligament of the penis). This is achieved by advancing the penis and the distance achieved depends on the extension of the ligament. This surgery can be done through an incision at the level of the root of the penis, however, considering aesthetic factors, we prefer to perform the surgery through an incision that is the same as that practiced in phimosis surgery.
As for the increase in thickness of the penis , there are surgeons who use fat from the patient, however, this methodology may require repeated procedures, given the absorption of fat and may lead to irregularities that do not favor the aesthetics of the penis. We use a uniform material that allows a dermal regeneration, by integrating with the surrounding tissues.
Sometimes, other procedures may be indicated to improve the penile aesthetics. Among them, it is worth mentioning the scrotoplasty that consists in reducing the skin of the scrotum when there is flaccidity and excess of it, and the liposuction of the pubic fat in those cases in which the penis is buried in it.
The surgery to be performed depends on the genital anatomical characteristics and the patient's desire and expectations, based on objective and realistic information.
Phalloplasty of lengthening and / or thickening is a procedure that is performed under general or spinal anesthesia and lasts 1 to 2 hours. It can be done in day hospital regime or with overnight income. It is generally well tolerated, requires 1 or 2 days of rest and sexual activity can be resumed in approximately 30 days. With a technique well done in a patient who follows the doctor's instructions well and is subject to timely follow-up, complications are not usually important. The most frequent are limited to a hematoma that is reabsorbed in a short time. Infections or graft intolerance are exceptional.
The fundamental indications of phalloplasty are the micropenis , that is, the one that measures less than 7 cm and the dysmorphophobia , defined as the nonconformity with the size of the penis , although it is within the values considered normal. In today's world where aesthetic factors are valued in excess , there are men who, despite not receiving any complaint from their partners, are obsessed with the size of the penis. Many report that their biggest concern is to show the penis in places like the gym or the beach. They want to improve the aesthetics of the penis in flaccidity , given that, even the penises in the lower limit of normal, have a size in erection that does not constitute any problem for sexual activity. In most cases, it is very difficult to get this type of worry out of the patient's head, and psychologists or psychiatrists sometimes advise the patient to undergo surgery.
For the reasons cited, the demand for aesthetic surgery of the genitals has increased a lot in recent years .