There are two methods to increase the penis size, or enlarge the penis. One seeks to make the penis larger, or fatter, with injections of fat, the other lengthens the penis.
Lengthening the penis is performed through a variety of incisions at the junction of the penis with the abdomen. The surgeon separates the skin, and fat from the ligament which supports the penis (suspensory ligament). This ligament and adjacent tissue are then released or divided. The surgeon must avoid damaging the underling blood vessels and nerves that supply the penis. These lie deep to a joining of muscle called the arcuate ligament. The skin and fatty tissue are then stretched over the defect. Stitches are used to close the wound.
Drains are often used to avoid collections of fluid. About two weeks after surgery the patient begins to apply traction to the penis using either small lead weights or an elastic device. This continues for about six months.
Most men who have had the operation can gain about three centimeters or just over an inch in length.
The operation is not without risk. It is possible to lose length and infection is a potentially serious problem that occurs in about one in twenty patients. Other risks include problems with erection, bleeding, swelling, heavy scars and depression.
All genital surgery has risks, and when performed for purely cosmetic reasons may raise important questions regarding social attitudes about sex and our bodies.
Non-surgical devices are made but their safety and efficacy are not proven.
Dr. Hudson does not perform penile enhancement