Sexual problems associated with a man's dissatisfaction with the size of his penis cause stiffness in communication with women, loss of sexual interest and the formation of various complexes.
Today, methods for intimate injection of contour plastic surgery have been developed and introduced in practice, by means of which it is possible to change the size and shape of the penis without surgery and general anesthesia, a long rehabilitation period and with less money.
In modern medicine, great emphasis is placed on improving the quality of life. Furthermore, a full-fledged sex life is an important component of this concept. Interestingly, sexual health was until recently considered an integral part of reproductive health, but the 2005 Montreal Declaration of the World Association of Sexual Health recognized that we all have the right to seek sexual pleasure as part of general well-being. In the public consciousness, especially in the men's self - consciousness, masculinity and sexuality are almost synonymous, which is why today so many representatives of the stronger sex are interested in penis enlargement techniques. Penis size has always been of great importance in a man's perception of his masculinity, sexuality and the claim of his self - esteem. Therefore, dissatisfaction with the size of the penis causes sexual problems in men, stiffness in communication with women, loss of sexual interests, the development of various complexes and even a general lack of confidence in their abilities. It is these cases that can become indications for male intimate plastic surgery. In connection with the high social significance of this problem, the question arises of the need to develop effective methods of penis enlargement that can change the quality of men's sexual life in all age groups.
Today, there are various methods of male intimate plastic surgery for this, most of which are surgical. Basically, these are expensive surgeries that require certain conditions, equipment and skills. But in recent years, simpler and more affordable methods have been developed and introduced into practice. These include methods for intimate injection of contour plastic surgery, which make it possible to achieve penis enlargement and change the shape of the penis without surgery, general anesthesia, a long rehabilitation period and at a lower cost.
Almost every man knows about safe and effective methods of enlarging female breasts, about the possibilities of contouring and intimate plastic surgery, which enable women to emphasize and maintain their external attractiveness and sexuality. However, many men do not know about the existence of modern minimally invasive methods of male intimate plastic surgery, by means of which it is possible to change the shape of the penis and enlarge the penis, which will certainly help improve the quality of sexual life.
According to the data, the number of patients with sexual problems has increased recently. These problems are often associated with an undersized penis and premature ejaculation).
In which cases is penis enlargement performed?
According to various sources, at least 70% of men want to enlarge their penis. About 60% of them want it to be longer, approx. 40% dream of a thicker penis and no one wants it to get smaller or thinner. Insufficient penis size not only causes stiffness in the handling of women and general lack of confidence in a man's abilities, but also affects his ability to produce offspring, i. e. fertility. According to the WHO, in the last 2-3 decades in all countries of the world along with low fertility there has been an increase in the number of infertile marriages, the cause of which is the pathology in 40-50% of cases of the male reproductive system, in whose structure the proportionof micropenia and penile dysmorphophobia has increased.
In addition, penis size is a reflection of a person's general health, especially the condition of his endocrine and reproductive systems. The fact is that the size of the penis depends on the amount of sex hormones produced during puberty, that is, when the most intense growth of the external genitalia is observed. A reduced level of male sex hormones not only leads to a slowdown in the growth of penile tissue, but is often the cause of male infertility, as it leads to a decrease and sometimes a complete cessation of sperm production. In these cases, it is recommended to consider the possibility of male intimate plastic surgery.
The data on the size of the "average" penis varies widely. Different authors rate the average of a normal penis differently, as their views are often determined by the cultural and ethnic characteristics of certain countries and regions. Nevertheless, the normal length of the penis at rest is estimated at 7, 5-10, 5 cm and at erection - at 12-18 cm, while its diameter is usually 3, 0-3, 5 cm. With statistical data, it follows familiar to anyone thinking of penis enlargement.
A fairly large spread of indicators of the normal length of the penis (from 12 to 18 cm) can be explained by individual differences in anatomy in the inguinal region, namely the relationship between the hidden and free parts of the corpora cavernosa and surrounding shells. There is a perception that the sizes of the hidden part of the corpora cavernosa with a normal level of sex hormones and the correct development of the corpora cavernosa in different men due to their individual characteristics are responsible for attaching the latter to the pubic bone and consequently it isfar from the same to fix the penis.
In terms of various pathologies, about 20 congenital diseases are currently known, which are characterized by a violation of the production of sex hormones and manifested by the small size of the penis as well as (in some cases) infertility. Such cases, of course, require male intimate plastic surgery. The earlier the diagnosis is made and treatment is started, the more reason to talk about its effectiveness.
In the literature, there is evidence that with completely normal testicles and fairly well-expressed secondary sexual characteristics, a functioning penis in a state of full erection can not exceed 2, 5 cm. For organs of this size, the term "micropenis" is used. Also described is a phenomenon known as "congenital hypoplasia", in which the penile body is almost absent and its head is attached to the pubic bone. In this case, plastic for injection contours can help.
Although the size of the penis has virtually no effect on the ability to have a normal intercourse with a normal erection, some men have a desire to enlarge their penis. Dissatisfaction with your penis' appearance and size can lead to serious reproductive health problems. One of the most formidable complications of penile dysmorphophobia is psychogenic erectile dysfunction, which ultimately leads to infertility. Thus, penis size becomes one of the important factors that directly affect fertility and quality of life.
Male intimate plastic surgery continues to be a popular and increasingly prevalent field in plastic surgery.
Based on our own experience and data from the world literature, we can determine that more than 70% of interventions performed in male intimate plastic surgery are operations in people with completely normal anatomical dimensions of the penis. The main motives for patients seeking penis enlargement are thus:
- increased self-esteem
- increased sex appeal;
- improving the quality of sexual life
- removal of the "dressing room complex" - reduces the feeling of embarrassment in men's companies.
It is known that the length of the penis to a much lesser extent than its diameter affects a partner's ability to achieve vaginal orgasm. Therefore, the desired result is much easier to achieve not by enlarging the penis but by correcting the diameter of the penis.
Penis enlargement and shape correction techniques
Modern methods of male intimate plastic surgery aim not only to improve the aesthetic and functional outcomes of interventions, but also to reduce the number of complications. These methods include lipofilling, microsurgical autotransplantation of tissues, transposition of vascularized muscle or fascial fat grafts, and installation of various implants.
Until recently, lipofilling of autogenous fat was a commonly used method of injection contouring. However, the frequent resorption and migration of the injected autologous fat as well as cases of fibrosis have minimized interest in this method.
Various synthetic materials (silicone, paraffin, etc. ) have not been widely used for penis enlargement due to frequent complications such as infection, implant migration, tissue hardening and necrosis.
For penis enlargement, the professor and co-authors proposed a method for microsurgical autotransplantation of a rotated fascial-fat flap from the anterior abdominal wall of the delivering vascular pedicle. Despite the obvious benefits, the method requires expensive equipment and a specially trained microsurgical team. In the postoperative period, it is necessary to refuse physical activity for up to 3 months.
Of considerable interest is a new direction in male intimate plastics based on implantation of special viscoelastic biogels based on hyaluronic acid under the penile skin, which not only replenishes the existing volume deficit but also improves the structure of the skin skin. penis. In 2003, relevant studies were conducted and the first data were received on the efficacy of the use of these biogel in intimate male plastic, indicating the possibility of their clinical use.
Male injectable contouring with hyaluronic acid preparations can help solve sexual problems that are not only related to the appearance of the penis but sometimes with its functional properties (the most common problems of this kind are premature ejaculation).
So for the injection of contour plastic, specialists use viscoelastic gels (fillers) based on hyaluronic acid. The composition of these preparations differs from the composition of fillers that cosmetologists use when performing facial contouring. Especially in our practice we use special gels for this.
The nomenclature for gels contains 6 preparations, each of which has its own properties and areas of application.
Since 2005, a drug specifically for intimate plastic surgery for men and women has been registered. With this filler you can effectively and safely enlarge the penis, correct the size of the corolla, frenum, reshape the penis body and treat premature ejaculation.
It allows you to successfully work with intimate areas, as it is easy to insert, well distributed in tissues, effectively compensates for the lack of volume, gives a long-lasting result without causing allergic reactions. The drug is produced in disposable syringes with a volume of 0. 8 ml packed in blister packs, which guarantees the safety and absolute sterility of the gel.
The procedure for intimate injection of contour plastic surgery in men is performed outpatient under local anesthesia (without sedation).
Hyaluronic acid degrades over time, and the rate of biodegradability depends on the level of blood supply in a particular area of the body. So with plastic of the penis head the duration of the effect lasts on average for 0, 7-1 years, with the plastic in the penis body the preservation of the effect is possible for up to 1, 5-2 years, therefore it is recommended to repeat the procedure after an average of 1-1, 5 years . . .
Enlargement of glans penis
Normally, the diameter of the penis head at the back should exceed the diameter of the penis body by 1-2 cm. This contributes to the formation of an "orgasmic cuff" during intercourse. With an insufficient size of the head, the procedure of augmentation of the penis involves the introduction of a filler conditioned in its lower third and over the crown groove. In both cases, the volume of the injected drug per1 "step" from 0, 1-0, 4 ml. When working with the coronary groove, as well as when the head itself is thicker, filler is inserted using a fan (on the inverted needle line) technique (27G needle). The minimum total volume of the glans penis correction drug is 0. 8 ml, the estimated maximum is 2. 0 ml. For even distribution of the gel, we recommend that you first perform "hydro-preparation" of the tissue using a 0. 9% NaCl solution in a volume of 10 ml.
Frenuloplasty
This term refers to the procedure for correcting the glans penis.
The frenuloplasty technique is to enlarge the penis by filling the frenulum with gel to increase its volume. The drug is injected into the soft tissue under the head in an amount of 0, 1-0, 3 ml per. "Step", a 25-27 G needle, the injection technique drips. The introduction of the drug directly into headwear (ligaments) is unacceptable.
All the techniques of contouring plastic surgery for male injection can be combined and performed in one procedure, while the conditions for rehabilitation and the development of complications do not change in any way.
The tissue of the external genitalia in men, as in women, has a very good blood supply, therefore heals after such procedures without scarring. During the recovery period, which is on average 2-3 days, active sexual activity is not recommended.