Today, methods for intimate injection contouring have been developed and used, by which it is possible to change the size and shape of the penis without surgery and general anesthesia, a long rehabilitation period and at a lower cost. In modern medicine, great emphasis is placed on improving the quality of human life. Moreover, a full sexual life is an important component of this concept. Interestingly, sexual health was until recently seen as an integral part of reproductive health, but the Declaration of the World Sexual Health Association adopted in 2005 in Montreal recognized the right of all of us to seek sexual pleasure as a component of general well-being.
In the public consciousness, especially in men's self-consciousness, masculinity and sexuality are almost synonymous, which is why so many representatives of the stronger sex today are interested in penis enlargement techniques.
The size of the penis has always been of great importance for a man's perception of his masculinity, sexuality and assertion of his self-esteem. This is why dissatisfaction with the size of the penis causes sexual problems in men, stiffness in communication with women, loss of sexual interests, 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. Due to 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 sexual life for men of all age groups. Today, there are various methods of male intimate plastic surgery, 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, which have been put into practice. These include methods of intimate injection contouring, 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 all men are familiar with safe and effective methods of female breast augmentation, about the possibilities of contours and intimate plastic surgery, which allow 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, with which you can change the shape of the penis and enlarge the penis, which will certainly help to improve the quality of sexual life.
When is penis enlargement performed?
According to various sources, at least 70% of men want to enlarge the penis. About 60% of them want it to get longer, about 40% dream of a thicker penis, and no one wants it to get smaller or thinner. Inadequate penis size not only causes a man's stiffness in communication with women and general lack of confidence in his abilities, but also most negatively affects his ability to produce offspring, i. e. fertility. According to the WHO, over 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 in 40-50% of cases is the pathology of the male reproductive system, in whichstructure the proportion of micropenia and penile dysmorphophobia has increased. In addition, the size of the penis is a reflection of a man'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 even a complete cessation of sperm production. In these cases, it is recommended to consider the possibility of male intimate plastic surgery. Data regarding the size of the "average" penis vary widely.
Different authors estimate the average size of a normal penis differently, as their ideas are often determined by the cultural and ethnic characteristics of certain countries and regions. Nevertheless, the normal length of the penis in a calm state is estimated at 7, 5-10, 5 cm, and in a state of erection - at 12-18 cm, while its diameter is usually 3, 0-3, 5 cm. Read for anyone thinking of penis enlargement. A rather large variation in the normal length of the penis (from 12 to 18 cm) can be explained by individual differences in the anatomy of the groin region, namely the relationship between the hidden and free parts of the cavity bodies and their surrounding shell. There is a perception that with a normal level of sex hormones and the proper development of the corpora cavernosa in different men, due to their individual characteristics, the size of the hidden part of the corpora cavernosa, which is responsible for attaching the latter to the pubic bone andthus fixation of the penis is far from the same. As for various pathologies, about 20 congenital diseases are currently known, 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 obviously require male intimate plastic surgery. The earlier the diagnosis is made and treatment is started, the more reason to talk about its effectiveness. There is evidence in the literature that with quite normal testicles and fairly well-defined secondary sexual characteristics, a functioning penis in a state of full erection must not exceed 2, 5 cm. The term "micropenis" is used in relation to organs of this size. A phenomenon known as "congenital hypoplasia" has also been described in which the body of the penis is practically absent and its head is attached to the pubic bone. In this case, injection contouring can help.
Although the size of the penis has little or no effect on the possibility of normal intercourse, assuming a normal erection, some men have a desire to enlarge the penis. Dissatisfaction with the appearance and size of your penis can cause serious reproductive health problems. One of the most formidable complications of penile dysmorphophobia is psychogenic erectile dysfunction, which ultimately leads to infertility. Thus, the size of the penis 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 common area in plastic surgery. Based on our own experience and world literature data, we can state that more than 70% of the procedures performed in male intimate plastic surgery are surgeries on people with completely normal anatomical dimensions of the penis. Thus, the main motives for patients who want penis enlargement are:
- increased self-esteem;
- increase in sexual attraction;
- improving the quality of sexual life;
- removal of the "dressing room complex" - a decrease in the sense 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 a vaginal orgasm. Therefore, the desired result is much easier to achieve, not by enlarging the penis, but by correcting the diameter of the penis.
Methods for penis enlargement and correction of its shape
Modern methods of male intimate plastic surgery are not only aimed at improving the aesthetic and functional outcomes of interventions, but also at reducing the number of complications. Among such methods are lipofilling, microsurgical tissue autotransplantation, transposition of vascularized muscle or fascial fat grafts, installation of various implants. Until recently, autogenous fat lipofilling has been a commonly used method of injection contouring. However, frequent resorption and migration of the injected auto 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 sclerosis and necrosis. Professor D. G. Kurbatov et al. for penis enlargement proposed a method of microsurgical autotransplantation of a rotated fascial fat flap from the anterior abdominal wall of a birthing 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 refrain from physical activity for up to 3 months.
Of considerable interest is a new direction in male intimate plastic surgery, based on implantation of special viscoelastic biogels based on hyaluronic acid under the skin of the penis, which not only compensates for the existing volume deficit but also improves the skin structure of the penis. Professor J. J Kim conducted relevant studies in 2003 and obtained the first data on the efficacy of the use of these biogels in intimate plastics for men, indicating the possibility of their clinical use. Male injection contours with hyaluronic acid preparations can help solve sexual problems that are not only associated with the appearance of the penis but sometimes with its functional properties (the most common problems of this kind include premature ejaculation). So for injection contour plastics, specialists use viscoelastic gels (fillers) based on hyaluronic acid. The composition of these drugs differs from the composition of fillers that cosmetologists use when performing facial contouring.
Especially in our practice we use special gels for this. The range of gels includes 6 preparations, each of which has its own characteristics and uses. Since 2005, another drug of the line has been registered in our country, designed specifically for intimate plastic surgery in men and women. With this filler you can effectively and safely enlarge the penis, adjust the size of the crown, frenulum, change the shape of the penis body and treat premature ejaculation.
It allows you to successfully work with intimate areas as it is easily injected, well distributed in tissues, effectively compensates for the lack of volume and gives a lasting result without causing allergic reactions. The drug is manufactured in disposable syringes with a volume of 0. 8 ml, packed in blisters, which guarantee the safety and absolute sterility of the gel. The procedure of intimate injection contouring for men is performed on an outpatient basis under local anesthesia (without sedation). Hyaluronic acid is biodegradable over time, and the rate of biodegradation depends on the level of blood supply in a specific area of the body. So with plastic surgery of the glans penis lasts the duration of the effect on average 0, 7-1 years, with plastic surgery of the penis body the effect can last up to 1, 5-2 years, so it is recommended to repeat the procedure after an average of 1-1, 5 years.
Enlargement of the head of the penis
Normally, the diameter of the glans penis in its posterior part should exceed the diameter of the penis body by 1-2 cm This contributes to the formation of an "orgasmic cuff" during intercourse. If the size of the head is insufficient, the penis enlargement procedure involves the introduction of a filler conditioned in its lower third and along the course of the coronal groove. In both cases, the volume of the injected drug per1 "step" from 0, 1-0, 4 ml. When working with the coronal groove, as well as by thickening the head itself, the filler is introduced using a blower (on the reverse stroke of the needle) technique (needle 27G). The minimum total volume of the drug in correction of glans penis is 0, 8 ml, the expected maximum is 2, 0 ml. For even distribution of the gel, we recommend that you tentatively "hydroprepar" the tissue with a 0. 9% sodium chloride solution in a volume of 10 ml.
Frenuloplasty
The frenuloplasty technique consists of enlarging the penis by filling the frenulum with a gel to increase its volume. The drug is injected into the soft tissue under the frenulum in the amount of 0, 1-0, 3 ml per. "step", the needle is 25-27 G, the injection technique is drip. The introduction of the drug directly into the frenulum (ligament) is unacceptable. All methods of male injection contouring can be combined and performed in one procedure, while the conditions for rehabilitation and development of complications do not change in any way. The tissues of the external genitalia in men, as in women, have a very good blood supply, so healing after such procedures takes place without scarring. During the recovery period, and this is an average of 2-3 days, an active sex life is not recommended.