Penile thickening can play a significant role in harmonizing relationships. According to surveys of sexologists, the size of a man's penis is important for a woman's satisfaction in sex. Wherein,the thickness of a man's penis is more important than its length.
This is due to the fact that it is in the soft tissues of the entrance to the vagina, the labia minora and the clitoris - those zones, the sensitivity of which depends on the thickness of the penis, that there are many more nerve endings than in the tissues of the bottom of the vagina and the cervix, where the head of the genital restsmember with sufficient length.
Therefore, men for whom it is important to satisfy their woman want to undergo a thickening procedure, while men who want to increase their self-importance often only resort to increasing the length.
Measuring the thickness of the penis
Normally, in a European man, the length of the penis is 12-18 cm, and the thickness is 3. 5-4 cm in erect form.
Since the thickness of the penis is not the same depending on the projection, it is recommended to measure the circumference of the penis with a tape measure.
Accordingly, the average diameter of the penis multiplied by 3. 14 gives the circumference of the penis. Thus, for example, with a penis diameter of 3. 5 cm, its circumference is 11 cm.
It is believed that if the thickness of the penis is less than 3 cm in diameter and a circumference of less than 10 cm, we can talk about a narrow or thin penis.
This can be a cause of sexual problems for a couple and a cause of psychological insecurity for men. Such men undergo an operation to thicken the penis.
Method of subcutaneous injection of filler - gel of hyaluronic or polylactic acid
With the introduction of fillers of hyaluronic or polylactic acid, you can inject up to 50 ml of this gel and achieve a thickening of the penis by1. 5-2 cm in diameter, or 6-7 cm in circumference,however, as a rule, even patients who want a large additional volume are given a series of injections of 10-20 ml, injecting 50-60 ml 3 times.
The disadvantage of this method is the high cost of the gel. For a significant effect, you need to inject at least 30-40 ml of gel, which makes such a procedure quite expensive.
The second drawback is biological resorption, after a year the hyaluronic acid gel is absorbed, and after 2-2. 5 years the polylactic acid gel, and the procedure must be repeated again. In order to maintain the effect of enlarging the gel for longer, it is combined with the introduction of autologous stem cells. During the 2 years when the polylactic acid gel is absorbed, stem cells grow in the subcutaneous tissues of the penis with volume restoration, which makes the enlargement procedure more permanent.
If the filler enters the neurovascular bundle along the dorsal side of the penis, complications are possible. Therefore, such procedures should be carried out only by urologists who are well acquainted with the anatomy of the neurovascular bundle of the penis.
So, it is necessary to operate on patients with complications who have had an unsuccessful thickening of the penis in beauty parlors.
Subcutaneous injection of autologous fat
Subcutaneous injection of autologous fat - lipofilling, while the patient's own adipose tissue is injected under the skin of the penis. This allows you to increase the penis by1 cm and up to 3-4 cm in circumference.Pure centrifuged auto-fat should be injected, without blood cells and fat cells, otherwise there may be proliferation of connective tissue and armor of the penis, up to the development of oleogranuloma. However, even pure fat in 30% of cases leads to the formation of oleogranulomas and infection, so this method for thickening the penis is not recommended.
To thicken the penis, it is also possible to use a skin-fat flap from the gluteal fold, or a section of the patient's own muscle of the anterior abdominal wall. In this case, a fragment is isolated from the patient and implanted under the skin of the penis, as if wrapping it. This allows the penis to thicken1-2 cm in diameter or 5-6 cm in circumference. . . The disadvantage of this method is also the frequent drying of the implant with the formation of skin armor, gross defects that violate the appearance of the penis, which requires repeated operations.
There are patients who have undergone a similar thickening procedure, which eventually led to scarification - the formation of multiple scars and adhesions. In such cases, it is necessary to perform plastic surgery to separate tissues, excision of scars and closure of defects with the skin of the scrotum and pubic region.
Subcutaneous implantation of prolene meshes or silicone implants
Prolene meshes are often used to close hernia defects in surgery.
During implantation, the mesh is folded 2-3 times, forming rollers that are fixed to the subcutaneous fascia. This method gives a thickening of the penis in0. 6-1 cm in diameter or 2-4 cm in circumference. . . Depending on the length of the penis, 2-4 rollers are implanted, with a distance of about 1 cm between them, so as not to interfere with the erection.
Today it is the simplest and most affordable method for thickening the penis.
So the complex cost of the operation depends on the number of rollers and the size of the penis.
An additional advantage of implanting a prolene mesh to thicken the penis is the possibility of simultaneous or subsequent additional administration of polylactic acid gel and / or autologous stem cells. So, often patients choose the installation of a prolene mesh as the first stage, and after 2 months a polylactic acid gel is injected, and another month later, mesenchymal stem cells. This adds up topenis enlargement by 5-8 cm.
Installation of hydrogel or silicone foam implants
The method with the largest increase in volume is the introduction of hydrogel or silicone foam implants under the skin of the penis. Penile enlargement is also achieved with the use of an American silicone foam implant or its Italian equivalent. 2 cm long, due to the fact that its proximal edge is inserted under the pubic bone simultaneously with ligamentotomy, that is, the penis is stretched in a calm state.
Using a special collagen matrix
Penisincreases by 1. 2-1. 5 cm in diameter or 4-5 cm incircles. The matrix itself is slowly absorbed over the course of 2 years, but during this time, the stem cells with which it is impregnated before implantation grow into this space, and then the volume is filled with its own cells.
A definite advantage of the operation is the cosmetic access through the scrotum with partial ligamentotomy. The collagen structure of the matrix immediately stops bleeding from the subcutaneous vessels.
However, the operation requires a lot of experience in genital surgery.
The collagen matrix itself is relatively inexpensive, but the mandatory use of stem cells makes the total cost of the operation impressive.
The use of a special collagen matrix 10 cm long and 5 mm thick with the patient's own tissues grown on it is the most effective and safe method of thickening the penis.
Also, its advantage is its extensibility, that is, it does not create discomfort during sexual intercourse, unlike patchwork techniques. A certain disadvantage is a decrease in the angle of erection due to partial dissection of the suspension ligament and an increase in the weight of the penis. With this method, the penisthickens by 1. 5-2 cm in diameter and, accordingly, by 5-7 cm in circumference.
Penile thickening with a foam silicone implant is the most optimal option in terms of price, quality and efficiency.