Penile surgery is performed under local or general anesthesia without hospitalization and lasts between thirty to forty-five minutes.
Lengthening alone is very rare because it is obvious that it has everything to gain by being combined with thickening. In this case, in fact, there is an increase in the circumference of the penis at rest and in erection. In addition, the weight of the added fat stretches the penis and at the same time helps to promote the expansion of the skin tissue.
Patients often prefer thickening alone, which is less cumbersome than the overall procedure, but the two operations can easily be combined.
It is achieved through lipofilling. Fat is extracted from the pubis, the inner or outer region of the thighs, the abdomen or sometimes the buttocks. These areas are rich in adipocytes that are not very sensitive to weight variations and allow a better maintenance of the fat graft over time.
The surgeon removes, without prior infiltration, a quantity of fat that varies between 40 and 70 cm3, using a cannula with a foam tip connected to a syringe. The fat is then transferred directly without decanting or centrifugation.
The point of entry of the fat injection is at the furrow that separates the glans from the body of the penis (the balanoprepuptial furrow). The surgeon then proceeds with a harmonious sowing of small quantities of fat, 0.5 cm3 on average, up to the base of the penis, at its pubic angle.
Penis thickening can also be achieved by means of medical penoplasty by injecting hyaluronic acid instead of fat. The procedure is lighter than lipofilling, but the result is temporary and the injections must be repeated every 18 months or so.
It consists of a partial section of a membrane, the suspensory ligament that connects the penis to the pubis, so that it hangs a little more, associated with a skin plasty. It does not cause any disturbing change in the angle of erection of the penis. The incision is made in the pubis.