The thickening of the penis can play an important role in harmonizing relationships. According to surveys by sex therapists, the size of a man's penis is important for a woman's sexual satisfaction. Or,the thickness of a man's penis is more important than its length.
This is because it is in the soft tissues of the entrance to the vagina, the labia minora and the clitoris - those areas whose sensitivity depends on the thickness of the penis - that there are many more nerve endings. only in the tissues of the bottom of the vagina and the cervix, where the head of the genital limb rests with sufficient length.
Therefore, men for whom it is important to satisfy their wife want to undergo a thickening procedure, while men who want to increase their sufficiency often resort only to increasing the length.
Measure the thickness of the penis
Normally, in a European man, the length of the penis is 12-18cm, and its thickness is 3. 5-4cm when erect.
The thickness of the penis is not the same according to the projection, it is recommended to measure the circumference of the penis with a tape measure.
As a result, the average diameter of the penis multiplied by 3. 14 gives the circumference of the penis. So, 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 3cm in diameter and a circumference less than 10cm, it can be called a narrow or thin penis.
It can be a cause of sexual problems for a couple and a cause of psychological insecurity for men. These men undergo an operation to thicken the penis.
Subcutaneous injection method of filler - hyaluronic or polylactic acid gel
With the introduction of loads of hyaluronic or polylactic acid, you can inject up to 50 ml of this gel and achieve thickening of the penis by1. 5-2cm in diameter, or 6-7cm 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 the gel, which makes such a procedure quite expensive.
The second disadvantage is biological resorption, after one 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 enlarging effect of the gel for a longer time, it is combined with the introduction of autologous stem cells. During the 2 years that the polylactic acid gel is absorbed, stem cells develop in the subcutaneous tissues of the penis with a restoration of volume, 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 only be performed by urologists familiar with the anatomy of the neurovascular bundle of the penis.
Thus, it is necessary to operate on patients with complications who had unsuccessful thickening of the penis in beauty salons.
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 self-fat should be injected, without blood cells and fat cells, otherwise there may be proliferation of connective tissue and penile armor, until the development of oleogranuloma. However, even pure fat in 30% of cases leads to the formation of oleogranulomas and infections, so this method is not recommended for thickening the penis.
To thicken the penis, it is also possible to use a fat flap of skin from the gluteal fold or a section of the patient's muscle from the anterior abdominal wall. In this case, a fragment is isolated from the patient and implanted under the skin of the penis, as if to wrap 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 out of the implant with the formation of skin armor, gross defects that violate the appearance of the penis, which requires repeated operations.
Some patients underwent a similar thickening procedure, which ultimately led to scarification - the formation of multiple scars and adhesions. In such cases, it is necessary to perform plastic surgery to separate tissue, excise scars and close defects with the skin of the scrotum and pubic area.
Subcutaneous implantation of prolene mesh 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 which are attached to the subcutaneous fascia. This method gives thickening of the penis by0. 6-1cm in diameter or 2-4cm in circumference. . . Depending on the length of the penis, 2 to 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 easiest and most affordable method to thicken the penis.
Thus, the complex cost of the operation depends on the number of rollers and the size of the penis.
An additional benefit 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, patients often choose the installation of a prolene mesh as the first step, and after 2 months a polylactic acid gel is injected, and a month later, mesenchymal stem cells. This is in addition toenlargement of the penis from 5 to 8 cm.
Placement of implants in hydrogel or silicone foam
The method with the greatest increase in volume is the introduction of implants made of hydrogel or silicone foam under the skin of the penis. Penis 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 the ligamentotomy, that is, the penis is stretched in a calm state.
Use of a special collagen matrix
Penisincreases by 1, 2 to 1, 5 cm in diameter or 4 to 5 cm incircles. The matrix itself is slowly absorbed over the course of 2 years, but during this time the stem cells imbued with it before implantation grow in this space, and then the volume is filled with its own cells.
A definite advantage of the operation is cosmetic access through the scrotum with partial ligamentotomy. The collagenous structure of the matrix immediately stops bleeding from the subcutaneous vessels.
However, the operation requires a great deal 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.
Using a special 10cm long and 5mm thick collagen matrix on which the patient's own tissue grows is the most effective and safest method of thickening the penis.
In addition, its advantage is its extensibility, that is, it does not create discomfort during intercourse, unlike patchwork techniques. A certain drawback 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, as a result, 5-7 cm in circumference.
Thickening the penis with a silicone foam implant is the most optimal option in terms of price, quality and effectiveness.