What motivates a man seeking to undergo a penoplasty?
1- He seeks to finally feel fully confident in his body and his sexuality, freed from the sense of inferiority or shame that had inhabited him.
2- He sees himself undressing without apprehension, without anxious comparison to other men.
3- He hopes that this physical change will also carry over into his overall confidence, at work and in society, since this intimate complex had, until then, weighed on his entire self-esteem.
4- He dreams of a more fulfilling, more spontaneous sexuality, free of the mental burden tied to his appearance.
5- Finally, he imagines that this change could improve his romantic relationships or his ability to attract a partner.
Defining the problem of a man seeking to undergo a penoplasty
1- A penis size perceived as insufficient, at rest and/or when erect, causing discomfort during sexual intercourse or in daily life (locker rooms, sports).
2- A sensation of asymmetry, a congenital malformation (such as true micropenis, marked curvature), or a loss of length/volume following prior surgery, trauma, or with age.
3- A genuine functional difficulty: complicated penetration, pain.
4- A perceived disproportion between the size of the flaccid penis and its appearance when erect, or tissue loss following a procedure.
Objectives of penoplasty
1- It aims to increase the length and/or girth of the penis, or to correct an anatomical abnormality.
2- Technically, it can involve division/release of the penile suspensory ligament (to expose the internal portion of the penis and gain apparent length at rest), injecting autologous fat or a filler product (to increase volume), grafting dermis or a synthetic material to envelop the shaft of the penis, or, in cases of micropenis or severe tissue loss, heavier reconstruction techniques (flaps, composite grafts).
3- The objective is to offer a measurable gain, usually in the range of 1 to 3 cm at rest, with a variable and often smaller effect when erect, as well as correction of asymmetries or curvature in precise medical indications.
Penoplasty for Penile Enlargement Using Hyaluronic Acid
What is this about?
Penis enlargement (or medical penoplasty) is a technique designed to increase the diameter (circumference) of the penis by injecting hyaluronic acid into the subcutaneous tissue of the penis. It is a non-surgical procedure performed in a doctor’s office, without incisions, under local anesthesia.
It is a cosmetic procedure performed for personal satisfaction and does not treat any medical condition. It is distinct from surgical penoplasty using lipofilling (fat injection), which is performed in an operating room.
Procedure Overview
- Pre-procedure consultation: Clinical examination, assessment of the patient’s expectations, and information on contraindications, expected results, duration, and risks.
- Injection Session: Application of a topical anesthetic cream, followed by injections distributed around the circumference of the penis, under the practitioner’s supervision. The session is generally brief (45 to 60 minutes).
- Follow-up Visits: Follow-up visits 1 and 2 weeks after the injection.
Expected Results
- Increase in girth: an average of 2 to 3 cm in circumference, visible both at rest and during an erection; the length of the penis remains unchanged.
- Duration of effects: Since the product is absorbable, the effect lasts an average of 12 to 18 months; maintenance injections are necessary to sustain the results.
- Reversibility: In rare cases, the product can be dissolved by injecting hyaluronidase, a specific enzyme.
Side Effects and Risks
- Common side effects: Swelling, bruising, sensation of tightness—especially during erections: common, usually resolving within a few days to a week.
- Less common side effects: Subcutaneous nodules, migration or uneven distribution of the product (often related to having sex too soon after the injection): can be corrected during a follow-up visit.
- Rare side effects: Infection or allergic reaction: rare, but possible; require prompt medical attention.
Points to Watch Out For
Choice of practitioner: This procedure must be performed by a qualified and experienced physician—specifically, a urologist specializing in penile surgery—to minimize the risk of complications and ensure comprehensive medical and surgical care.
Coverage: This cosmetic procedure is not covered by health insurance.
Post-injection precautions: A period of sexual abstinence lasting one to four weeks is generally recommended after the injection to optimize the results. It is also prohibited to expose the treated area to high temperatures (hot baths, saunas) during the postoperative period.