Does Penis Enlargement Work? Cost, Risks, Effectiveness

Doctors have been dealing with the problem of penis enlargement for more than a hundred years, and a universal, completely safe and effective method has not yet been invented. There are many tools – from creams and sprays to pumps and operations – that in most cases don’t work or give little result. In addition, some of them have serious side effects – up to erectile dysfunction.

It’s impossible to lengthen and simultaneously increase the thickness of a male sexual organ. The most common operation for penis enlargement is ligamentolysis (penis lengthening surgery). Its essence consists in the release of the inner part of the penis hidden in the subcutaneous fatty tissue by dissecting the cartilaginous ligament fixing it to the pubic bone. The intersection of the ligament makes it possible to push the inner part of the penis out and gradually fix it in a new position.

To increase penis thickness is a much more difficult task than penis length. To date, there’s no effective and relatively safe surgical method to increase penis thickness.

In this article, we will consider in detail all the nuances of both types of surgical intervention in penis enlargement.



Standard ligamentolysis (penile lengthening) is performed through an incision in the pubic area, but it takes a long time: you need to make a large incision. At the incision site, a noticeable scar remains, tissues and subcutaneous fat are severely injured.

Today, many clinics that offer penis enlargement surgically perform surgery through the scrotum access. This allows you to significantly reduce its duration from 1-1.5 hours (the average duration of a standard ligamentolysis surgery) to 10-15 minutes. After this kind of surgical intervention there is no ugly scar on the pubic area, as with the standard method, and the incision in the scrotum area heals, leaving almost no trace.


Disadvantages of ligamentolysis:

  • Usual risks of surgery — infection, surgical injury
  • No effect with a short suspensory ligament of the penis
  • Hypermobility of the penis base. Since the ligament ceases to support the penis, its base will become mobile, and the organ itself will shift down.
  • Loss of erection angle. It also occurs due to ligament dissection. When erect, the penis will not be directed forward-up, but down.
  • Penis elongation only in a flaccid state. A frequent effect of this operation is the absence of results in an erect state, although the penis has increased by 1-2 cm in a flaccid state. Therefore, today all competent surgeons conduct a 4-6 month course of procedures with a penile extender — to improve and consolidate operation results.



How Much Penis Length May Change?

On average, the result of ligamentolysis is 1-3 cm (depending on the initial size), provided that patient follows all the recommendations. Ligamentolysis, without increasing penis length itself, creates maximum conditions for faster elongation. Special attention should be paid to the following:

  • Mandatory wearing of the penis extender in the postoperative period;
  • Mandatory consultation with a doctor when resuming sexual activity;
  • Consult a doctor about the ability to tolerate physical activity;
  • Complete smoking cessation during the adaptation period. It will help increase healing to damaged tissues.

To fix the new penis position and further elongate it, you need to wear a penis extender for 3-6 months. Without the use of this device, ligamentolysis surgery either doesn’t give any result at all, or the result is visible only in a flaccid state. Therefore, you need to get used to the penis extender in advance, so that you don’t have to master it in the postoperative period.

Often, doctors themselves recommend that patients, who want to increase the penis, first use the penis extender. It will also allow you to understand whether you are ready for a further long postoperative period for a full result. If you see that you don’t have time (or desire) to engage, then it may be worth giving up the operation.

On the other hand, it’s possible that the result of using a penis extender will be sufficient, and surgery will not be necessary. Penis enlargement with an extender takes about the same time — 6 months. The method of application is one of the most accessible and simple. The device’s effort is limited at a safe level — you don’t need to create special programs to use it.

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If you use the penis extender correctly, you can get a quick increase, and most importantly – the results will remain for life. But you need to regularly wear the penis extender for a set time to achieve them.



Any method of penis thickness is based on introduction of some material under its skin. Most often, it’s a tissue transfer from other parts of the body.

One of these methods – penile augmentation – involves subcutaneous fat tissue transfer from the buttock fold under penis skin, which allows increasing its diameter by 1-2 cm. A little more volumes are achieved when transferring muscle tissue. The tissues are placed under the skin along the entire penis length, as if wrapping it.

Disadvantages of penile augmentation:

  • More than 50% of transferring tissue is absorbed in the first year after surgery.
  • Fat tissue is unevenly absorbed, so the penis gets a lumpy shape.
  • Tissue necrosis with irreversible consequences is possible, up to penis amputation.

In addition to patient’s own tissues, some clinics use synthetic materials – gels, pastes, and other liquids. However, the introduction of foreign bodies and liquids under the skin is dangerous, since the risk of rejection, infection, and uneven uncontrolled distribution is high.

Very often (more than 50% of cases) the result achieved by surgery doesn’t meet the patient’s expectations. If you are thinking of thickening, it may be worth trying out Jelqing exercises designed to increase volume first.




In the first few days, there may be bleeding, wound infection, long-term penile edema, temporary or permanent decrease in glans sensitivity, or pain during erection.

Late complications of such operations include: resorption or necrosis of tissues inserted under the penis skin, erectile dysfunction, decreased glans sensitivity, deformity and curvature of the penis.

Penile augmentation is one of the most dangerous among such surgeries. Think three times before agreeing to it. To start, you can try not such traumatic methods of increasing penis thickness, for example, hydraulic penis pumps, which work pretty good. They inflate penis from within using blood pressure, and it looks more massive after the first use. At the same time, there’s no contact with the vacuum in such pump, and with a constant use, the results are fixed, allowing you to increase the diameter significantly.

You need to carefully discuss all the details with your doctor and remember that there are no simple and quick solutions in this delicate area.




Under certain circumstances, penis surgeries are not performed. These include:

  • STIs
  • diabetes mellitus (Type 1, 2)
  • wounds, ulceration, suppuration
  • inflammation of various kinds (especially in urogenital system)
  • acute infectious diseases
  • individual intolerance of components during the surgery
  • liver and kidney diseases
  • autoimmune diseases
  • cardiovascular diseases (especially ischemia, hypertension and heart failure)
  • mental abnormalities
  • chronic diseases
  • severe genitourinary system pathologies
  • poor blood clotting
  • low-grade tumors



Penis enlargement surgery has an out-of-pocket cost of about $15,000 with an upfront $1,000 deposit. Prices usually depend on the type of surgery. The final amount is also affected by the cost of additional materials (for example, implant or extender), clinic’s popularity and doctor’s experience.

To minimize the risks, contact a trusted clinic with experienced specialists and don’t skimp on your own health.



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