Your Penoplasty operation
Penoplasty can increase the size of the penis by increasing either length or girth/width or both. To increase the length, an incision will be made above the base of the penis. Through this we can release the penile suspensory ligament, thus allowing the penis to be brought forward, thereby lengthening it externally by typically 1-2 inches. It is difficult to predict the exact amount of gain as this is different in every male and depends on the anatomical structure of the penis and pubic area. This increase in length is in the flaccid position only and some men may find that the angle of the erection may be slightly lower.
The increase in girth, involves a small amount of liposuction of the stomach or thigh areas to collect fat, followed by re-injection of the fat along the shaft of the penis. The usual increase in girth (circumference) is usually between 1 to 2 inches. The fat injection procedure avoids incision scars and because it is a simple technique, the recovery time is shorter. Possible post-operative fat re-absorption and nodule formation can be minimised by limiting the amount of fat injected at one time. The girth enlargement is restricted to being slightly bigger than the tip. The enlargement of the penis will be evident in both the flaccid and erect states.
It is a requirement under the Human Tissue (Quality and Safety for Human Application) Regulations 2007 that all patients wishing to have their fat stored have a blood test on the day of the procedure. This blood test must include HIV 1 & 2, Hepatitis B, Hepatitis C, Syphillis. Each patient will be asked to sign a consent form for this test to be completed & will be offered the counselling services, should this be required. This blood test will be repeated on the day of any additional fat harvest procedure.
To ensure a natural appearance, we can increase both the length and girth at the same time, although it is possible to have either the lengthening or enlargement (girth) only. The increase in length will be permanent however with the girth enhancement because a percentage of the fat will be naturally absorbed, top-ups over time will be needed. We will store some of the patient’s fat in our freezer bank for up to two years for future enhancements. The functioning will be completely normal both in terms of erection and urination.
Penoplasty is a day case procedure, and will be performed at our Harley St Clinic under local anaesthetic with IV sedation. The operation usually takes between 1 hour and 1 1/2 hours, depending on which procedure you are having.
After your operation
The Enlargement procedure can be performed under either sedation or local anaesthetic & you should discuss with your surgeon which method is best for you.
You will have one small dissolvable stitch to the abdomen (where we have collected the fat) and one further dissolvable stitch to the base of the penis (where the fat was injected). Dressings will be applied & these need to be left dry & intact for the first week. After this time, you may remove the bandages at home. Massaging your penis daily using vaseline is recommended to help resolve the asymmetry of the penis and prevent lumps occurring.
During the first 2-3 weeks after surgery you may experience a slight amount of discomfort but this is normally controlled with pain relief. You may also experience a small amount of bruising and some surgical swelling, which will subside again after approximately 2-3 weeks.
The lengthening procedure is performed under local anaesthetic with IV sedation & you will remain at the clinic for about 2 hours after surgery to allow us to monitor your recovery from the sedation. It is necessary to arrange for someone to come and collect you, as you are not permitted to drive or take public transport for 48hrs after having sedation. It is recommended that you refrain from work for at least 1 week after surgery for rest and recuperation.
You will have deep dissolving sutures in the underlying muscle and tissue and some skin sutures on the pubis. You will need to return to the clinic after one week for the dressings to be changed and again after a further week for the stitches to be removed. It is important to avoid having an erection while your stitches are in place.
It is also vitally important that your hands are washed thoroughly after each visit to the toilet to avoid cross contamination and infection to the wound and always ensure that clean underwear is worn daily.
Once all of the stitches have been removed and the wound is fully closed, you may apply traction to your penis to prevent retraction of your penis after surgery. This can be completed twice daily using a penile extender. It can take between 3-6 months to achieve maximum length gained from elongation.
At the follow-up visits you will be examined to ensure that the healing process is proceeding satisfactorily. Further post-operative visits may be scheduled at your convenience to ensure that both you and your surgeon are totally satisfied with your results.
All surgery carries risks and uncertainties
Like all operations, Penoplasty is not without complications, they are rare but can occur. These include infection, bleeding, numbness to the affected areas, scarring, collection of blood under the skin, known as haematoma or blood clot; although this occurs in less than 1% of patients and drains and heals spontaneously.
In some cases with enlargement surgery the penis may be asymmetrical or lumps may occur due to the position of the fat. Gentle massage should normally resolve this problem.
Your key sexual organ is your brain and nobody can predict how you will react after surgery. We have however, found that most men feel more confident about themselves and this can enhance their sexuality.
Penoplasty is now an established cosmetic procedure, having been performed for the last 20 years. It is both a safe and effective procedure and, with no foreign material or implants introduced, the complications are rare. The London Centre for Aesthetic Surgery alone performs approximately 200 per year and is a recognised centre of surgical excellence in the UK.
If you have any further questions about this procedure, please feel free to call and arrange a consultation with Dr Roberto Viel. Please note that it is necessary to attend a consultation prior to your operation, this is also the case with existing patients, it may also be necessary to have repeat blood tests.