Penis lengthen, penis thicken - how does it actually exactly?

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dpa

German men obviously have a problem with what they see under the belt line - at least more than the lords of other nations. This shows in any case a statistic of the " International Society of Aesthetic Plastic Surgery " from the year 2013 . According to this, the Germans are not only football world champions, but also top performers in penis enlargement . Nearly one-fifth of all global enlargements were carried out in Germany - about 3000 operations.
But what does man actually do when he puts himself under a knife for a greater sexual organ? How does a doctor make the penis longer and thicker? And how painful is such an operation?

Extension and thickening in one session

"A penis enlargement usually consists of two interventions: the penis lengthening and the thickening of the penis," explains Axel Birnbacher, co-worker at the German Center for Urology and Phalloplastic Surgery . "Both are carried out in a surgical session."
An extension of the male limb reaches plastic surgeons in most cases by a so-called "body displacement plastic". As the name suggests, the male corpus cavernosa is displaced to the outside. This means that the part of the penis, which is bent in the inside of the body, is retrieved - and automatically straightened.
"On average, this results in an extension of about two to six centimeters," says Birnbacher. However, all this is rare. He had seen an increase of nine centimeters in one operation, but this was an absolute exception.

In front of a hole in the abdomen, patients are not likely to be afraid: the site where the inner corpus cavernum was located before would simply be closed again by the surrounding tissue, according to Birnbacher.

Old method lengthened penis not really

For the extension, plastic surgeons also sever the ligaments, which are tapes that keep the penis stable and in place. According to Birnbacher, they have to be re-sewn together after an operation.

There are reasons for this: "An earlier method for penis lengthening was to cut the ligaments. Without the hold of the ligaments, however, it could happen that the penis did not remain stable in the middle in the erect condition, but slacked freely to the left and right. "In addition, the penis grew seldom longer in this way Simple and poignant further down.

Self-lubrication by syringe provides more volume

With a long limb, however, only a few are satisfied, who want "more bottom": "Longer 'alone is generally not sufficient for the patient - understandable, the proportions have to be finally correct," explains Dr. Paul Edelmann, Specialist in Plastic and Aesthetic Surgery in Frankfurt. That's why most of them would choose a penis thickening in addition to penis lengthening.
"In order for the penis to become thicker, we usually inject the fat that we have removed from the thigh or the abdomen," explains Edelmann. The body fat of the patient is then sprayed at several points along the shaft. In general, a little more fat must be used than is actually required, since the body of it is about half of it. So if you want to reach a thickening of half a centimeter, the doctor should first inject as much as is necessary for a whole centimeter.

Ready for use again after five weeks

Normally the patients are in a general anesthesia during the entire procedure. Sometimes, however, the doctors use only a local anesthetic. "Then the patients are additionally sedated, that is, put into a sleepy sleep," says Edelmann.
Axel Birnbacher says: "The best part is to be done after about five weeks. You can not control the patients, of course. However, in order to prevent the penis from shortening during the healing process (for example due to scarring), Birnbacher recommends in some cases a post-OP stretcher.

This recommendation is not given by all cosmetic surgeons: "As a rule, the results of the operation are permanent, even without the need to help later," says Dr. Klaus Niermann, plastic surgeon at the Fontana Clinic in Mainz. He sees no great danger in the fact that the penis reverts after the operation again.

Optical extensions

Niermann sees besides the extension and thickening but still other ways, to befriend dissatisfied men again with their intimate area. Sometimes an actual extension is not necessary at all: it often also suffices to help a little. "It is possible, for example, to absorb fat in overweight patients in the shunt area. Thus, the penis is so to speak, "Niermann explains. Also, the Hodensack can be separated from the penis where it is grown on the shaft and sew closer to the body. This would also lengthen the limb.

Risks for bricklayers and construction workers

Who now thinks of the painful consequences of a penis lengthening, is not entirely wrong: The time after the surgery is above all those who would have to work quickly after the procedure again physically, so Dr. Edelmann.