четверг, 17 августа 2017 г.



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

Operational penis enlargement

Before-After Photos


Due to frequent inquiries from visitors of our website we present below a random selection of our before-and-after photos penis enlargement . As you may know from the past, we do not show photos on our website, because photos are always individual and every penis looks different. Please note that their individual results can be the same, bigger or smaller, and their penis is different in appearance from the enlarged penises shown. The photos should show that with our expertise and experience, we always strive to get the best results and to keep the penis natural.
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Operational penis enlargement



How big is an average penis?


This question is not easy to answer, as there are several dubious and erroneous studies on the subject.
Kings College London has attempted to clarify and evaluate 20 international studies. SPIEGEL online reported on this in March 2015.
According to this, German men tend to have lower-than-average penises. In the list of 20 countries evaluated (15,000 penises were surveyed), Germany was seated 12th.
The length of the measured sagging penis was between 7.5 and 19 cm , the German average man being 9.16 cm.

Is penis size important?


As we have already known through our experience of the past 15 years and you, the patients, have certainly already guessed, is the answer: Yes.
As the news agencies AFP and N-TV reported on April 8, 2013 , finally, after the issue of penis size for science was a taboo-scourge issue for a long time, at the University of Ottawa, Canada, a serious, scientific study on this Question. With clear and very clear results: women evaluate men with a bigger penis than clearly more attractive.
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The enlargement of an under-sized penis is therefore sensible and has a considerable effect for the affected patient. The uniqueness of the statement from the study of the University of Ottawa even suggests that it is sensible to enlarge an average sized penis still . That surprised us.
Our experience over the past 15 years also clearly shows that the vast majority of patients experience a marked increase in self-esteem by the enlargement of the penis . They have more success in partnership, sexual intercourse, social life and work.

Basic thoughts


The size of a penis should be corrected according to physician's view only if it can actually be described as small. We will definitely not help to create a "monster penis" from a huge penis.
If you are thinking about a surgery for penis enlargement , you should always think about a bad and not the best result. That is, only if, for example, 3 cm for you would suffice as a length increase, you should be operated on. 5, 6 or 7 cm are more beautiful, but they do not have to happen.
It is well known to us that patients with an extremely small penis (for example, 9 cm in erection or a micropenis ) do not want anything more than a normal penis. But 9 cm plus, for example, 5 cm give 14 and the result should be bad, maybe even 12 or 13 cm. Sure, 50% more penis is gigantic, but still does not have a penis length in erection of 16.5 cm .
You should be aware that we can do many things, but not magic. Patients who have less than 11 cm in erection, we rarely can help the average penis size, only a decisive piece. Each patient should be aware of this beforehand. Your personal desire is decisive - nothing else.
We will enlighten you honestly and professionally, but never persuade - sometimes even reject an operation. This also belongs to our standards and is the basis of trust.
No matter if we advocate or refuse a surgery for penis enlargement, we openly accept your questions and fears with understanding. No patient needs to be ashamed for anything or any question.

Penis enlargement


The internet is awash with websites selling everything from pills to penis extenders that claim to increase the length and girth of your manhood. But do these treatments work?
Men's anxiety about penis size has spawned a multi-million-pound global industry in clinically unproven "male enhancement products".
While many men worry their penis is too small, research shows that most men's penises are normal and they needn't be concerned. Professor Kevan Wylie, a sexual medicine consultant, says men with concerns about their penis size should consider talking to a health professional before experimenting with treatments, which are mostly ineffective, expensive and potentially harmful.
"Many men who worry about the size of their penis generally have overall body image issues," he says. "What happens is that they tend to focus their poor body image on their penis.
"Often, counselling can make a real difference to the patient by building self-esteem, correcting distorted views about body image and learning more about what makes people attractive."
While you can't do much to safely enlarge your penis, men can do several things to make them feel more confident about their body.
  • trim your pubic hair – a big mound of pubic hair can make your penis look smaller than it is
  • lose weight – a beer belly hanging over your penis can make your penis look smaller
  • get fit – getting into shape will not only make you feel more attractive, it could improve your sex life
Professor Wylie assesses the evidence, effectiveness and safety of different types of penis enlargement products and treatments on the market.

Non-surgical treatments

Pills and lotions

These products usually contain vitamins, minerals, herbs or hormones that claim to enlarge the penis. Despite their impressive claims, there's absolutely no clinical evidence that these products work and some may even be harmful. The University of Maryland in the US carried out an analysis on some of these and found traces of lead, pesticides, E. coli bacteria and animal faeces.
"They're a complete waste of time," says Professor Wylie. "Pills and lotions have no proven benefit. If they were effective, they would be on sale at chemists. Using a lotion may help a man become more familiar with his penis, which some men shy away from. So lotions can help a man become more comfortable with his penis but they certainly won't make it any bigger."

Vacuum devices

Penis pumps involve placing a tube over the penis and then pumping out the air to create a vacuum. The vacuum draws blood into the penis and makes it swell. Vacuum devices are sometimes used in the short-term treatment of impotence. But overusing a penis pump can damage the tissue of the penis, leading to weaker erections.
"There is very little evidence that these devices cause any significant long-term gain in size," says Professor Wylie. "Using a pump for a few minutes a day won't do anything to increase penis size."

Penile extenders

This technique involves placing a weight or a small extending frame, sometimes called a traction device, on the flaccid penis to stretch it. Professor Wylie says there is no clinical evidence that using weights will extend the penis, and they may cause permanent damage to the penis. However, better results have been reported with traction devices.
"There is some evidence that traction devices can have some impact, particularly with men who are smaller in size," he says. "Some patients using traction devices for six months have noticed a gain in size of 1-2cm. However, such treatments should not be started without the supervision of a doctor."

Jelqing

Jelqing is an exercise involving repeatedly pulling the flaccid penis using the thumb and index finger, with the aim of increasing erection size. The idea is that the pulling exercises will increase the blood capacity of the penis' erectile tissue, allegedly resulting in increased length and girth of the penis.
"Just like using lotions, this technique can help some men better appreciate the considerable difference in size between a flaccid penis and an erect one, which helps them become more comfortable with their body," says Professor Wylie. "But there is no scientific evidence to suggest jelqing can increase penis size."

Penis surgery

Penis girth surgery

Some surgical techniques to increase penis girth involve injecting fat taken from another part of the body into the penis. Some studies have reported increases in circumference of 1.4-4cm. However, studies that followed men up over a longer time suggest disappointing results, with complications including disfigurement, scarring, lumpiness and infection. Another method, still in its experimental stage, involves pulling back the skin of the penis to wrap a tube-like biodegradable frame filled with tissue cells around the shaft.
Professor Wylie says the use of biodegradable frames has had better results than fat injection. "The problem with injecting fat is that over time, the body will re-absorb the fat which can result in a return to the penis' original size," he says.

Penis length surgery

The most common technique involves cutting the ligament that attaches the penis to the pubic bone and performing a skin graft at the base of the penis to allow for the extra length. Professor Wylie says the surgery can result in an average gain in length to the flaccid penis of 2cm, but there will be no change to the size of the erect penis. Furthermore, the erect penis won't point as high as before the operation because the ligament which was cut no longer offers support.
"A lot of men who have this treatment don't truly appreciate this loss of angle," says Professor Wylie. "It can make sex quite uncomfortable. You've got to do a lot more manoeuvring with your partner. The advantage of a 2cm gain in flaccid length is far outweighed by the loss of angle of erection."
As penis enlargement surgery is for cosmetic purposes, it's unlikely to be available on the NHS.

Liposuction

For men with a large gut, liposuction, a surgical procedure to remove fat below the abdomen, can make their penis look larger. Removing excess fat around the pubic area can make a partly buried penis appear more prominent.
Professor Wylie says the cosmetic results are generally considered reasonable by patients. "Liposuction can result in a 2cm gain in length in the short-term, but the fat will return to the pubic area if the patient puts on weight again," he says.
"The procedure can give the patient a confidence boost, but for it to be sustained over the long term, they need to improve their diet and get exercising."
However, like all surgical procedures, liposuction carries the risk of side effects and complications. Find out more about the risks of liposuction.

My penis is too small, how to enlarge it?


First of all, we have to define what small really means and what statistics apart from any personal impressions and taste actually say: The flaccid size is irrelevant, some men have a rather small penis growing to enormous size when erect, on the other hand there are men with a rather impressive flaccid penis that just erects itself when aroused and doesn’t grow much in girth or length. Flaccid and erect size don’t correlate.
Even in reputable studies, the statistical average varies, US median is about 5.5 inch according to the biggest study (1661 sexually active men) we could find by the well known Journal of Sexual Medicine. Most men have an erect size between 5 and 6 inch, so below 5 inch can be considered small. Don’t be fooled by the penis sizes you often see in adult movies, all actors are selected individuals far above the average size. These movies certainly don’t depict any statistical average and also use visual tricks to make the manhood of the male actors appear even larger.
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Does penis size matter for women?

The question most men probably care for most. While many woman claim that penis size isn’t important for them and it’s all about the right technique and a loving partner treating them well, that’s only half the truth. In totally anonymous surveys, the number of women claiming that penis size is important for them, at least from a aesthetic viewpoint, is significantly higher than in face to face surveys. This fact doesn’t mean a smaller penis can’t satisfy a women, it doesn’t mean you can’t have a perfect sex life with a small penis, but the the harsh truth is: Size matters, at least for some women. No need to panic if you have a small penis, according to a combined study of several reasearch institutes since 1942, 85% of all women are happy with the penis size of their partner, while only 55% of all men are happy with their own penis. So, the percieved problem is bigger than the real one.
Good news: Too big isn’t good, if you are hung like a horse chances are high that intercourse isn’t possible in some positions since it hurts. While being very stretchable, the average vagina is only about 4.5 inch deep. So, average or a little below average can have it’s advantages as well, especially if you perfer practices like anal sex.
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Is penis size determined by genetics?

Definitely yes, if you have a big or small penis is mostly defined by your genes. Sons of men with a large penis often have a large penis. Sons of men with a small penis often have a smaller penis. There are certainly exceptions, but in general genes are very dominant when it comes to erect penis size.
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Can food or supplements help my penis grow?

Neither food nor any supplements influence penis growth or size. That’s the reason why all the so called penis pills offered on the internet simply don’t work at all, don’t believe all the fake promises. All those pills increase the blood flow only, which may cause a little harder erections, but the effect instantly stops once you stop taking those pills. So, a lot of wasted money for a minimal and non-permanent effect. It’s tempting, the sellers of those pills will show you doctors smiling from their websites, pseudo scientific studies from India they paid for, raving testimonials from famous pornstars but it’s just a huge scam scheme. It’s an extremely profitable business, selling cheap herbs for astronomical prices, combined with often shady long term recurring billing that’s hard to cancel. Bottom line: Penis pills are pure “snake oil” often made of cheap ingredients importet from China, overpriced and even potentially harmful for you health. Especially the contamination with heavy metals and carcinogenic colorings is a possible problem. Some sellers claim their products are manufactured in FDA approved laboratories, but this doesn’t mean the product itself is controlled by the FDA, like prescription drugs.
Even worse, many of these pills contain undeclared substances to make buyer believe the product works. There are hundreds of different so called penis enalrgement pills on the FDAs official “Tainted Sexual Health Products” warning list, including some very well known and popular pill brands. The hidden drug ingredients are often Sildenafil, Tadalafil or Vardenafil, subtances used to treat erection problems, short ED (erectile dysfunction). While these prescription only drugs can help patients suffering from ED, they can also have dangerous side effects and interactions, especially for people taking certain cardiac drugs. In the worst case, they can cause heart attacks, there are several verified actual deaths related to dubious penis pills. Don’t risk your life and stay away from enhancement pills, no matter how tempting the advertsing or fake reviews sound. Go for effective natural training instead.

Can surgery increase penis size?

Yes, it can, but surgery is always associated with risks, including anesthesia, wound healing deficits, pain from scars, worst case even a deformed penis or permanent erectile problems. It’s effective without a doubt, but the last resort in our opinion. For men with a real micropenis (smaller than 2.75 inch) it’s often the only solution, but only about 0.5% of all men worldwide suffer from this condition. If you are just a bit below average, the risk versus reward calculation is negative for surgical penis enlargement.
Apart from the risks, it’s the most expensive way for penile enhancement. According to About Health it ranges from $4000 up to $17000. If you are interested in surgical enhancement, we recommend reading the in-depth article on Medscape about possible surgical techniques and results.
This doesn’t mean penis surgery isn’t a viable solution for various medical indications like complete impotence (erectile dysfunction), but for enlagement only, there are less risky ways with good rewards as well. Responsible plastic surgeons only offer surgical penis enlargement for patients suffering from a very small penis or micro penis. In addition, there are only very few surgeons who have the skills and knowledge to safely perform this very special type of medical intervention.

Can extender or pumps make a small penis grow?

Streching devices and penis pumps are increasingly popular, often selling for hundreds of dollars. We recommend staying away from these devices, because using them can lead to permanent damage of the cavernous body and blood vessels of your penis. In worst case, the usage of penis extenders can result in erectile dysfunction, the inability to get and maintain an erection. Although many surgeons keep warning about them, these warnings are unheard and ignored by many men. Reconstructive surgery for a penis damaged by excessive and wrong use of streching devices is very expensive and rarely results in full recovery. Some of the world’s top penis enlargement surgeons from the well-known German Urology Center even say that they are not interested in patients suffering from these kinds of injuries, because fixing these damages is extremely difficult. So, quickly forget about all this “Stud Quick Extender Mark III Pro Power Solution Super Size” crap! Don’t let the companies offering them fool you with claims like certifications as a medical device, doctor approvals, paid testimonials, photoshopped before and after pictures or similar.
Especially strechers are aggressively marketed because manufacturing costs are only about $20 in China and they sell to consumers from $150 up to almost $500. Don’t believe it? Check chinese websites/marketplaces like Alibaba for wholesale prices. A profit margin of up to 2500% is something even many drug lords are envious of, so the companies selling extenders build shiny websites, pay medical personnel for fake testimonials or raving reviews of these useless and dangerous devices.

Can training make my small penis bigger?

Penis exercises, often referred to as jelqing, were already used in ancient Egypt as a method for penis enlargement. While the multi billion dollar pills and expander industry that’s trying to sell you their overpriced herbs or pulling devices claims these methods don’t work well, they actually do. Reputable training programs like the “Penis Enlargement Remedy” helped thousands of men to increase their penis size.
Do not expect miracles, but adding about 2 inches to your erect size after a few weeks of training isn’t an exception. Many men report this kind of result, some even up to 4 inches. Like all workouts, results won’t magically show after a few days, but with the right exercise plan, you’ll recognize a slow but steady growth.
The advantages: It’s safe, you won’t harm your health by trying. It’s inexpensive, most penis enlargement programs for a small penis cost about $50, one time investment, no hidden recurring charges. That’s less than half the money a one month supply of ineffective penis pills would cost you.
Important: Especially young men often feel insecure about their penis, while it is still growing. Penis exercises are only suitable for adults, when natural penis growth is finished, that’s in the early twenties. Starting before this age is not recommended.
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How long does penis enlargement take?

For the best results, calculate three to six months for significant results. The success of penis exercises varies, some guys are really lucky and see a measurable growth in just a few weeks, for some guys it takes a little longer. Don’t give up if you don’t get fast results, every penis is a little different, but jelqing already worked in ancient egypt, so it will work for you, too. Todays techniques and exercises are a lot more sophisticated than in the beginning, tested by thousands of men who successfully enlarged their penis this way, so it’s really only a matter of time. It works for everybody, without exceptions. It’s no easy way, like training in the gym: Cheating yourself, skipping exercises or being lazy and neglecting your training means it will take longer till you notice results. Do it!

Are there any ways to make my penis look bigger?

Great news, even without a real increase in size, you can make your penis look bigger, in erect and flaccid state. The easiest one is to shave your public hair, if this extra inch hidden in the jungle is suddenly visible, it already makes you manhood look a bit more impressive. In case you have a few extra pounds, losing lower belly fat can optically enhance your penis, too. Unfortunately, this is a purely optical enlargement, but an easy and instant way to present your penis in a particularly advantageous possible way.

What is the small penis syndrome (SPS)?

In contrast to common believe, the small penis syndrome is a mental disorder, subsumed under body dismorphic disorders (BDDs). Basically, it’s a wrong perception of the own body, Men affected by it believe their penis is way too small, are almost obsessed by this thought, although their manhood has a normal length and girth. While the symtoms are very severe, including depression, anxiety and isolation, it’s a very rare psycological disorder. It’s often triggered by very negative personal experiences, e.g. rejection by a woman and other sexual problems. In case you think your penis is tiny, but has normal measurements, seeking professional help is recommended.

Is there a correlation between penis size and premature ejaculation?

A small penis isn’t more sensitive than a larger one, but surprisingly there is some correlation, many men with a relatively small penis report that they ejaculate prematurely. From the purely medical point of view, this could be conincidence, but not from the psychological. No matter how important or unimportant penis size is for the female partner, men with a smaller penis often feel unsecure, at least subconsciously. Insecurity leads to stress and bodily tension, which encourages coming too fast. This subjective failure causes even more stress the next time, a cycle that’s hard to break. That’s the main reason why penis enlargement often assists in lasting longer in bed, too.

Small penis size or girth and self confidence

Last but not least, the biggest problem of a small penis isn’t the penis itself, but guy attached to it. Every penis is different and unique, you can have a wonderful and sexually fulfilled life even if your size is below average. Always keep in mind that the majority of sexual stimulation a women feels during intercourse comes from her clit, not her vagina. Additionally, there is much more about being a man than the size of what you are carrying around between your legs. That’s probably the most important and valuable advice we can give: Try to relax, a large penis doesn’t automatically or magically make you happier or more adorable for women. Don’t let your penis size control your self-esteem.

Penis Enlargement: Does It Work?


Every guy knows pumps, pills, exercises, and surgery won’t build bigger penises -- Or do they?
From the WebMD Archives
Guys, be honest: Do you wish you were bigger? Almost certainly, the answer is yes.
"I think there isn't a guy in the world who hasn't wished his penis were an inch or two longer," says Michael O'Leary, MD, professor of urologic surgery at Harvard Medical School and a urologist at Brigham and Women's Hospital in Boston.
However, after more than a century of generally dubious and sometimes lunatic penis enlargement attempts, there's still not much you can do. Sure, there are lots and lots of supposed options out there -- penis pills, creams, brutal stretching exercises, horrific-looking devices, and penis surgery. Almost none of it works. The few approaches that can work often have modest benefits and serious side effects. How serious? In some cases, erectile dysfunction-serious.
"Trust me, if I knew of a way to safely and effectively increase penis size, I'd be a billionaire," O'Leary tells WebMD. "But I don't. Nobody does."
Still, common sense doesn't stop size-obsessed guys from trying very sketchy treatments on a vital part of their anatomy -- and risking a lot in the process.

How Small Is a Small Penis?

Think you're smaller than average? You're probably not.
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A Visual Guide to Erectile Dysfunction


The typical erect penis is usually 5 to 6 inches long with a circumference of 4 to 5 inches. There's more variation in the size of flaccid penises.
Some guys are genuinely smaller than that. In rare cases, genetics and hormone problems cause a condition called micropenis -- an erect penis of under 3 inches. Sometimes Peyronie's disease or prostate cancer surgery can reduce a guy's size.
But studies show that most of the guys seeking penis enlargement are average-sized. They just think they're below average.
Why? Part of it is perspective. It's very hard to gauge the size of your own penis -- looking down, you've got a bad angle.
Psychology plays a role, too. Some average-sized guys become obsessed with the idea that they're too small. There's even a psychiatric diagnosis: penile dysmorphic disorder. It's similar to the perceptual distortion of anorexics who think they're fat no matter how thin they get.
According to one study, the majority of men who get penis enlargement surgery have this condition. They're also the least satisfied with the results.

Penis Enlargement: Myths and Reality (6 photos)



Guys, but you are satisfied with the length of your friend? And if not, are you trying to increase it? Here! This is what the sellers of various means and technologies profit that do not really work. Or they work, but not quite as they are promised by these not-clean businessmen. It's very simple: you can not increase a single part of the body in a short time. Yes, even over a long period, the increase is possible only within 10-15% of the initial size. Let's look at the myths about penis enlargement and reality, which is not as rosy as we are promised.