Aesthetics of Penis

What is Penis Aesthetic Surgery?

Penis aesthetic surgery is a procedure performed by plastic surgeons to eliminate functional and visual problems in the penis organ.

The thickness, length, and functionality of the penis are a major concern for many men. It can have a serious impact on self-image and quality of life. There are several conditions that may affect the functionality, appearance, size, or curvature of the penis. Penis aesthetic surgery is a popular choice to deal with any issues in these areas. Surgery can be performed to correct penile deformities or issues of curvature, as well as increase the length and girth (thickness) of the penis.

Indications for Penis Aesthetic Surgery

Penis aesthetic surgery is most commonly indicated for penis enlargement. In general, your physician may recommend penis aesthetic surgery for the following penile conditions, such as:

  • Extremely small and thin penis
  • Penis curvature
  • Concealed penis problem
  • Penoscrotal webbing
  • Testicular implants for males born with absent testicles (one or both)
  • Circumcision/repair

Preparation for Penis Aesthetic Surgery

Preoperative preparation for penis aesthetic surgery may involve the following steps:

  • A review of your medical history and a physical examination are performed by your doctor to check for any medical issues that need to be addressed prior to surgery.
  • Depending on your medical history, social history, and age, you may need to undergo tests such as blood work, urinalysis, and imaging to help detect any abnormalities that could compromise the safety of the procedure.
  • You will be asked if you have allergies to medications, anesthesia, or latex.
  • You should inform your doctor of any medications, vitamins, or supplements that you are taking or any conditions you have such as heart or lung disease.
  • You may be asked to avoid medications such as blood thinners, aspirin, or anti-inflammatories for a specific period prior to surgery.
  • You should refrain from alcohol or tobacco at least a few days prior to the surgery and several weeks after as it can hinder the healing process.
  • You should not consume any solids or liquids at least 8 hours prior to surgery.
  • You may be instructed to shower with antibacterial soap and wash the genital area thoroughly the morning of surgery to help lower your risk of infection post-surgery.
  • You need to arrange for someone to drive you home after surgery.
  • A signed informed consent form will be obtained from you after the pros and cons of the surgery have been explained.

Procedure for Penis Aesthetic Surgery

The most common penis aesthetic surgery is penile lengthening, also called phalloplasty. Phalloplasty is a surgery performed to increase the size of the penis. It consists of two procedures - lengthening of the penis and increasing the girth of the penis. Penile lengthening involves increasing the flaccid (non-erect) length of the penis by cutting the ligaments that firmly secure the penis to the pubic bone.

Penile lengthening is performed under general anesthesia. Your doctor makes an incision in the pubic area (at the base of the penis) and releases the suspensory ligament. This accounts for an increase in length of about 1 or 2 inches of the penis. Your doctor then sutures the ligament at a lower position and covers the new extension of your penis with a flap of skin taken from the pubic bone area. Thickening of the penis is accomplished by injecting fat tissue obtained from the patient into the penis. Fats are obtained by liposuction (a type of fat removal procedure). There is no significant visible scarring. Commonly, the inner parts of the leg or waist region are used for fat removal. Finally, the incisions are closed with sutures, and a sterile bandage is applied.

Postoperative Care and Recovery

In general, postoperative care instructions and recovery after penis aesthetic surgery will involve the following steps:

  • You will be transferred to the recovery area where your nurse will closely observe you for any allergic/anesthetic reactions and monitor your vital signs as you recover.
  • You may experience pain, inflammation, and discomfort in the operated area. Medications are provided as needed to keep you comfortable. You may also use ice packs and warm compresses to mitigate pain and swelling.
  • Antibiotics will also be provided to address the risk of surgery-related infection.
  • Instructions on surgical site care and bathing will be provided to keep the incision site clean and dry. It takes around 4 to 6 weeks for complete healing of the penis.
  • Refrain from strenuous activities and lifting heavy objects for the first couple of months as this may cause discomfort in the penis. A gradual increase in activities over a period of time is recommended.
  • You are advised to refrain from sex for about 6 weeks in order to promote complete healing of the penis.
  • You should be able to get back to work in a couple of days for most occupations. However, if your job involves lifting heavy weights or high-intensity activities, you are advised to take off from work for at least 4 weeks.
  • Periodic follow-up appointments will be scheduled to monitor your progress.

Risks and Complications

Penis aesthetic surgery is a relatively safe procedure; however, as with any surgery, there are risks and complications that can occur, such as:

  • Infection
  • Bleeding
  • Nerve damage
  • Seroma (collection of fluid underneath the skin)
  • Pain, swelling, and soreness
  • Allergic/anesthetic reactions


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