There are different techniques used in penile enlargement. The suspensory ligaments that attach the penis to the under surface of the pubic bone are released causing the portion of the penis normally hidden inside the body to be visible. Suitable tissue expanders may be added to prevent contraction of the ligament in the future. An increase in length varies, depending on a patient's anatomy. It generally ranges from 1-1/2" to 2". A scrotalplasty procedure can be performed to reduce the skin of the scrotum making the penis appear more prominent. Fat injections or tissue grafts add girth to the penis shaft or the head of the penis known as the glans.
The procedure to increase the thickness involves a simple transfer of the patient's own fat cells. The use of fat cells for augmentation limits the risk of rejection of the body. The result is a penis of the same shape and length but greater in circumference. Because the penile shaft is narrower than the maximum diameter of the head, the doctor usually fills out the shaft slightly beyond the head's maximum diameter to maintain proper proportion.
Circumference can be increased by 50 percent or more, depending on the results desired by the patient. This is best achieved by a separate second stage fill procedure three months from the first. In each procedure there is an increase in both the flaccid and erect state.
The surgery takes 1 to 3 hrs. The patient is advised to stay overnight in the hospital. Out patient care is advised for a few days. Pain would be there which can be comfortably managed through proper medication. One can resume sexual activity in 4 to 8 weeks depending on the extent of surgery.