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Penis Surgery – a growing business

Some people are obsessed with the size of their penis… and why not?

For many men it’s probably the main thing that brings pleasure into their lives.

Socially we want it to impress others with the girth and length of our manhood, whilst privately we enjoy knowing just what we’ve got down the front of our trousers. However, for some people that isn’t the case and, just as women have turned to the knife to boost their confidence, the same is happening with guys.

Dr. Robert Viel of the London Centre for Aesthetic says he seen soaring demand for penoplasty – the procedure that increases penile length and girth.  This procedure is said to significantly enhance penile size, both length and width, without effecting sexual performance or sensitivity.

How it works (not for the squeamish)

To increase the length, an incision is 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. Men with prominent pubic fat pads will gain more length; if for example they have a 2 inch fat pad, and 1.5 inches is removed, the additional 1.5 inch gain will be supplemental to the extension gained by releasing the suspensory ligament. 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. Many men have circumcision performed at the same time, as this avoids swelling of the foreskin, which can last for several weeks.

The increase in girth, involves a small amount of liposuction of the stomach or thigh areas to collect fat, followed by re-introduction of the fat by injection along the shaft of the penis. The usual increase in girth (circumference) is between 1 to 2 inches. The fat injection procedure avoids incision scars and because it is a simpler technique, the recovery time is shorter. Furthermore, the benefits of abdominal liposuction will enhance the patient’s appearance. 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 be slightly bigger than the tip. The enlargement of the penis will be evident in both the flaccid and erect states.

So, Dr. Robert Viel that’s how it’s done but are the majority of guys’ issues psychological or physical?

For most, it is not a big physical problem: they simply feel self-conscious in the gym changing room or when wearing swimming trunks. They want the  lengthening operation to make them feel more confident, although those opting for the girth enlargement can expect benefits for a partner too! 

It’s clear this problem has been neglected by the medical profession for a long time, 80% my clients want an increase in both girth and length. The penoplasty can increase flaccid length by one to four inches and the circumference by about the same amount – but I won’t do anything unnatural. This can have a hugely beneficial effect on clients psychologically, as this is really all about the man and his own self-image and esteem. 

Does anybody come to you with unrealistic expectations?

Yes, and we send them away. We are very realistic about what we can achieve that looks natural and will make sure a patient is completely aware of the results he will see, before committing to surgery.


What influence do you think the images men are seeing today is having on how they feel about their penis and what they want done? 

We have seen a HUGE increase in Penoplasty. The media has the same influence on men’s as it does women, and since the David Beckham H&M campaign we have seen mammoth waiting lists for penoplasty in our clinics.

What are the dangers, this is quite a delicate area?

Like all operations, Penoplasty is not without complications, they are rare but can occur. These include infection, bleeding, collection of blood under the skin, known as haematoma or blood clot; however this occurs in less than 1% of patients and drains and heals spontaneously. In some cases with enlargement surgery the shaft may be asymmetrical or lumps may occur due to the position of the fat. Gentle massage should normally resolve this problem. There is no known effects to your bedroom performance.  Your key 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. Penoplasty is now well established cosmetic procedure, having been performed for the last 10 years. It is both a safe and effective procedure and, with no foreign material or implants introduced, the complications are rare.

Is there any follow-up procedures needed?

The fat taken pre-operation is stored, so if there is fat absorption back into the body, fat is a natural substance so this does happen to a small 5 of the fat over time, you can pop in and be topped up! This is a quick procedure and works very effectively.

If the fat is injected into the penis, does this mean the penis doesn’t get full hard when erect?

These procedures do not interfere with the normal functioning or sensitivity of the shaft.

Cost – Penoplasty from £3850 (width) & £4000 (lengthening)

London Centre for Aesthetic Surgery, London W1