Phalloplasty is the surgical (or sometimes non-surgical) modification of the penis, often aimed at increasing size. The term "Penoplasty" can also be used interchangeably with "Phalloplasty."
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Non-Surgical Girth Procedures
More popularly known as girth enhancement, non-surgical girth phalloplasty involves the use of injectable fillers to increase the width and circumference of the penile shaft. This procedure requires no general anaesthesia and is typically done within an hour (hence non-surgical). Typically, a patient will need 1-to-3 days of recovery, and can resume sex and/or masturbation in 7-to-14 days (depending on the filler and physician protocol). Popular fillers include Hyaluronic Acid (HA), PMMA, and Ellanse. You can find summarized information regarding each popular filler on the Inforgraphic found on this page.
Hyaluronic Acid is a naturally occurring substance that is already found in your skin. It helps keep skin plump and hydrated. HA fillers are typically soft and gel-like. The results are temporary, lasting 18 to 24 months or longer before the body gradually and naturally absorbs the particles.
Most HA fillers are infused with lidocaine to help minimize discomfort during and after treatment. Popular Brands Include: Juvéderm and Restylane. www.americanboardcosmeticsurgery.org
Pros: Best Safety Profile among all Fillers available; naturally occurring in the body, formulated for use in cosmetic medicine. Reversible to some extent (varies). Provides instant girth. Very good value per CC. Offered by the majority of PhalloBoards Sponsors.
Cons: Non-permanency requiring future top-offs.
Popularly known as Ellansè, this filler is injected into the skin to lift, sculpt and restore lost volume associated with skin aging. Its principle component is Poly-Caprolactone (PCL) microspheres – a bio-resorbable soft medical polymer. The PCL is suspended in a gel carrier made of carboxymethylcellulose (CMC). Unlike hyaluronic acid fillers, which lifts because of its properties as a gel, Ellanse works by stimulating your body to produce collagen. The results last 2 – 4years.
Popular Brands Include: Ellansè
Pros: Creates collagen for girth which tends to be firmer. Long-lasting (as much as 4-5 years depending on the type of Ellansè injected). Most Non-American Sponsors offer Ellansè.
Cons: Not available in the U.S. (FDA Approval pending as of March 2021). Due to the aforementioned pending approval, long-term outlook is not well known.
Polymethylmethacrylate (PMMA) is a synthetic, biocompatible substance that has been used in medicine for much of the last century. In dermal fillers, PMMA takes the form of a “microsphere” or tiny ball, that remains beneath the skin indefinitely to provide continued support. PMMA fillers will also contain collagen, a naturally occurring substance in the skin that provides structure and firmness.
Popular Brands Include: Linnea Safe and Bellafill®.
Pros: The only permanent injectable filler recommended by the PhalloBoards. Long history of patient reviews showing strong long-term outlook.
Cons: Permanency can also be a negative if a patient has an undesirable or regrettable result. The American brand of PMMA (Bellafill) is relatively expensive-per-cc (i.e. per volume) when compared to other fillers.
Renuva is an alternative to autologous fat transfer injections. Renuva is a synthetic fat filler which can be used to create volume.
Popular Brands Include: Renuva®.
Pros: Unlike Free Fat Transfer (FFT), this procedure is non-surgical and won't require the harvesting of fat from the patient's body.
Cons: Results aren't as easily reversible when compared to other temporary fillers like Hyaluronic Acid (HA).
Glans enhancement is the augmentation of the penile glans, typically done through dermal filler injections. Hyaluronic Acid (HA) is the most common filler used in this procedure. As of 2022, because of the inherent challenges posed by the anatomy, there is little in way of advancements in this area, and gains are often minimal and temporary.
Also known as ligamentolysis, this surgery involves severing the suspensory ligament from the pubic bone, which will allow the penis to hang lower, thus achieving length. This is often coupled with a stretching regimen post-op.
Results seem to vary patient-to-patient, largely dependent on each individual's unique anatomy. Flaccid gains are usually more commonly reported, however erect gains are achievable with a commitment to the Doctor's prescribed post-op protocol.
A condition where the scrotal skin is attached to the shaft, which can lead to numerous issues, including issues related to sexual activity. There is a surgery that can resolve this issue by removing the excess skin.
Also known as dermal graft matrices, these are tissue grafts from a donor (typically human or animal skin) that can be used to thicken the shaft of the penis. Popular brands include Surgimend, Alloderm, and Belladerm.
A surgical procedure that extracts fat from a donor site that can be used as a filler injection to increase width and girth.
Also known as the "fat pad lipo", this surgical procedure extracts fat from the pubic area in order to improve the appearance. Can make both the flaccid and erect lengths appear longer.