In studies and surveys conducted during 2017-2020 involving 25, 594 men, 45% said they wanted to have a bigger penis. However, only a few people decide to undergo surgery. Currently, there is an alternative to surgical intervention - penis enlargement with hyaluronic acid (HA-hyaluronic acid). In this article we will understand all aspects of this technique, its effectiveness and safety.
What is this procedure
Penis enlargement with hyaluronic acid is a minimally invasive procedure that involves the introduction of a biocompatible filler under the skin of the penis or glans with a thin needle or Venfor (cannula). The results after correction appear immediately and last one to two years, depending on the characteristics of the filler itself.
Hyaluronate is a temporary filler and has been approved as a safe and effective soft tissue dressing material. In this way, you can increase the circumference of the penis by 2-3 cm and the length by 1-3 cm, especially in the first month the effect continues to increase. This is because hyaluronic acid binds and holds water molecules thereby increasing penis volume.
In aesthetic medicine, several names are used for this penis enlargement method:
- intimate contour plastic surgery;
- penis enlargement with hyaluronate;
- intimate filling;
- injection phalloplasty.
Increasing penis size with hyaluronic acid is a non-surgical procedure, performed on an outpatient basis, and the patient can go home immediately after administering the drug.
Increasing penis size with hyaluronic acid is a safe procedure. The need for safer, more effective and less invasive treatments has increased in all areas of modern medicine. Penis enlargement with hyaluronic acid solves three problems at once: medical, psychological and aesthetic. In the United States, soft tissue fillers are the second most popular minimally invasive procedure, with more than 2. 6 million fillers performed in 2019.
Is it necessary to enlarge the penis with filler?
Each case is individual, and it is impossible to give a universal answer. With a good erection, even a small penis can give pleasure to a woman and bring her to orgasm. This is because the most sensitive G point is located on the front wall of the vaginal entrance. You can learn more about normal penis sizes in this article.
Indications for injection into the shaft of the penis
The introduction of hyaluronate into the genital shaft is carried out for several indications:
- psychological problems associated with small penis size;
- insignificant penis thickness, or the so-called "thin penis";
- lack of stimulation of the partner's vagina during sexual intercourse and his dissatisfaction;
- imbalance in the parameters of the partner's genitals (large vaginal volume and small penis);
- erectile dysfunction of a psychogenic nature associated with failure expectation syndrome due to small penis size;
- Peyronie's disease - curvature of the penile shaft;
- defects in the urethra;
- consequences of unsuccessful operations on the genital organs;
- fibrosis of the cavernous bodies;
- genetic and hormonal pathologies leading to underdevelopment of the penis, micropenis.
It should be noted that the correction of hyaluronic acid into the shaft of the penis does not increase the length of the penis, but only gives it volume, increasing the size of the girth and diameter, although visually the penis looks more impressive in a calm state. state and during erection.
Indications for injection into the head of the penis
Minimally invasive penis head enlargement with hyaluronic acid is performed for the following indications:
- small size of the head of the penis compared to the shaft (thin head);
- the top of the head is not prominent enough;
- smoothed frenulum;
- wrinkled mucous membranes of the head;
- deformation of the head of the penis after injury;
- premature ejaculation.
This head correction can not only improve its shape, but also increase its length.
What results can you expect after the injection?
After inserting the filler into the shaft, its thickness increases by 1-2 cm, and the procedure on the glans not only improves the aesthetic qualities, but also lengthens the penis by 3-5 cm. Once under the skin, hyaluronate is evenly distributed, smoothing the skin and mucous membranes, improving the appearance of the penis. The application of the gel helps to increase the relief of the crown of the head, its width, accentuates the frenulum, makes it more convex, changes the shape and volume of the head.
At rest, the penis filled with hyaluronate is heavier, so it appears longer, because it is not pulled into the groin. When erect, it looks thicker than before the injection, but the length remains the same.
Injection of gel into the head of the penis helps men suffering from premature ejaculation overcome this problem. Hyaluronate is injected into the sensitive part of the head - the frenulum. The substance penetrates the subcutaneous layers and spreads into the intercellular spaces, shifting some receptors to the lower subcutaneous layers. As a result, penile sensitivity decreases, and men can control the onset of orgasm.
How long do the effects last?
The results of the first filler injection last between nine months and two years. In addition, the volume continues to increase during the first six months due to the fact that the decomposed hyaluronic short units retain more water. The dehyaluronidase enzyme then gradually breaks down the acid. After 12 months, more than 30% of the gel was destroyed. To restore volume, it is recommended to repeat this procedure. Hyaluronate tends to break down less with repeated injections.
According to reviews, penis enlargement with hyaluronic acid increases a man's sexual attraction, increases the quantity and quality of sexual intercourse, while feeling more vivid sensations from additional stimulation and delivering pleasure to his partner, which also increases the man's self-esteem.
Is hyaluronic acid safe?
Hyaluronic acid (hyaluronic acid, hyaluronic acid) belongs to mucopolysaccharides and is part of the epithelium, nervous and connective tissue. It is contained in the extracellular space, in biological fluids, including biological lubricants. The body of a person of average weight contains about 16 g of this substance. Hyaluronate is involved in tissue hydrodynamics and cell reproduction. It is with this feature that its regenerating effect is associated.
The substance contains up to 25, 000 disaccharide units and is able to hold the same amount of water. It is this ability of polysaccharides that provides additional volume to hyaluronic tissue and the penis. Therefore, the introduction of exogenous hyaluronic acid is absolutely safe for humans.
This compound is not rejected by the body and does not cause allergies. It has been used in medicine since the 80s of the last century to increase the viscosity of synovial fluid in joints. The technique of increasing the volume and length of the penis with hyaluronic gel appeared relatively recently, but has already won the trust of men as an effective procedure that does not require surgery.
Recommendations for selecting hyaluronic acid fillers
The choice of filler is up to the doctor. Gels differ in composition, density and percentage of hyaluronic acid. Some fillers add local anesthetic to reduce pain after the procedure, but such formulations are more expensive. The density is selected by the doctor according to the purpose and injection site.
The large amount of filler for injection into the penis indicates that the product contains cross-linked hyaluronic acid. It consists of alternating monomers of D-N-acetylglucosamine and D-glucuronic acid. The monomer units are cross-linked into a polymer using biocompatible urea. This cross-linked biopolymer tends to last longer in the implant area compared to conventional hyaluronate and improves the quality of the penile tissue filling.
How to enlarge your penis with hyaluronic acid
The procedure itself begins with a preparatory stage. The andrologist collects an anamnesis, asks about systemic and chronic diseases, psychological problems, and conducts an examination. Patients consent to the processing of their personal data. Before the procedure, tests are performed:
- general blood test;
- urine test;
- blood test for clotting.
Additional studies may be required as indicated.
Penile augmentation with hyaluronate is performed on an outpatient basis. Before correction, the hair in the groin area is shaved. This procedure is performed under local anesthesia.
The introduction of filler into the penis occurs in several stages:
- The groin area is treated with an antiseptic and covered with a sterile disposable diaper.
- An anesthetic gel is applied to the penis, which takes effect after 15 minutes.
- The required amount of medication with hyaluronic acid is drawn into the syringe. A thin needle is inserted into the subcutaneous layer and the filler is injected slowly. The doctor ensures that the hyaluronate is evenly distributed over the injection area.
- An aseptic bandage and patch is applied to the injection site.
The duration of the procedure depends on the number of injections and takes from half an hour to an hour, taking into account the time of anesthesia at the site of hyaluronic acid administration.
Administration method
There are several methods for inserting filler into the head of the penis. The doctor selects the technique according to indications. More often, several methods are combined to improve the aesthetics of the penis head:
- Fan method— hyaluronate is injected with a thin needle in different directions through one fan-type puncture.
- Point method- injections are carried out in limited parts of the penis to eliminate abnormalities or deformations.
- Contour recognitionFiller is applied along the top of the head, after which the contour becomes thicker and clearer.
Features of the recovery period
After correction, pain may occur at the injection site, which can be easily eliminated with lidocaine spray. The penis appears swollen, and a small hematoma may appear. Swelling can last up to 5 days, hematoma disappears on the 6th day. There is slight redness at the injection site. All these changes shouldn't be scary. It must be remembered that this is a very sensitive organ with many nerve endings and small blood vessels. Many men report frequent nocturnal erections after the procedure. Serious complications are very rare and are most often associated with poor hygiene and infection of the injection site, which provides a portal of entry for microorganisms. Sometimes hyperpigmentation can be observed at the site of the hematoma.
Restrictions after the procedure
After the introduction of hyaluronic acid, there are a number of restrictions and recommendations:
- disrupts intimate life for two weeks;
- antibiotics are required for 5 days, then according to indications;
- be sure to treat the penis with anti-inflammatory and antiseptic drugs;
- do not take hot baths, exclude baths and saunas for a week.
Contraindications
Like any procedure, filler injections have a number of contraindications:
- exacerbation of chronic diseases;
- blood diseases, including bleeding disorders;
- inflammatory diseases and acute viral infections (fever, fever);
- taking antibiotics and anticoagulants;
- diseases of the immune system;
- herpes in the acute stage;
- malignant tumor;
- diabetes.
Hyaluronic injections are not given if a man currently experiences an increase in body temperature, fever, or there is a rash or ulcer on the penis.
Clinical study of filler injection results
Fillers appeared in our country relatively recently, so long-term clinical studies in this area have not yet been conducted. However, such experience has been accumulated in foreign clinics. The results of one of the long-term observations carried out at the Urology Department of Cha Meditech Co Clinic. , Ltd. , Korea by scientists led by Professor De Yul Yang has been published. These studies aim to summarize the long-term clinical outcomes of hyaluronic acid (HA) injections.
The multicentre, randomized trial was conducted over 18 months after a single filler injection between November 2016 and May 2018. The trial involved 67 healthy men aged 20 to 66 years who considered their penises to be smaller than normal adult size.
All observed men underwent a baseline examination before the study, and a detailed medical history was collected with an emphasis on psychiatric and psychological problems. They consent to the processing of their personal information.
The study was conducted using SAS version 9. 4 (SAS Institute Inc. , Cary, NC, USA) by an independent biostatistician. During the blind portion of the study, all post-injection assessments at each site were performed by independent physicians who were not involved in screening or excipient injection.
Research result
Overall, the penis was smooth, natural and supple, and the increase in girth was maintained for up to a year and a half after filler injections. No irregularity, retraction, hardening or deformation of the penis, or migration of filler was observed. Six months after the injection, the average increase in penis circumference was 1. 91 cm, then the average penis circumference gradually decreased until 18 months and after one and a half years it became +1. 79 ± 1. 41 cm.
Dynamics of increasing penis girth after injection of filler with hyaluronic acid:
| Study period after administration | Mean penis circumference in groups (cm) | Deviation from average value (cm) |
| Before injection | 7. 74 | ±1. 40 |
| 1 month | 10. 15 | ±1. 57 |
| 3 months | 10. 25 | ±1. 64 |
| 6 months | 9. 74 | ±1. 83 |
| 18 months | 9. 08 | ±1. 87 |
Level of satisfaction
After one month, the appearance indicators of the penis improved significantly. This improvement lasted up to six months. After that, the score gradually decreased until the age of 18 months, but the score at the age of one and a half years was much higher than the initial value. After three months, the level of sexual activity increased significantly. This increase lasted up to a year and a half.
Research result
The study found that hyaluronic acid fillers resulted in significant increases in penile girth and increased satisfaction associated with the injections. The procedure was tolerable and no major complications were observed at 18 months.
Hyaluronic acid consists of natural ingredients and has both direct and passive effects. After injection, the filler is gradually absorbed by the surrounding tissue. As hyaluronate breaks down into smaller fragments, its molecules bind more water; the same volume can be maintained with less hyaluronic acid for several months. Then the results continued to decline. The enhancing effects of fillers last up to 18 months.
The results of this study are comparable to the results of previous trials and prove the clinical utility of the gel, its effectiveness and safety. Because hyaluronic fillers are temporary, long-term follow-up after injection is essential. Regarding the augmentative effect, the circumference of the penis after filler injection increases to its maximum in about one month. Satisfaction with the appearance of the penis increases significantly about one month after filler injections. This increase lasts approximately 6 to 12 months. Then gradually decreases up to a year and a half; however, the level of satisfaction is still higher than the initial level of satisfaction.
The study showed that the increase in satisfaction with sexual activity after filler injections lasted for 18 months, although the increase in penis girth gradually decreased over time. These findings suggest that injecting fillers can reduce psychological stress associated with sexual activity. This also supports the notion that men who want to enlarge their penis experience psychological stress. They often require psychological counseling or psychotherapy.
Compatibility of hyaluronate injections with other types of augmentation
The introduction of hyaluronate into the penis can be combined with other surgical interventions:
- ligamentotomy— surgical intervention to cut the ligaments that support the penis;
- liposuction in the pubic area— extraction of adipose tissue that hides the penis in obese men;
- lipofilling- increasing the girth of the penile shaft with subcutaneous injections of its own lipids;
- scrotum plastic surgery- removal of the scrotal screen, which hides the centimeters of the genital organs;
- circumcision of the foreskin- excision of the dermis around the head;
- head denervation- reduction of sensitivity by excision of part of the penile nerve.
The decision on the compatibility of a particular type of penile correction and the need for such surgical intervention is decided by the doctor separately in each specific case.