In studies and surveys conducted on 25, 594 men during 2017-2020, 45% indicated that they wanted a larger penis. However, fewer men decide to undergo surgery. Today, there is an alternative to surgical intervention –Penis enlargement with hyaluronic acid (HA-hyaluronic acid). In the article we will understand all aspects of this technology, its effectiveness and safety.
what is this process
Penis enlargement with hyaluronic acid is a minimally invasive procedure that involves inserting a biocompatible filler with thin needles or venfor (cannula) under the skin of the penis. The result after improvement is visible immediately and depending on the characteristics of the filler aLasts from to two years.
Hyaluronate is a temporary filler and has been approved as a safe and effective soft tissue plumping agent. In this way, you can increase the circumference of the penis by 2-3 cm and the length by 1-3 cm. Furthermore, the effect continues to increase over the first month. This is because hyaluronic acid binds and holds water molecules, increasing the volume of the penis.
In aesthetic medicine, several names are used for this method of penis enlargement:
- 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 return home immediately after taking the medication.
Increasing penis size with hyaluronic acid is a safe procedure. The need for safer and more effective, less invasive treatments has increased in all areas of modern medicine. Penis enlargement with hyaluronic acid solves three problems at once: medical, psychologicaland aesthetics. In the United States, soft tissue fillers are the second most popular minimally invasive procedure, with more than 2. 6 million such fillers performed in 2019.
Is it necessary to enlarge the penis with fillers?
Each case is individual, and it is impossible to give a universal answer. With a good erection, even a small penis can give a woman pleasure and lead her to orgasm. This is due to the fact that the most sensitive G spot in the vaginaIt is located on the front wall at the entrance to the penis. You can learn more about the normal sizes of the penis in this article.
Indications for injecting into the shaft of the penis
The introduction of hyaluronate into the shaft of the genital organ is used for several indications:
- Psychological problems associated with small penis size;
- negligible thickness of the penis, or the so-called "thin penis";
- Insufficient stimulation of the partner's vagina and its dissatisfaction during intercourse;
- Disproportionation of the parameters of the genital organs of partners (large vaginal volume and small penis);
- Erectile dysfunction of psychological nature associated with the syndrome of expectation of failure due to small size of the penis;
- Peyronie's disease – curvature of the shaft of the penis;
- urethral defects;
- Consequences of unsuccessful operations on the genital organ;
- Fibrosis of cavernous bodies;
- Genetic and hormonal pathologies lead to underdeveloped penis, micropenis.
It should be noted that the improvement of hyaluronic acid in the shaft of the penis does not increase the length of the penis, but only gives it volume, increases the size of the circumference and diameter, although visually the penis looks more impressive in a relaxed state andduring construction.
Indications for injection into the head of the penis
Minimally invasive enlargement of the head of the penis with hyaluronic acid is performed for the following indications:
- Small size of the head of the penis relative to the shaft (thin head);
- The crown of the head is insufficiently pronounced;
- smooth frenulum;
- wrinkled mucous membrane of the head;
- Deformity of the head of the penis after injury;
- Premature ejaculation.
This correction of the head 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 girth increases by 1-2 cm, and the procedure in the glans not only improves its aesthetic qualities, but also lengthens the penis by 3-5 cm. Once under the skin, hyaluronate becomes evenly distributed, smoothing the skin and mucous membranes, improving the appearance of the penis. Applying the gel improves the relief of the corolla of the head, increasing its width, exposing the frenulum, It helps to make it more convex, changing the shape and volume of the head.
At rest, the hyaluronate-filled penis is heavier, so it appears longer, due to the fact that it does not retract in the waist. When erect it looks thicker than before the injection, but the length remains the same. Lives.
Gel injection into the head of the penis helps men suffering from premature ejaculation to cope with this problem. Hyaluronate is injected into the sensitive part of the head - the frenulum. The substance penetrates the subcutaneous layer and distributes in the intercellular spaceIs, transfers some receptors to the lower subcutaneous layers. As a result, the sensitivity of the penis is reduced, and the man can control the onset of orgasm.
How long does the effect last?
The results of the first filler injections last from nine months to two years. Furthermore, the volume increases continuously during the first six months, due to the fact that the disintegrated smaller units of hyaluronate retain more water. Then the enzyme dehyaluronidase graduallyBreaks down acid. After 12 months, more than 30% of the gel has disintegrated. To restore volume, it is recommended to repeat the procedure. Hyaluronate breaks down less with repeated injections.
According to reviews, such penis enlargement with hyaluronic acid increases a man's sexual attraction, increases the quantity and quality of sexual intercourse, while additional stimulation allows one to experience more vivid sensations and give pleasure to his partner, allowing menSelf-esteem also increases.
Is hyaluronic acid safe?
Hyaluronic acid (hyaluronate, hyaluronic acid) belongs to mucopolysaccharides and is part of epithelial, nervous and connective tissues. It is contained in biological fluids, in the extracellular space, including biological lubricants. In the body of a person with an average weight about 16 gThis substance contains. Hyaluronate is involved in tissue hydrodynamics and cell reproduction. Its regenerative effect is associated with this characteristic.
This substance contains 25, 000 disaccharide units and is able to hold the same amount of water. It is the ability of the polysaccharide to provide additional volume to the hyaluronate and penile tissues. Therefore, the introduction of exogenous hyaluronic acid to humansIt is absolutely safe for.
This compound is not rejected by the body and does not cause allergies. It has been used in medicine to increase the viscosity of the synovial fluid in the joints since the 80s of the last century. With hyaluronic gel the volume of the penis andLengthening technology has appeared relatively recently, but it has gained the trust of men as an effective procedure that does not require surgery.
Recommendations for choosing hyaluronic acid fillers
The choice of filler is up to the doctor. Gels vary 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. It is done according to the objectives and injection site.
Many fillers for injection into the penis indicate 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. -Linked. Such cross-linked biopolymers last longer in the implanted area than traditional hyaluronate and improve the quality of penile tissue filling.
How to Enlarge Penis with Hyaluronic Acid
The procedure itself is preceded by a preparatory phase. The andrologist collects the history, 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 taken:
- general blood analysis;
- urine test;
- Blood test for clotting.
Additional studies may be required according to indications.
Penis enlargement with hyaluronate is performed on an outpatient basis. Before the correction, the hair in the groin area is shaved. The procedure is performed under local anesthesia.
Insertion of the 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 slowly injected. The doctor makes sure that the hyaluronate is evenly injected into the injection area. be distributed.
- An antiseptic 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 anesthesia time at the sites where the hyaluronic acid is injected.
Methods of Administration
There are several methods of inserting fillers into the head of the penis. The doctor selects the technique according to the indications. Often, several methods are combined to improve the aesthetics of the head of the penis:
- fan method- Hyaluronate is injected with a thin needle in different directions through a fan-type puncture.
- spot method- An injection is given to a limited part of the penis to eliminate irregularities or deformities.
- contour introductionFiller is applied to the top of the head, after which the contour becomes larger and more pronounced.
Features of the recovery period
After recovery, there may be pain at the injection site, which can be easily relieved with lidocaine spray. The penis appears swollen, and small hematomas may be visible. Swelling may persist for up to 5 days, hematomas resolve on the 6th day. It happens. There is slight redness at the injection site. All these changes should not be scary. It should be borne in mind that it is a very sensitive organ containing a large number of nerve endings and small vessels. Many men complain of frequent nighttime erections after the procedure. Serious complications are extremely rare and oftenThese are associated with poor hygiene and infection of injection sites, which become entry points for microorganisms. Hyperpigmentation can sometimes be seen at the site of the hematoma.
restrictions after procedure
After the introduction of hyaluronic acid, there are a number of restrictions and recommendations:
- Interrupt intimate life for two weeks;
- Antibiotics are needed for 5 days, then as indicated;
- Be sure to treat the penis with anti-inflammatory and antiseptic agents;
- Do not take hot baths, give up baths and saunas for a week.
Difference
Like any other 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;
- Ringworm in the acute stage;
- malignant tumors;
- diabetes.
Hyaluronate injections are not performed if a man has an elevated body temperature, fever, or rashes or ulcers on the penis at this time.
Clinical Study of the Results of Filler Injection
Fillers appeared in our country relatively recently, so long-term clinical studies have not been conducted in this area. However, such experience has been accumulated in foreign clinics. Cha Meditech Co. , Ltd. Clinic, Korea by scientists under the leadership of Professor D. Yul YangThe results of one of the long-term observations carried out in the Department of Urology of Harvard Medical School have already been published. The purpose of these studies was to summarize the long-term clinical results of hyaluronic acid (HA) injections.
The multicenter, randomized trial was conducted between November 2016 and May 2018 for 18 months following a single filler injection. It involved 67 healthy men aged 20 to 66 who rated their penis as smaller than normal for an adult.
All observed men underwent a preliminary examination before the study, and a detailed medical history was compiled with an emphasis on psychiatric and psychological problems. They agreed to the processing of their personal information.
This study was conducted by an independent biostatistician using SAS version 9. 4 (SAS Institute Inc. , Cary, NC, USA). During the blinded portion of the study, all post-injection assessments at each site were performed by an independent physician. were performed who were not involved in the screening or injection of excipients.
research results
Overall, the penis was smooth, natural and flexible, and the increase in thickness was maintained for up to one and a half years after filler injection. No asymmetry, shrinkage, stiffness or deformity or transfer of filler was observed in the penis. Six months after the injection, the penisThe average increase in circumference was 1. 91 cm. Then the average circumference gradually decreased by 18 months and after a year and a half it was +1. 79 ± 1. 41 cm.
Dynamics of increase in penis circumference after injection of filler with hyaluronic acid:
| Study period after administration | Average circumference of penis in the group (cm) | Deviation from mean 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 |
satisfaction level
After one month, the indicators of penis presence increased significantly. This improvement lasted for six months. After this, they gradually decreased until 18 months, but at a year and a half the scores were significantly higher than at baseline. Three monthsAfter, the rate of sexual activity increased significantly. This increase lasted for one and a half years.
learning outcome
The study found that hyaluronic acid filler resulted in a significant increase in penile circumference and increased satisfaction associated with the injection. The procedure was tolerable and no major complications were observed at 18 months.
Hyaluronic acid contains natural ingredients and has a direct and passive effect. After injection, the filler is gradually absorbed by the surrounding tissues. As the hyaluronate breaks into smaller pieces, the molecules bind more water; The same volume can be maintained for several months with less hyaluronic acid. Then the results gradually decrease. The enhancing effect of the filler lasts for up to 18 months.
The results of the present 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 extremely important. With regard to the enhanced effect, the fillerThe girth of the penis increased to a maximum within about a month after the injection. Satisfaction with the appearance of the penis increased significantly about a month after the filler injection. These increases lasted for about 6 to 12 months. Then they gradually decreased. Reached one and a half year; However, satisfaction levels were still higher than baseline.
The study showed that the increase in satisfaction with sexual activity after filler injections lasted for up to 18 months, despite penis size gradually decreasing over time. The finding suggests that injecting filler may improve sexual performance. The psychological stress associated with the activity can be reduced. It also supports the idea 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 ligament that supports the penis;
- liposuction in the pubic area— Extraction of the fatty tissue concealing the penis in obese men;
- lipofilling- Increasing the girth of the penis shaft with subcutaneous injection of one's own lipid;
- Scrotal plastic surgery- removal of the scrotum, which hides centimeters of the genital organ;
- foreskin circumcision- Excision of skin around the head;
- head deviation- Decrease in sensitivity by cutting some part of the nerves of the penis.
The decision on the suitability of certain types of penis correction and the need for such surgical intervention is taken by the doctor in each specific case separately.