In studies and surveys conducted in 2017-2020 among 25, 594 men, 45% indicated that they would like to have a larger penis. However, few people decide to undergo surgery. Today there is an alternative to surgery - penis enlargement with hyaluronic acid (HA hyaluronic acid). In the 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 introducing a biocompatible filler under the skin of the penis or glans with fine needles or Venfor (cannulas). The result after the correction appears immediate and lasts from 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 plumping agent. In this way it is possible to increase the circumference of the penis by 2-3 cm and the length by 1-3 cm, furthermore in the first month the effect increases steadily. This is because hyaluronic acid attacks and retains 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 the size of the penis with hyaluronic acid is a non-surgical procedure, performed on an outpatient basis, and the patient can return home immediately after administration of the drug.
Increasing the size of the penis 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 over 2. 6 million 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 pleasure to a woman and bring her to orgasm. This is due to the fact that the most sensitive G-spot is located on the anterior wall at the entrance to the vagina. You can learn more about normal penis size in this article.
Indications for injections into the shaft of the penis
The introduction of hyaluronate into the stem of the genital organ is carried out for various indications:
- psychological problems associated with small penis size;
- insignificant thickness of the penis, or the so-called "thin penis";
- insufficient stimulation of the partner's vagina during intercourse and his dissatisfaction;
- disproportion of the parameters of the genital organs of the partners (large vaginal volume and small penis);
- erectile dysfunction of a psychogenic 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 the corpora cavernosa;
- genetic and hormonal pathologies that lead to underdevelopment of the penis, micropenis.
It should be noted that the correction of hyaluronic acid in the shaft of the penis does not increase the length of the penis, but only gives it volume, increasing the girth and diameter, although visually the penis appears more impressive in a calm environment. state and during erection.
Indications for injections 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 compared to the shaft (thin head);
- the crown of the head is not sufficiently pronounced;
- smooth frenulum;
- wrinkled mucosa 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 injections?
After introducing 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 is evenly distributed, smoothes the skin and mucous membranes, improving the appearance of the penis. The administration of the gel helps to increase the relief of the corolla of the head, its width, highlight the frenulum, make it more convex, change the shape and volume of the head.
At rest, the hyaluronate-filled penis is heavier, so it appears longer, since it is not retracted into the groin. When erect it appears thicker than before the injections, but the length remains the same.
Gel injections into the head of the penis help men suffering from premature ejaculation to deal with this problem. Hyaluronate is injected into the sensitive part of the head: the frenulum. The substance penetrates the subcutaneous layer and distributes itself in the intercellular space, displacing some receptors in the lower subcutaneous layers. As a result, the sensitivity of the penis decreases and the man can control the onset of orgasm.
How long does the effect last?
The results of the first filler injection last nine months to two years. Furthermore, the volume increases steadily during the first six months because the short disintegrated hyaluronate units retain more water. The enzyme dehyaluronidase then gradually breaks down the acid. After 12 months, more than 30% of the gel disintegrates. To restore the volume it is recommended to repeat the procedure. Hyaluronate tends to degrade less with repeated injections.
According to reviews, such penis enlargement with hyaluronic acid increases the sexual attractiveness of a man, increases the quantity and quality of sexual intercourse, experiencing more vivid sensations from additional stimulation and giving pleasure to his partner, which also increases the man's self-esteem.
Is hyaluronic acid safe?
Hyaluronic acid (hyaluronate, hyaluronic acid) belongs to mucopolysaccharides and is part of the epithelium, nervous and connective tissues. It is contained in the extracellular space, in the biological fluid, including biological lubricant. The body of an average weight person contains about 16 g of this substance. Hyaluronate is involved in tissue hydrodynamics and cellular reproduction. It is with this characteristic that its regenerating effect is associated.
The substance contains up to 25, 000 disaccharide units and is capable of retaining the same amount of water. It is this ability of the polysaccharide that gives additional volume to the hyaluronate and penile tissues. 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 gained the trust of men as an effective procedure that does not require surgical intervention.
Advice for choosing hyaluronic acid filler
The choice of filler is up to the doctor. The gels differ in composition, density and percentage of hyaluronic acid. Some fillers add a local anesthetic to reduce pain after the procedure, but such formulations are more expensive. The density is chosen by your doctor based on your goals and injection site.
Many injectable penis fillers 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. Such cross-linked biopolymers tend to last longer in the implanted area than conventional hyaluronate and improve the quality of penile tissue filling.
How to perform penis enlargement with hyaluronic acid
The procedure itself is preceded by a preparatory phase. The andrologist collects 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 tests;
- Urine tests;
- blood test for clotting.
Further studies may be necessary depending on the indications.
Penis augmentation with hyaluronate is performed on an outpatient basis. Before correction, the hair in the groin area is shaved. The procedure is performed under local anesthesia.
The introduction 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 necessary amount of the drug 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 makes sure that the hyaluronate is evenly distributed in the injection area.
- An aseptic bandage and plaster are applied to the injection site.
The duration of the procedure depends on the number of injections and lasts from half an hour to an hour, taking into account the anesthesia time at the sites of introduction of hyaluronic acid
Method of administration
There are several methods for introducing filler into the head of the penis. The doctor chooses the technique based on the indications. More 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 puncture.
- Spot method- the injection is carried out on a limited part of the penis to eliminate irregularities or deformations.
- Introduction to outlineThe filler is applied along the crown of the head, after which the contour becomes voluminous and more pronounced.
Features of the recovery period
After correction, pain may occur at the injection sites, which can be easily relieved with lidocaine spray. The penis appears swollen and small bruises may appear. The swelling can persist for up to 5 days, the hematomas resolve on the 6th day. There is a slight redness at the injection site. All these changes shouldn't be scary. It should be borne in mind that this is a very sensitive organ with a large number of nerve endings and small vessels. Many men report frequent nighttime erections after the procedure. Serious complications are extremely rare and are often associated with poor hygiene and infection of injection sites, which become entry points 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:
- interrupt intimate life for two weeks;
- antibiotics are required for 5 days, then as indicated;
- be sure to treat the penis with anti-inflammatory and antiseptic agents;
- do not take hot baths, exclude baths and saunas for a week.
Contraindications
Like any other procedure, filler injection has a number of contraindications:
- exacerbation of chronic diseases;
- blood diseases, including bleeding disorders;
- inflammatory diseases and acute viral infections (fever, fever);
- take antibiotics and anticoagulants;
- diseases of the immune system;
- herpes in the acute phase;
- malignant tumor;
- diabetes.
Hyaluronate injections are not performed if a man at this time has a high body temperature, fever, or if there is a rash or ulceration on the penis.
Clinical studies on the results of filler injections
Fillers appeared in our country relatively recently, so no long-term clinical studies have been conducted in this area. However, such experience was accumulated in foreign clinics. The results of one of the long-term observations conducted at the Department of Urology of the Cha Meditech Co. , Ltd. clinic in Korea by scientists led by Professor De Yul Yang have already been published. These studies aimed to summarize the long-term clinical results of hyaluronic acid (HA) injections.
The multicenter, randomized study was conducted for 18 months after a single filler injection between November 2016 and May 2018. It involved 67 healthy men aged 20 to 66 who considered their penis smaller than normal for an adult.
All the men observed underwent an initial examination before the study and a detailed medical history was compiled on them with particular attention to psychiatric and psychological problems. They have consented to the processing of their personal data.
The study was conducted using SAS version 9. 4 (SAS Institute Inc. , Cary, NC, USA) by an independent biostatistician. During the blinded portion of the study, all post-injection assessments at each site were performed by an independent physician not involved in screening or injecting excipients.
Search results
Overall, the penises were smooth, natural and flexible, and the increase in girth was maintained for up to a year and a half after the filler injections. No irregularities, retraction, hardening or deformation of the penis, nor migration of the fillers were observed. Six months after the injection, the average increase in penis girth was 1. 91 cm, then the average girth gradually decreased until 18 months, and after a year and a half it was +1. 79 ± 1. 41 cm .
Dynamics of increase in penis girth after injection of hyaluronic acid filler:
| Study period after administration | Average penis circumference in the group (cm) | Deviation from the mean value (cm) |
| Before the 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 a month, the indicators of the appearance of the penis increased significantly. This improvement lasted up to six months. Thereafter, they gradually decreased up to 18 months, but scores at one and a half years were significantly higher than at baseline. After three months, sexual activity rates increased significantly. This increase lasted up to a year and a half.
Results of the study
The study found that the hyaluronic acid filler resulted in a significant increase in penile girth and greater satisfaction associated with the injection. The procedure was tolerable and no major complications were observed over 18 months.
Hyaluronic acid consists of natural ingredients and has a direct and passive effect. After the injection, the filler is gradually absorbed by the surrounding tissues. As hyaluronate breaks down into smaller fragments, the molecules bind more water; the same volume can be maintained with less hyaluronic acid for several months. Then the result constantly decreases. The enhancing effect of the filler lasts up to 18 months.
The results of the present study are comparable to the results of previous studies and demonstrate the clinical utility of the gel, its efficacy and safety. Because hyaluronic fillers are temporary, long-term follow-up after the injection is of the utmost importance. As for the augmentation effect, the penis girth after the filler injection increased to the maximum within about a month. Satisfaction with the appearance of the penis increased significantly about a month after the filler injections. This increase lasted approximately 6-12 months. Then they gradually decrease up to a year and a half; however, satisfaction levels were still higher than at baseline.
The study showed that the increase in satisfaction with sexual activity after filler injections lasted 18 months, although the increase in penis girth gradually decreased over time. The finding suggests that injecting the filler can relieve psychological stress associated with sexual activity. This 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 injection with other types of augmentation
The introduction of hyaluronate into the penis can be combined with other surgical interventions:
- ligamentotomy— surgery to intersect the ligament that supports the penis;
- liposuction in the pubic area— extraction of the adipose tissue that hides the penis in obese men;
- lipofilling- increase the circumference of the penis shaft with subcutaneous injections of its own lipids;
- scrotal plastic surgery- removal of the scrotal veil, which hides centimeters of the genital organ;
- circumcision of the foreskin- removal of the dermis around the head;
- denervation of the head- reduction of sensitivity by excision of part of the penile nerves.
The decision on the compatibility of certain types of penis correction and the need for such surgical interventions is decided by the doctor separately in each specific case.