In a 2017-2020 survey of 25, 594 men, 45% said they wished they had a bigger penis. However, few people decide to have 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 technique, its effectiveness and safety.
What is this procedure?
Penile enlargement with hyaluronic acid is a minimally invasive procedure that involves inserting a biocompatible filler under the skin of the penis or glans with fine needles or venfor (cannulas). After correction, the result appears immediately and lasts for one to two years, depending on the characteristics of the filler itself.
Hyaluronate is a temporary filler and has been proven to be a safe and effective soft tissue filler. In this way, you can increase the circumference of the penis by 2-3 cm, and the length by 1-3 cm, moreover, the effect increases continuously in the first month. This is because hyaluronic acid binds 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.
Penis enlargement with hyaluronic acid is a non-surgical procedure that is performed on an outpatient basis, and the patient can return home immediately after receiving the drug.
Penis enlargement 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 simultaneously solves three problems: 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 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 is located on the front wall at the entrance to the vagina. You can learn more about normal penis size in this article.
Indications for penile shaft injections
Injection of hyaluronate into the shaft of the genital organ is performed for several indications:
- psychological problems related to small penis size;
- The insignificant thickness of the penis, i. e. year"thin penis";
- insufficient stimulation of the partner's vagina during intercourse and his dissatisfaction;
- Disproportion of parameters of partners' genitals (large vaginal volume and small penis);
- Erectile dysfunction of a psychogenic nature associated with the syndrome of waiting for failure due to the small size of the penis;
- Peyronie's disease - curvature of the shaft of the penis;
- defects of the urethra;
- results of unsuccessful operations on the genital organ;
- fibrosis of cavernous bodies;
- Genetic and hormonal pathologies that cause 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, increases the size and diameter of the membrane, although visually the penis looks more impressive when relaxed. condition 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 with the following indications:
- small size of the head of the penis compared to the shaft (thin head);
- the crown of the head is insufficiently expressed;
- smooth frenulum;
- the mucous membrane of the folds of the head;
- Deformation of the head of the penis after trauma;
- premature ejaculation.
This correction of the head can not only improve its shape, but also increase its length.
What results can be expected after the injections?
After filling the shaft, its circumference increases by 1-2 cm, and the procedure in the penis not only improves its aesthetic properties, but also lengthens the penis by 3-5 cm. Getting under the skin, hyaluronate is evenly distributed, softens the skin and mucous membranes, improves the appearance of the penis. The introduction of gel helps to increase the relief of the crown of the head, its width, emphasizes the frenulum, makes it more convex, changes the shape and volume of the head.
At rest, the hyaluronate-filled penis is heavier, so it appears longer because it doesn't pull into the armpit. It looks thicker when set up than before the injections, but the length remains the same.
Gel injections into the head of the penis help men with 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 is distributed in the intercellular space, moving 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 from nine months to two years. Moreover, the volume increases continuously during the first six months due to the fact that the shorter hyaluronate units retain more water. The enzyme dehyaluronidase then gradually breaks down the acid. After 12 months, more than 30% of the gel is degraded. It is recommended to repeat the procedure to restore the volume. Hyaluronate is less degraded during repeated injections.
According to reviews, such penis enlargement with hyaluronic acid increases a man's sexual attractiveness, increases the quantity and quality of sexual intercourse, and experiences brighter sensations from additional stimulation and gives pleasure to a partner, which also increases a man's self-esteem.
Is hyaluronic acid safe?
Hyaluronic acid (hyaluronate, hyaluronic acid) belongs to mucopolysaccharides and is a part of epithelium, nervous and connective tissues. It is contained in the extracellular space, in biological fluid, including biological lubricant. An average human body contains about 16 g of this substance. Hyaluronate participates in tissue hydrodynamics and cell reproduction. Its restorative effect is related to this property.
The substance contains up to 25, 000 disaccharide units and can hold the same amount of water. It is this ability of the polysaccharide that gives hyaluronate and penile tissues additional volume. 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. In medicine, it has been used since the 80s of the last century to increase the viscosity of the synovial fluid in the 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 surgery.
Recommendations for choosing a hyaluronic acid filler
The choice of filler is up to the doctor. Gels differ in composition, density and percentage of hyaluronic acid. Some fillers add a local anesthetic to reduce post-procedure pain, but such formulations are more expensive. The density is chosen by the doctor according to the goals and the injection site.
Many injectable penile 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 the polymer using biocompatible urea. Such cross-linked biopolymers last longer in the implanted area than conventional hyaluronate and improve the quality of penile tissue filling.
How to do penis enlargement with hyaluronic acid
The procedure itself is preceded by 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 carried out:
- general blood analysis;
- urine test;
- Blood test for coagulation.
Depending on the indications, additional studies may be necessary.
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 takes place 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 together with hyaluronic acid is injected into the syringe. A thin needle is inserted into the subcutaneous layer and the filler is slowly injected. The doctor ensures an even distribution of hyaluronate in the injection area.
- An aseptic bandage and patch are used at 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 time of anesthesia at the injection sites of hyaluronic acid.
Administration methods
There are several methods of injecting the filler into the head of the penis. The doctor chooses the technique according to the instructions. More often, several methods are combined to improve the aesthetics of the penis head:
- Fan method— Hyaluronate is injected with a fine needle in different directions through one fan-type puncture.
- on-site method- An injection is made on a limited part of the penis to eliminate irregularities or deformation.
- Outline introductionThe 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, there may be pain at the injection sites, which can be relieved by lidocaine spray. The penis looks swollen and small hematomas may appear. Swelling can last up to 5 days, hematomas disappear on the 6th day. There is slight redness at the injection site. All of these changes don't have to be scary. It should be taken into account that this is a very sensitive organ with a large number of nerve endings and small vessels. Many men note that nighttime erections are common after the procedure. Serious complications are extremely rare and are most often associated with unhygienic conditions and infection of injection sites, which become entry points for microorganisms. Sometimes hyperpigmentation can be observed at the hematoma site.
Restrictions after the procedure
After the introduction of hyaluronic acid, there are a number of restrictions and recommendations:
- stop 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);
- taking antibiotics and anticoagulants;
- Immune system diseases;
- herpes in the acute stage;
- malignant tumors;
- Diabetes mellitus.
Hyaluronate injections are not given if the man has a fever, fever or rash or sores on the penis.
Clinical studies of the results of filler injections
Fillers appeared in our country relatively recently, so long-term clinical studies have not been conducted in this area. However, such experience was accumulated in foreign clinics. Already published by Korea's Cha Meditech Co. , Ltd. The results of one of the long-term observations conducted by scientists in the Department of Urology of the Clinic under the leadership of Professor De Yul Young. These studies aimed to summarize the long-term clinical results of hyaluronic acid (HA) injections.
A multicenter, randomized trial was conducted 18 months after a single filler injection between November 2016 and May 2018. It included 67 healthy men between the ages of 20 and 66 who believed their penises were smaller than a normal adult.
All observed men underwent an initial examination prior to the study and a detailed medical history with emphasis on psychiatric and psychological problems was taken. 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 blinded portion of the study, all postinjection assessments at each site were performed by an independent physician who was not involved in the screening or injection of excipients.
Research Results
Overall, the penises were smooth, natural and elastic, and the increase in girth was maintained for a year and a half after the filler injections. There was no unevenness, shrinkage, hardening or deformation of the penis or migration of fillers. Six months after the injection, the average increase in the circumference of the penis was 1. 91 cm, then the average circumference gradually decreased up to 18 months and after a year and a half +1. 79 ± 1. 41 cm.
Dynamics of penile circle growth after injection of filler with hyaluronic acid:
| Study period after admission | Mean penis circumference in the group (cm) | Deviation from the mean value (cm) |
| before injection | 7. 74 | ±1. 40 |
| 1 month | 10. 15 | ±1. 57 |
| 3 months | 10. 25 | ±1. 64 |
| 6 month | 9. 74 | ±1. 83 |
| 18 months | 9. 08 | ±1. 87 |
satisfaction level
After a month, the indicators of the appearance of the penis increased significantly. This improvement lasted up to six months. After that, they gradually decreased until 18 months, but the scores at one and a half years were significantly higher than at baseline. After three months, the rates of sexual activity increased significantly. This increase lasted for a year and a half.
Research Results
The study showed that hyaluronic acid fillers led to a significant increase in penile girth and increased satisfaction with the injection. The procedure was well tolerated and no serious complications were observed during 18 months.
Hyaluronic acid consists of natural ingredients and has a direct and passive effect. After 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 steadily decreases. The reinforcing effect of the filler lasts up to 18 months.
The results of the present study are compared with the results of previous studies and confirm the clinical utility of the gel, its effectiveness and safety. Because hyaluronic fillers are temporary, long-term follow-up after injection is very important. As for the enhancing effect, the girth of the penis increased to a maximum after the filler injection for about a month. Satisfaction with the appearance of the penis increased significantly approximately one month after filler injections. This increase lasted for about 6 to 12 months. Then it gradually decreased to a year and a half; However, satisfaction levels were still higher than at baseline.
The study showed that increased satisfaction with sexual activity after filler injections lasted 18 months, even though the increased girth of the penis gradually decreased over time. The finding suggests that injecting the filler may alleviate psychological stress associated with sexual activity. This also supports the idea that men who want to enlarge their penises experience psychological stress. They often need psychological counseling or psychotherapy.
Compatibility of hyaluronate injection with other types of augmentation
Injection of hyaluronate into the penis can be combined with other surgical interventions:
- Ligamentotomy- surgical intervention on the crossing of the ligaments holding the penis;
- Liposuction in a public area- removal of fatty tissue that hides the penis in obese men;
- Lipofilling- increasing the circumference of the penis shaft by subcutaneous injections of own lipids;
- Plastic surgery of the scrotum- removal of the scrotal veil, which hides centimeters of the genital organ;
- Circumcision- excision of the dermis around the head;
- denervation of the head- Decreased sensitivity by cutting part of the nerves of the penis.
The decision about the compatibility of certain types of penile correction and the necessity of such surgical intervention is decided by the doctor separately in each specific case.