In studies and surveys conducted during 2017-2020 involving 25, 594 men, 45% stated that they would like a larger penis. But very 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
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 thin needles or Venfor (cannulas). The result after correction appears immediately and lasts from one to two years, depending on the properties 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, you can increase the circumference of the penis by 2-3 cm, and the length by 1-3 cm. In addition, the effect increases constantly in the first month. This is because hyaluronic acid attaches and holds on to 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 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, 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 bring her to orgasm. This is because 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 injections into the shaft of the penis
The introduction of hyaluronate into the shaft of the genital organ is carried out 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 during intercourse and her dissatisfaction;
- mismatch between the parameters of the partners' genitals (large vaginal volume and small penis);
- erectile dysfunction of a psychogenic nature associated with the syndrome of expectation of failure due to the small size of the penis;
- Peyronie's disease - curvature of the shaft of the penis;
- defects of the urethra;
- consequences of unsuccessful operations on the genital organ;
- fibrosis of cavernous bodies;
- genetic and hormonal pathologies that lead 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, which increases the size of the circumference and diameter, although the penis visually looks more impressive in a calm state and during an erection.
Indications for injections into the head of the penis
Minimally invasive enlargement of the penis head with hyaluronic acid is performed for the following indications:
- small size of the head of the penis in relation to the shaft (thin head);
- the crown of the head is insufficiently pronounced;
- flattened frenulum;
- wrinkled mucous membrane of the head;
- deformation 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 injections?
After introducing filler into the shaft, its circumference increases by 1-2 cm, and the procedure in glans not only improves its 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 and improving the appearance of the penis. Administration of the gel helps to increase the relief of the crown of the head, its width, highlight the frenulum, make it more convex, change the shape and volume of the head.
At rest, the penis filled with hyaluronate is heavier, so it appears longer due to the fact that it is not retracted into the groin. When erect, it looks 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 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 of the receptors to 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. In addition, volume increases constantly during the first six months due to the fact that the disintegrated short units of hyaluronate retain more water. The enzyme dehyaluronidase then gradually breaks down the acid. After 12 months, more than 30% of the gel dissolves. To restore volume, it is recommended to repeat the procedure. Hyaluronate tends to degrade less with repeated injections.
Is hyaluronic acid safe?
Hyaluronic acid (hyaluronate, hyaluronic acid) belongs to mucopolysaccharides and is part of epithelium, nerve and connective tissue. It is contained in the extracellular space, in 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 cell reproduction. It is with this function 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 the polysaccharide that gives hyaluronate and penile tissue 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. It has been used in medicine since the 80s of the last century to increase the viscosity of 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 pain after the procedure, but such formulations are more expensive. The density is chosen by the doctor in accordance with the goals and the injection site.
Many 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 a polymer using biocompatible urea. Such cross-linked biopolymers tend to last longer in the implanted area compared to 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 carries out an examination. Patients give consent to the processing of their personal data. Before the procedure, tests are taken:
- general blood analysis;
- urine sample;
- blood test for coagulation.
Further studies may be necessary according to the indications.
Penis enlargement with hyaluronate is performed on an outpatient basis. Before correction, the hair in the groin area is shaved. The procedure is performed under local anaesthetic.
The introduction of 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 medicine with hyaluronic acid is drawn into the syringe. A thin needle is inserted into the subcutaneous layer and filler is slowly injected. The doctor ensures that the hyaluronate is evenly distributed in 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 in the places of introduction of hyaluronic acid
Administration methods
There are several methods of introducing filler into the head of the penis. The doctor chooses the technique based on 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 a fan-type puncture.
- Spot method- the injection is performed 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, pain may occur at the injection sites, which can be easily relieved with 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 these changes should not 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 report frequent nighttime erections after the procedure. Serious complications are extremely rare and are most 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 limitations and recommendations:
- suspend 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 disorders, 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 tumors;
- diabetes.
Hyaluronate injections are not performed if a man at this time has an elevated body temperature, fever, or if there is a rash or sores on the penis.
Clinical studies on the results of filler injections
Fillers appeared in our country relatively recently, so long-term clinical studies in this area have not been carried out. However, such experience has been gained in foreign clinics. The results of one of the long-term observations carried out in the Department of Urology at Cha Meditech Co. , Ltd. Clinic, Korea by scientists led by Professor De Yul Yang, has already been published. These studies aimed to summarize the long-term clinical results of hyaluronic acid (HA) injections.
The randomized multicenter trial was conducted for 18 months after a single filler injection between November 2016 and May 2018. It included 67 healthy men aged 20 to 66 who considered their penis to be smaller than normal for an adult. .
All observed men underwent an initial examination before the study, and a detailed medical history was taken of them with an emphasis on psychiatric and psychological problems. They gave consent to the processing of their personal information.
The study was performed 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 who was not involved in screening or injecting excipients.
Research results
Overall, the penises were smooth, natural and pliable, and the increase in girth was maintained for up to a year and a half after the filler injections. No unevenness, retraction, hardening or deformation of the penis or migration of fillers was observed. Six months after the injection, the average increase in penis circumference was 1. 91 cm. Then the mean circumference gradually decreased until 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 the penis in the group (cm) | Deviation from the 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 |
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 scores after one and a half years were significantly higher than at baseline. After three months, the number of sexual activities increased significantly. This increase lasted up to a year and a half.
Results of the survey
The study showed that the hyaluronic acid filler resulted in a significant increase in penis girth and increased 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 injection, the filler is gradually absorbed by the surrounding tissue. 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 drops steadily. The enhancing effect of the filler lasts 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 of the utmost importance. Regarding the enhancing effect, penile circumference increased after filler injection to a maximum within approx. one month. Satisfaction with the appearance of the penis increased significantly approx. one month after the filler injections. This increase lasted about 6 to 12 months. Then they gradually decreased until a year and a half; However, the level of satisfaction was still higher than at baseline.
The study found that increased satisfaction with sexual activity after filler injections lasted 18 months, despite the increased penile girth gradually diminishing over time. The discovery suggests that injecting the filler can alleviate the 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 forms 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 bone— extraction of adipose tissue that hides the penis in obese men;
- lipofilling- increasing the circumference of the shaft of the penis with subcutaneous injections of its own lipids;
- scrotal plastic surgery- removal of the scrotal sheath, which hides centimeters of the genital organ;
- circumcision of the foreskin- excision of the dermis around the head;
- denervation of the head- reduction of sensitivity when cutting out part of the nerves in the penis.
The decision about the compatibility of certain types of penile correction and the need for such surgical interventions is decided by the doctor separately in each case.