In a study and survey conducted during 2017-2020 involving 25, 594 men, 45% indicated that they would like to have a bigger penis. However, some 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 gland with a thin needle or Venfor (cannula). Results after correction appear immediately and last 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, you can increase the girth of the penis by 2-3 cm, and the length by 1-3 cm. Moreover, in the first month the effect always increases. This is because hyaluronic acid adheres to 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;
- phalloplasty injection.
Increasing the size of the penis with hyaluronic acid is a non-surgical procedure, performed on an outpatient basis, and the patient can go home immediately after the administration of the drug.
Increasing the size of the penis 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 pleasure to women and bring them to orgasm. This is due to the fact that the most sensitive G point 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 injection into the penis
The introduction of hyaluronate into the trunk of the genital organ is performed for several signs:
- psychological problems related to small penis size;
- inconspicuous thickness of the penis, or the so-called "thin penis";
- insufficient stimulation of the partner's vagina during intercourse and its dissatisfaction;
- disproportion of parameters of the partner's genital organs (large vaginal volume and small penis);
- erectile dysfunction of a psychogenic nature associated with the syndrome of expectation of failure due to small penis size;
- Peyronie's disease - curvature of the penis;
- urethral deformity;
- as a result of an unsuccessful operation on the genital organs;
- corpus cavernosum fibrosis;
- genetic and hormonal pathology that leads 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 volume, increases the size of the circumference and diameter, although visually the penis looks more impressive in a calm state. condition and during erection.
Indications for injection into the head of the penis
Minimally invasive penile 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 crown of the head is not clear enough;
- smoothed frenulum;
- mucous membrane twitching;
- 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 the injection?
After inserting the filler into the shaft, its circumference increases by 1-2 cm, and the procedure in the glans not only improves its aesthetic quality, 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 administration of the gel helps increase the clearance of the head corolla, its width, highlights the frenulum, makes it more convex, changes the shape and volume of the head.
During rest, the penis filled with hyaluronate is heavier, so it looks longer, due to the fact that it is not retracted to the groin. When erect, it appears thicker than before the injection, but remains the same length.
Injection of gel into the head of the penis helps men who suffer from premature ejaculation overcome 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 to the lower subcutaneous layer. 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, the volume always increases during the first six months due to the fact that the short hyaluronate units that decompose retain more water. The deyaluronidase enzyme 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 men's sexual attractiveness, increases the quantity and quality of sexual intercourse, while experiencing clearer sensations from additional stimulation and giving pleasure to his partner, which also increases men's self-esteem.
Is hyaluronic acid safe?
Hyaluronic acid (hyaluronate, hyaluronic acid) belongs to mucopolysaccharides and is part of the epithelium, nerve and connective tissue. It is contained in the extracellular space, in biological fluids, including biological lubricants. The body of a person with an 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 regenerative effect is associated.
The material 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 hyaluronate tissue and the penis. Therefore, the introduction of exogenous hyaluronic acid is completely 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 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 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 a local anesthetic to reduce pain after the procedure, but such formulations are more expensive. The density is chosen by the doctor according to the objective 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. Monomer units are cross-linked into polymers 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 do penis enlargement with hyaluronic acid
The procedure itself is preceded by a preparatory stage. Andrologists collect anamnesis, ask about systemic and chronic diseases, psychological problems, and conduct examinations. 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 as indicated.
Penis enlargement with hyaluronate is performed on an outpatient basis. Before the correction, the hair in the groin area is shaved. This 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 required amount of medicine 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 distributed evenly in the injection area.
- Aseptic bandages and patches are 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 for anesthesia at the site to introduce hyaluronic acid
Administrative method
There are several methods of inserting 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 head of the penis:
- Fan method— hyaluronate is injected with a thin needle in different directions through a fan-type puncture.
- Point method- injections are performed on a limited part of the penis to eliminate distortion or deformation.
- Contour identificationFiller is applied along the crown of the head, after which the contour becomes thicker and more defined.
Characteristics of the recovery period
After correction, pain may occur at the injection site, which can be easily removed with lidocaine spray. The penis appears swollen, and a small hematoma may appear. Swelling can persist for up to 5 days, the hematoma disappears on the 6th day. There is some redness at the injection site. All these changes should not be scary. It must be taken into account that this is a very sensitive organ with a large number of nerve endings and small channels. Many men report frequent nighttime erections after the procedure. Serious complications are very rare and are most often associated with poor hygiene and infection at the injection site, which is an entry point for microorganisms. Sometimes hyperpigmentation can be observed at the hematoma site.
Restrictions after the procedure
After the introduction of hyaluronic acid, there are several restrictions and recommendations:
- interfere with intimate life for two weeks;
- antibiotics are required for 5 days, then as indicated;
- make sure you treat the penis with anti-inflammatory and antiseptic agents;
- do not take hot showers, excluding baths and saunas for a week.
Contraindications
Like any other procedure, filler injections have some 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 tumors;
- diabetes.
Hyaluronate injections are not performed if a man currently has a high body temperature, fever, or if 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 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 the Cha Meditech Co. Clinic. , Ltd. , Korea by scientists led by Professor De Yul Yang has already been published. This study aims to summarize the long-term clinical results of hyaluronic acid (HA) injections.
A multicenter randomized 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 smaller than normal for adults. .
All observed men underwent a preliminary examination before the study, and a detailed medical history was compiled on them with an emphasis on psychiatric and psychological problems. They consent to the processing of their personal information.
This 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 who was not involved in the examination or excipient injection.
Research results
Overall, the penis is smooth, natural and flexible, and the increased girth is maintained up to one and a half years after the filler injection. No unevenness, retraction, hardening or deformation of the penis, or migration of the filler was observed. Six months after the injection, the average increase in penis circumference was 1. 91 cm. Then the average circumference gradually decreases until 18 months and after a year and a half it is +1. 79 ± 1. 41 cm.
Dynamics of penis girth increase after filler injection with hyaluronic acid:
| 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 |
Satisfying level
After one month, the appearance of the penis increased significantly. This increase lasts up to six months. After that, they gradually decreased until 18 months, but the score at one and a half years was significantly higher than at baseline. After three months, the rate of sexual activity increased significantly. This increase lasts up to one and a half years.
Result
Studies have found that hyaluronic acid fillers produce significant increases in penile girth and increased satisfaction associated with injections. The procedure was acceptable and no major complications were observed over a period of 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 decreases. The effect of increased filler lasts up to 18 months.
The results of this study are comparable to the results of previous tests and prove the gel's clinical utility, effectiveness and safety. Since hyaluronic fillers are temporary, long-term follow-up after injection is extremely important. Regarding the enlargement effect, the girth of the penis after the filler injection increases to a maximum within about one month. Satisfaction with the appearance of the penis increases significantly about one month after filler injections. This improvement lasts about 6 to 12 months. Then they gradually decrease until one and a half years; however, satisfaction levels were still higher than at baseline.
The study showed that the increased satisfaction with sexual activity after filler injections lasted for 18 months, although the increased penis circumference gradually decreased over time. The findings suggest that injecting fillers can reduce psychological stress associated with sexual activity. This also supports the idea that men who want to enlarge their penis experience psychological stress. They often need 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 genital area— extraction of adipose tissue that hides the penis in obese men;
- lipofilling- increase the girth of the penis by subcutaneous injection of its own lipids;
- scrotal plastic surgery- removal of the scrotal screen, which hides a centimeter of the genital organ;
- foreskin circumcision- isolation of the dermis around the head;
- denervation of the head- reduced sensitivity with partial isolation of the penile nerve.
The decision regarding 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.