Penis Enlargement – Length In San Francisco, California

Increase penis length by surgically detaching the suspensory ligament of the penis. The scar is a small one, which can be hidden by the pubic hair.

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The non-surgical approach to penis enhancement produces, in addition to girth enlargement, some increase in length when the penis is flaccid. However, when the penis is in the erect state, there is little or no increase in length compared to before the augmentation.

The only way to significantly increase the length of the penis in the erect state is by a minor surgery.

The penis is normally attached to the front of the pelvis (the pubic symphysis) by suspensory ligaments in such a way as much as one-third of the penis is hidden behind the bone and is not visible or “usable”. By detaching the suspensory ligaments responsible for keeping the penis in this position, the penis can be pushed forward so that the length of the visible part (and the functional part) of the penis can be increased.

When girth augmentation of the penis is done with filler or sheath, the length of the penis increases when it is flaccid. However, when there is an erection, the actual length of the penis is not increased. This may be confusing but let me explain. The actual penis, when erected, can not be increased. What we do to increase the “length” of the penis is to push the penis out so that more of the penis is seen or can be used. Up to about one-third of the penis is hidden behind the pubic bone. The only part of the penis that can be seen or used is in front of the pubic bone. This is kept in position by the suspensory ligaments of the penis.

When erection occurs, the “new” part of the penis will expand as well. The surgery can be done under local anesthesia with little or no downtime except for abstaining from sexual activities for a short period of time to be determined by Dr. Liu on an individual basis.

There are other ways to increase the functional length of the penis. In some patients, the fat in the pubic area around the penis can make the effective length shorter by “hiding” it behind the fat. Therefore, by removing the fat or tightening the pubic skin, the “length” of the penis can be increased. Normally, the scrotal penile junction is at the base of the penis. However, in some patients, it is attached further, near the tip of the penis, resulting in shortening of the penis, both visually and functionally.

With the older techniques, there is a tendency for the divided ligaments to reattach themselves resulting in a loss of the gain in length. However, the newer techniques prevent this and therefore, the increase in length is maintained.

There are two types of suspensory ligaments: the superficial one and the deep one. When the suspensory ligaments are detached, the penis can be pushed outwards, so that more of the penis is exposed and is usable.

One criticism of this procedure is that the ligaments will reattach, and the increase in length is lost. This reattachment can be prevented by interposing fat, skin, or other tissues from adjacent parts of the body between the two cut ends of the ligament. Another criticism of this procedure is that it destabilizes the penis because the suspensory ligaments are cut. This can be prevented by not cutting the suspensory ligaments all the way, but instead, detaching only 80% to 90% of the ligaments; the remaining 20% to 10% of the attachment is sufficient to maintain stability of the penis.

There are other ways to increase the functional length of the penis. In some patients, the fat in the pubic area around the penis can make the effective length shorter by “hiding” it behind the fat. Therefore, by removing the fat or tightening the pubic skin, the “length” of the penis can be increased. Normally, the scrotal penile junction is at the base of the penis. However, in some patients, it is attached further, near the tip of the penis, resulting in shortening of the penis, both visually and functionally. This condition is called scrotal webbing.

One way to ensure elongation of the penis is to put traction on the penis immediately after surgery. Initially, the traction is applied manually, and when the wounds have healed, weights can be put on the penis for traction for a period of time. This can be accomplished by using a device designed by Dr. Liu that can be easily hidden. This will all be explained to you during consultation. It is true that even without surgery, the penis can be lengthened by traction devices. However, when the traction devices are no longer applied, the penis tends to retract to its original position. By doing surgery to detach the suspensory ligament, there is a good chance that once the traction has elongated the penis, it will not be retracted.

I wish to point out that in spite of all these lengthening procedures, sometimes the penis will not be increased in length. In fact, some patients report shortening in length. This is the result of adhesions from the surgery itself. The traction described above is designed to prevent the adhesions.

The question that is frequently asked is how much of an increase in length is obtainable. The answer depends on the anatomy of the area and on how much of the penis is hidden behind the bone. If more of the penis is behind the bone, then more can be pushed out. If not much of the penis is behind the bone, then very little can be pushed out. There are other factors that determine the actual length of the “usable” penis. This includes fat in the pubic area just above the base of the penis. For people who have an increase in fat or redundancy of skin in this area, the base of the penis is obscured by the fat and skin. Sometimes as much as one or two inches can be covered. By removing that fat and, sometimes, by tightening the skin, the base of the penis can be exposed, and, thereby, increased by one or two inches.

Another factor that causes shortening of the penis shaft is a condition called scrotal webbing. Normally the scrotum and penis join at the base of the penis. In some patients, the junction of the scrotal skin and the skin of the penis is closer to the tip of the penis. Therefore, the penis appears much shorter as a result. By reattaching the junction of the scrotal skin with the penile skin, the functional length of the penis can be increased, sometimes by as much as 3 to 4 inches.

From the above, you can see that enlargement of the penis both for the length and the girth is a complicated matter and there are many choices. Therefore, it is essential that you see Dr. Liu for a one-on-one consultation to discuss your best options. Dr. Liu offers free consultation for anyone interested in this procedure.

Common Enlargement Questions

Over the last 25 years, the number of male patients seeking aesthetic, cosmetic and plastic surgery services has increased by 500% — from 3% of patients to more than 15% and growing every year. Not only are we seeing an increase in cosmetic procedures that enhance men’s physiques, but we are also seeing a growing number of procedures that improve men’s physical and sexual health as well as libido.

If I had other treatments (fat injections, Penuma, etc.) and am not happy with it, can I still get filler injections?
How long is the recovery time?
Can I have ligament detachment and Surgimend insertion done at the same time?
I had a penile implant surgery and my penis seems to be generally shrunken especially the head of the penis. Can this be corrected?
I am 60 years old and am having issues with my erection. Can I have ED treatment and penis enlargement done at the same time?

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