45% of studies and surveys conducted between 2017 and 2020 involving 25, 594 men indicated that they wanted a larger penis. However, few people decide on surgery. Today there is an alternative to surgical intervention - penis enlargement with hyaluronic acid (HA-hyaluronic acid). In this article we understand all the aspects, effectiveness and safety of this technique.
What is this procedure
Penis enlargement with hyaluronic acid is a minimally invasive procedure in which a biocompatible filler is inserted under the skin of the penis or glans using thin needles or Venfor (cannulas). The result after correction appears immediately and lasts for one or two years, depending on the characteristics of the filler itself.
Hyaluronate is a temporary filler that has been approved as a safe and effective soft tissue firming agent. In this way, you can increase the circumference of the penis by 2-3 cm and its length by 1-3 cm, and the effect continues to increase during 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 penis enlargement method:
- intimate contouring;
- penis enlargement with hyaluronate;
- intimate charge;
- injection phalloplasty.
Increasing the size of the penis with hyaluronic acid is not a surgical procedure, it is performed on an outpatient basis, and the patient can return home immediately after taking the medicine.
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. Soft tissue fillers are the second most popular minimally invasive procedure in the United States, with more than 2. 6 million such fillers performed in 2019.
Is it necessary to enlarge the penis with fillers?
Each case is unique and no general answer can be given. With a good erection, even a small penis can bring 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 front wall, at the entrance to the vagina. You can learn more about normal penis size in this article.
Indications for injection into the shaft of the penis
Hyaluronate is injected into the axis of the genital organ for several indications:
- psychological problems related to small penis size;
- insignificant thickness of the penis, or the so-called "thin penis";
- insufficient stimulation of the partner's vagina during intercourse and dissatisfaction;
- disproportion of partners' genital parameters (large vaginal volume and small penis);
- erectile dysfunction of a psychogenic nature, which is associated with the syndrome 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 the cavernous bodies;
- 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 circumference and diameter, although visually the penis looks more impressive in a calm environment. in condition and during erection.
Indications for injection into the head of the penis
Minimally invasive enlargement of the head of the penis with hyaluronic acid is performed for the following indications:
- the small size of the head of the penis compared to the shaft (thin head);
- the crown of the head is not sufficiently pronounced;
- smoothed frenulum;
- the mucous membrane of the head is wrinkled;
- deformation of the head of the penis after injury;
- premature ejaculation.
Such correction of the head can not only improve its shape, but also increase its length.
What results can you expect after the injection?
After introducing the filler into the shaft, its circumference increases by 1-2 cm, and the procedure performed in the glans not only improves its aesthetic properties, but also lengthens the penis by 3-5 cm. Once under the skin, hyaluronate is evenly distributed, smoothes the skin and mucous membrane, and improves the appearance of the penis. The administration of the gel helps to increase the relief and width of the corolla of the head, highlight and make the frenulum more convex, and change the shape and volume of the head.
At rest, the penis filled with hyaluronate is heavier, so it appears longer because it does not retract 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 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, displacing some of the receptors to the lower subcutaneous layers. As a result, the sensitivity of the penis decreases and the man can control the formation 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 disintegrated short hyaluronate units retaining 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 degrades less after repeated injections.
According to opinions, penis enlargement with such hyaluronic acid increases a man's sexual attractiveness, increases the quantity and quality of sexual intercourse, while he experiences more intense sensations from additional stimulation and brings pleasure to his partner, which also increases the man's self-esteem.
Is hyaluronic acid safe?
Hyaluronic acid (hyaluronate, hyaluronic acid) belongs to the mucopolysaccharides and is part of the epithelium, nerve and connective tissues. It is found 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 proliferation. Its regenerating effect is connected to this property.
The material 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 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 synovial fluid. The technique of increasing the volume and length of the penis with hyaluronic gel appeared relatively recently, but it has won 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 the responsibility of the doctor. The gels differ in their composition, density and percentage of hyaluronic acid. Some fillers provide a local anesthetic to reduce pain after the procedure, but such preparations are more expensive. The density is selected by the doctor according to 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 generally last longer in the implanted area than traditional 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 stage. The andrologist collects an anamnesis, asks about systemic and chronic diseases, psychological problems, and performs an examination. Patients consent to the processing of their personal data. Tests must be performed before the procedure:
- general blood test;
- Urinalysis;
- blood test for blood clotting.
Depending on the indications, further tests 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.
The filling material is introduced into the penis 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 medicine is absorbed into the syringe with hyaluronic acid. A thin needle is inserted into the subcutaneous layer and the filler is slowly injected. The doctor ensures that the hyaluronate is evenly distributed in the injection area.
- An aseptic dressing and patch are placed over 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 site of hyaluronic acid
Methods of administration
There are several methods of injecting the filler into the head of the penis. The doctor selects the technique based on the indications. More often, several methods are combined to improve the aesthetics of the head of the penis:
- Fan method— the hyaluronate is injected with a thin needle in different directions in a single fan-like puncture.
- Spot method- the injection should be performed on a limited part of the penis to eliminate irregularities or deformations.
- Contour introductionThe filler is applied along the crown of the head, and then the contour becomes more voluminous and pronounced.
Characteristics of the recovery period
After correction, pain may occur at the injection site, which can be easily alleviated with lidocaine spray. The penis appears swollen and small hematomas may appear. The swelling can last up to 5 days, the 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 blood 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 the injection site, which become entry points for microorganisms. Sometimes hyperpigmentation is observed at the site of the hematoma.
Restrictions after the procedure
After the introduction of hyaluronic acid, there are several restrictions and recommendations:
- interruption of intimate life for two weeks;
- Antibiotics are required for 5 days, then as directed;
- be sure to treat the penis with anti-inflammatory and antiseptic agents;
- do not take a hot bath, exclude the bath and sauna for a week.
Contraindications
Like any other procedure, filler injection has several 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 injection is not given if a man has an elevated body temperature, fever, or if there are rashes or ulcers on the penis.
A clinical study of the results of filler injections
Fillers appeared relatively recently in our country, 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 by scientists led by Professor De Yul Yang at the Department of Urology at the Cha Meditech Co. , Ltd. Clinic in Korea have already been published. These studies aimed to summarize the long-term clinical results of hyaluronic acid (HA) injections.
The multicenter randomized trial was conducted for 18 months after a single filler injection between November 2016 and May 2018. 67 healthy men between the ages of 20 and 66 participated in it, who judged that their penis was smaller than that of an adult.
All observed men underwent an initial examination before the study, and a detailed medical history was taken of them, with particular attention to psychiatric and psychological problems. They have consented to the processing of their personal data.
The study was performed by an independent biostatistician using SAS version 9. 4 (SAS Institute Inc. , Cary, NC, USA). In the blinded portion of the study, all post-injection assessments were performed at each site by an independent physician who was not involved in the screening or injection of excipients.
Research results
Overall, the penis was smooth, natural and flexible, and the increase in girth was maintained for up to a year and a half after the filler injections. There was no unevenness, retraction, hardening or deformation of the penis, or migration of fillers. Six months after the injection, the penis circumference increased to an average of 1. 91 cm, then gradually decreased for 18 months, and after one and a half years it was +1. 79 ± 1. 41 cm.
Dynamics of penis girth growth after injection of hyaluronic acid filler:
| Post-administration study period | Average 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 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 six months. After that, they gradually decreased until 18 months, but the 1½-year scores were significantly higher than at baseline. After three months, the rate of sexual activity increased significantly. This growth lasted a year and a half.
The results of the investigation
The study found that the hyaluronic acid filler significantly increased penile girth and increased satisfaction with the injection. The procedure was well tolerated 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 into the surrounding tissues. As the hyaluronate breaks down into smaller pieces, the molecules bind more water, the same volume can be maintained for several months with less hyaluronic acid. After that, the result keeps decreasing. The enhancing effect of the filler lasts up to 18 months.
The results of the present study can be compared with the results of previous studies and prove the clinical usefulness, efficiency and safety of the gel. Since hyaluronic fillers are temporary, long-term follow-up after injection is extremely important. As for the augmentative effect, the penile girth increased to its maximum within about one month after the injection of the filler. Satisfaction with the appearance of the penis increased significantly approximately one month after the injection of the filler. This growth lasted for about 6-12 months. Then they gradually decreased until a year and a half; however, satisfaction levels were still higher than at baseline.
The study showed that the increased satisfaction with sexual activity lasted for 18 months after the filler injections, even though the increased penis size gradually decreased over time. The discovery 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 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— surgical intervention to cut the supporting ligament of the penis;
- liposuction in the pubic area— removal of fatty tissue hiding the penis of obese men;
- lipofilling- increasing the circumference of the penis shaft with subcutaneous injections of its own lipids;
- scrotum plastic surgery- removal of the scrotum sail, which hides the genital organs;
- circumcision of the foreskin- excision of the skin around the head;
- denervation of the head- reduction of sensitivity by cutting out part of the nerves of the penis.
The doctor decides on the compatibility of certain types of penile correction and the necessity of such surgical interventions in each case.