In studies and surveys conducted between 2017 and 2020 involving 25, 594 men, 45% said they would like to have a bigger penis. However, few people decide to undergo surgery. Today, there is an alternative to surgery - 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 process?
Hyaluronic acid penis enlargement 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). The result after the correction appears immediately and lasts from one to two years, depending on the characteristics of the filler itself.
Hyaluronic acid is a temporary filler and has been approved as a safe and effective soft tissue augmentation agent. In this way, you can increase the girth of the penis by 2-3 cm and the length by 1-3 cm. In addition, in the first month the result increases continuously. This is because hyaluronic acid attaches and holds water molecules, increasing the volume of the penis.
In aesthetic medicine, various names are used for this method of penis enlargement:
- intimate contour plastic surgery.
- Penis enlargement with hyaluronic acid?
- familiar filling;
- injection phalloplasty.
Hyaluronic acid penis enlargement 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 the same time: 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 penis enlargement with fillers necessary?
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 a woman and bring her to orgasm. This is because the most sensitive G-spot is 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
Hyaluronic injection into the shaft of the genital organ is performed for various 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 her dissatisfaction.
- disproportion of the partners' genital parameters (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.
- urethral defects;
- consequences of unsuccessful operations on the genital organ.
- fibrosis of the corpora cavernosa.
- genetic and hormonal pathologies that lead to underdevelopment of the penis, micropenis.
It should be noted that the correction of hyaluronic acid on the shaft of the penis does not increase the length of the penis, but only gives it volume, increasing the size of the circumference and diameter, although visually the penis looks more impressive in a relaxed state and duringduration of an erection.
Indications for injections in the head of the penis
Minimally invasive enlargement of the head of the penis 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 poorly expressed.
- grinding 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 the injections?
After inserting the filler into the shaft, its circumference increases by 1-2 cm, and the procedure on the glans not only improves its aesthetic properties, but also lengthens the penis by 3-5 cm. Once under the skin, hyaluronic is distributed evenly. smoothes the skin and mucous membranes, improving the appearance of the penis. The administration of the gel helps to increase the relief of the crown of the head, its width, the prominence of the frenulum, makes it more convex, changing the shape and volume of the head.
At rest, the penis filled with hyaluronic acid is heavier, so it appears longer, due to the fact that it is not retracted into the groin. When standing up, 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 deal with this problem. Hyaluronic is injected into the sensitive part of the head - the frenulum. The substance penetrates the subcutaneous layer and distributes in the intercellular space, displacing some of the receptors in the lower subcutaneous layers. As a result, the sensitivity of the penis is reduced 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 increases continuously during the first six months due to the fact that the denatured short hyaluronic units retain more water. The enzyme deualuronidase then gradually breaks down the acid. After 12 months, more than 30% of the gel decomposes. To restore the volume, it is recommended to repeat the procedure. Hyaluronic acid tends to break down less with repeated injections.
According to reviews, such a penis enlargement with hyaluronic acid increases a man's sexual attractiveness, increases the quantity and quality of intercourse, while he experiences more vivid sensations from additional stimulation and gives pleasure to his partner, which also increases his self-esteemman.
Is hyaluronic acid safe?
Hyaluronic acid (hyaluronic, hyaluronic acid) belongs to the mucopolysaccharides and is part of the 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. Hyaluronic acid is involved in tissue hydrodynamics and cell reproduction. Its regenerative action is linked to this characteristic.
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 hyaluronic acid and penile tissues extra 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 the synovial fluid in the joints. The technique of increasing the volume and length of the penis with hyaluronic gel appeared relatively recently, but it 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 depends on 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 goals and the point of injection.
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 a polymer using biocompatible urea. Such cross-linked biopolymers tend to last longer in the implanted area compared to conventional hyaluronic acid and improve the filling quality of the penile tissue.
How to enlarge penis with hyaluronic acid
The process itself is preceded by a preparatory stage. The andrologist collects memories, asks about systemic and chronic diseases, psychological problems and does 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.
Additional studies may be needed as indicated.
Penis augmentation with hyaluronic acid is performed in outpatient clinics. Before the correction, the hair in the groin 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 required amount of hyaluronic acid medicine is drawn into the syringe. A thin needle is inserted into the subcutaneous layer and the filler is slowly injected. The doctor ensures that the hyaluronic acid is distributed evenly in the injection area.
- A sterile dressing and plaster are applied to 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 for anesthesia at the injection sites of hyaluronic acid
Methods of administration
There are several methods for inserting filler into the head of the penis. The doctor chooses the technique according to the indications. More often, several methods are combined to improve the aesthetics of the head of the penis:
- Fan method— Hyaluronic is injected with a fine needle in different directions through a fan-type puncture.
- Spot method- the injection is performed in a limited part of the penis to eliminate abnormalities or deformities.
- Insert borderThe filler is applied along the crown of the head, after which the outline becomes voluminous and more intense.
Characteristics of the recovery period
After the correction, pain may occur at the injection sites, which can be easily relieved with lidocaine spray. The penis appears swollen and small hematomas may appear. Swelling can persist up to 5 days, hematomas subside on the 6th day. There is slight redness at the injection site. All these changes don't have to be scary. It must 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 night erections after the procedure. Serious complications are extremely rare and are most often related to poor hygiene and contamination of the injection sites, which become entry points for microorganisms. Sometimes hyperpigmentation can be seen at the site of the hematoma.
Post-procedure restrictions
After the introduction of hyaluronic acid, there are some restrictions and recommendations:
- interruption of 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.
- diseases of the immune system;
- herpes in the acute stage.
- malignant tumors;
- Diabetes.
Hyaluronic acid injections are not given if a man currently has an elevated body temperature, fever, or if there are rashes or ulcers on the penis.
Clinical studies of the results of filler injections
Fillers appeared in our country relatively recently, so no long-term clinical studies have been conducted in this area. However, such experience has been accumulated in clinics abroad. The results of one of the long-term observations conducted in the Urology Department of the Cha Meditech Co. clinic. , Ltd. , Korea by scientists led by Professor De Yul Yang, 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. It included 67 healthy men aged 20 to 66 who considered their penis smaller than normal for an adult.
All observed men underwent an initial examination before the study and a detailed medical history was taken with an emphasis on psychiatric and psychological problems. They consented 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 not involved in control or vehicle injection.
Research results
Overall, the penises were smooth, natural and flexible and the increase in girth was maintained for up to a year and a half after the filler injections. No unevenness, shrinkage, hardening or deformation of the penis or migration of fillers was observed. Six months after the injection, the mean increase in penile circumference was 1. 91 cm. Then the mean circumference decreased gradually until 18 months, and after one and a half years it was +1. 79 ± 1. 41 cm.
Potential for penis girth increase after hyaluronic acid filler injection:
| Post-administration study period | 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 months | 9, 74 | ±1. 83 |
| 18 months old | 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. They then gradually decreased until 18 months, but scores at one and a half years were significantly higher than at baseline. After three months, rates of sexual activity increased significantly. This increase lasted up to a year and a half.
Results of the study
The study found that the hyaluronic acid filler resulted in a significant increase in penile circumference and increased satisfaction associated 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 injection, the filler is gradually absorbed by the surrounding tissues. As hyaluronic 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 effect decreases steadily. The reinforcing effect of the filler lasts up to 18 months.
The results of the present study are comparable to the results of previous trials and demonstrate the gel's clinical utility, efficacy and safety. Because hyaluronic fillers are temporary, long-term follow-up after injection is of utmost importance. Regarding the augmentation effect, the penile girth after the filler injection increased to the maximum within about one month. Satisfaction with the appearance of the penis increased significantly approximately one month after filler injections. This increase lasted about 6 to 12 months. Then they were gradually reduced up to a year and a half. However, satisfaction levels were still higher than at baseline.
The study showed that the increased satisfaction with sexual activity after filler injections lasted 18 months, despite the fact that the increased penile circumference gradually decreases over time. The discovery suggests that injecting the filler may relieve 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 hyaluronic injection with other types of augmentation
Hyaluronic injection in the penis can be combined with other surgical procedures:
- ligamentotomy— surgery to cut the ligament that supports the penis.
- liposuction in the pubic area— extraction of fatty tissue that hides the penis in obese men.
- liposuction- increasing the circumference of the shaft of the penis by subcutaneous injections of his own lipids.
- plastic surgery of the scrotum- removal of the scrotum, which hides centimeters of the genital organ.
- circumcision of the foreskin- excision of the foreskin around the head.
- denervation of the head- reduction of sensitivity by excision of part of the nerves of the penis.
The decision on the compatibility of certain types of penile correction and the need for such surgeries is decided by the doctor individually in each specific case.