In studies and surveys conducted during 2017-2020 involving 25, 594 men, 45% indicated that they would like to have a larger penis. However, few people decide to undergo 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 fine needles or Venfor (cannulas). The result after correction appears immediately and lasts 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 filling 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 effect is constantly increasing. This occurs because hyaluronic acid fixes and retains water molecules, increasing the volume of the penis.
In aesthetic medicine, several names are used for this penis enlargement method:
- 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, carried out on an outpatient basis, and the patient can return home immediately after administering the medication.
Increasing penis size with hyaluronic acid is a safe procedure. The need for safer, more effective and 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 pleasure 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 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;
- insignificant thickness of the penis, or the so-called "thin penis";
- insufficient stimulation of the partner's vagina during sexual intercourse and her dissatisfaction;
- disproportion of the parameters of the partners' genitals (large vaginal volume and small penis);
- erectile dysfunction of a psychogenic nature associated with failure expectation syndrome due to small penis size;
- Peyronie's disease - curvature of the shaft of the penis;
- urethra 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 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 size of the girth and diameter, although visually the penis looks more impressive in a calm state and during a erection.
Indications for injections into 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 top of the head is not pronounced enough;
- softened frenulum;
- wrinkled mucous membrane of the head;
- deformation of the head of the penis after injury;
- premature ejaculation.
This head correction can not only improve its shape but also increase its length.
What results can you expect after the injections?
After the filler is introduced into the shaft, its circumference increases by 1-2 cm, and the procedure on the glans not only improves its aesthetic qualities, but also lengthens the penis by 3-5 cm. Once under the skin, hyaluronate is evenly distributed, softens the skin and mucous membranes, improving the appearance of the penis. Administration of the gel helps to increase the relief of the head corolla, 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, which is why it appears longer, due to the fact that it is not retracted 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 deal with this problem. Hyaluronate is injected into the sensitive part of the head - the frenulum. The substance penetrates the subcutaneous layer and distributes itself 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 onset of orgasm.
How long does the effect last?
Results from the first filler injection last nine months to two years. Furthermore, the volume increases constantly during the first six months due to the fact that the short disintegrated hyaluronate units retain more water. The enzyme dehyaluronidase gradually breaks down the acid. After 12 months, more than 30% of the gel disintegrates. To restore volume, it is recommended to repeat the procedure. Hyaluronate tends to break down less with repeated injections.
According to reviews, this penis enlargement with hyaluronic acid increases a man's sexual attractiveness, increases the quantity and quality of sexual intercourse, while experiencing more vivid sensations of additional stimulation and giving pleasure to his partner, which also increases man's self-esteem.
Is hyaluronic acid safe?
Hyaluronic acid (hyaluronate, hyaluronic acid) belongs to mucopolysaccharides and is part of the epithelium, nervous and connective tissues. It is contained in the extracellular space, in the biological fluid, including the 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 characteristic that its regenerating effect is associated.
The substance contains up to 25, 000 disaccharide units and is capable of retaining the same amount of water. It is this ability of the polysaccharide that provides additional volume to the hyaluronate and penile tissues. 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 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 filling is at the discretion of the doctor. Gels differ in composition, density and percentage of hyaluronic acid. Some fillers add local anesthetic to reduce pain after the procedure, but these formulations are more expensive. The density is chosen by the doctor according to the objectives 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 DN-acetylglucosamine and D-glucuronic acid. The monomeric 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 enlarge your penis with hyaluronic acid
The procedure itself is preceded by a preparatory stage. The andrologist takes anamnesis, asks about systemic and chronic diseases, psychological problems and performs 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 clotting.
Additional studies may be necessary according to 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 anesthesia.
The introduction of fillers 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 injected slowly. The doctor ensures that the hyaluronate is evenly distributed in the injection area.
- An aseptic dressing and adhesive 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 anesthesia time at the hyaluronic acid injection sites.
Administration methods
There are several methods for introducing 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— hyaluronate is injected with a fine needle in different directions through a fan-type puncture.
- Point method- the injection is carried out in a limited part of the penis to eliminate irregularities or deformities.
- Introduction to contouringFiller is applied along the top 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 appears swollen and small bruises may appear. Swelling can persist for up to 5 days, bruising disappears on the 6th day. There is slight redness at the injection site. All these changes shouldn't be scary. It must be taken into account that it is a very sensitive organ, with a large number of nerve endings and small vessels. Many men report frequent nocturnal 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 seen at the site of the hematoma.
Restrictions after the procedure
After the introduction of hyaluronic acid, there are several restrictions and recommendations:
- interrupt intimate life for two weeks;
- antibiotics are needed for 5 days and then as directed;
- 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 several contraindications:
- exacerbation of chronic diseases;
- blood diseases, including bleeding disorders;
- inflammatory diseases and acute viral infections (fever, fever);
- take antibiotics and anticoagulants;
- immune system diseases;
- herpes in the acute phase;
- Malignant tumors;
- diabetes.
Hyaluronate injections are not performed if the man at this time has a high body temperature, fever or if there are rashes or ulcerations on the penis.
Clinical Studies of the Results of Filler Injections
Fillers appeared in our country relatively recently, therefore, long-term clinical studies in this area have not been carried out. However, such experience has been accumulated in foreign clinics. The results of one of the long-term observations carried out in the Urology Department of Cha Meditech Co. , Ltd. Clinic in Korea by scientists led by Professor De Yul Yang have now been published. These studies aimed to summarize the long-term clinical outcomes of hyaluronic acid (HA) injections.
The multicenter, randomized trial was conducted over 18 months following 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 men observed underwent an initial examination before the study, and a detailed medical history was compiled on them, with an emphasis on psychiatric and psychological problems. They have 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 post-injection assessments at each site were performed by an independent physician who was not involved in excipient screening or injection.
Search 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 filler injections. No irregularities, retractions, hardening or deformation of the penis, or migration of fillers were observed. Six months after the injection, the average increase in penile girth was 1. 91 cm, then the average girth gradually decreased until 18 months and after a year and a half it was +1. 79 ± 1. 41 cm.
Dynamics of increase in penile girth after filler injection with hyaluronic acid:
| Study period after administration | Average penis circumference in the group (cm) | Deviation from the mean value (cm) |
| Before injection | 7, 74 | ±1. 40 |
| 1 month | 10: 15 am | ±1. 57 |
| 3 months | 10: 25 am | ±1. 64 |
| 6 months | 9, 74 | ±1. 83 |
| 18 months | 9. 08 | ±1. 87 |
Level of satisfaction
After a month, indicators of the appearance of the penis increased significantly. This improvement lasted for up to six months. After that, they gradually decreased until 18 months, but scores at a year and a half were significantly higher than at the beginning of the study. After three months, rates of sexual activity increased significantly. This increase lasted up to a year and a half.
Study results
The study found that hyaluronic acid fillers resulted in a significant increase in penile girth and increased satisfaction associated with the injection. The procedure was tolerable and no major complications were observed over 18 months.
Hyaluronic acid is composed of natural ingredients and has a direct and passive effect. After injection, the filler is gradually absorbed into the surrounding tissues. As hyaluronate breaks down into smaller fragments, the molecules bind to more water; the same volume can be maintained with less hyaluronic acid for several months. Then the result constantly decreases. The enhancing effect of the filler lasts up to 18 months.
The results of the present study are comparable to the results of previous trials and prove the clinical usefulness of the gel, its efficacy and safety. Because hyaluronic fillers are temporary, long-term follow-up after injection is extremely important. Regarding the augmentative effect, the penile perimeter after injection of the filler increased to the maximum in about a month. Satisfaction with penis appearance increased significantly approximately one month after filler injections. This increase lasted approximately 6 to 12 months. Then they gradually decreased until a year and a half; however, satisfaction levels were still higher than at the beginning of the study.
The study demonstrated that the increase in satisfaction with sexual activity after filler injections lasted for 18 months, despite the increase in penile girth gradually decreasing over time. The finding suggests that injecting the filler may 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 need 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 cross the ligament that supports the penis;
- liposuction in the pubic area— extraction of adipose tissue that hides the penis in obese men;
- lipofilling- increase the circumference of the penis shaft with subcutaneous injections of its own lipids;
- scrotal plastic surgery- removal of the scrotal candle, which hides centimeters of the genital organ;
- foreskin circumcision- excision of the dermis around the head;
- head denervation- reduction of sensitivity by excision of part of the nerves in the penis.
The decision on the compatibility of certain types of penile correction and the need for such surgical interventions is decided by the doctor separately in each specific case.