In studies and surveys conducted during 2017-2020. in which 25, 594 men participated, 45% stated that they would like to have a bigger penis. However, few 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 augmentation with hyaluronic acid is a minimally invasive procedure that involves the introduction of biocompatible filler under the skin of the penis or glans with thin 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 is 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. Moreover, in the first month, the effect is constantly increasing. This is because hyaluronic acid binds and holds water molecules, increasing the volume of the penis.
In aesthetic medicine, several names are used for this method of penis enlargement:
- plastic surgery of intimate contours;
- penis enlargement with hyaluronate;
- intimate filling;
- injection phalloplasty.
Increasing the size of the penis with hyaluronic acid is a non-surgical procedure, which is performed on an outpatient basis, and the patient can return home immediately after the application 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 a woman and lead her 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 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;
- slight thickness of the penis, or the so-called "thin penis";
- insufficient stimulation of the partner's vagina during intercourse and her dissatisfaction;
- disproportion of parameters of the partner's genital organs (large volume of vagina 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 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 its size and diameter, although visually the penis looks more impressive in a calm state. condition and during 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 crown of the head is insufficiently expressed;
- smoothed 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 injections?
After introducing the filler into the shaft, its circumference increases by 1-2 cm, and the procedure in 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, smoothes the skin and mucous membrane, and improves the appearance of the penis. Administering the gel helps to increase the relief of the crown of the head, its width, highlight the frenulum, become more convex, change the shape and volume of the head.
At rest, the penis filled with hyaluronate is heavier, so it looks longer, because it is not tucked into the groin. In the upright position, 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. 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 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?
The results of the first filler injection last from nine months to two years. Moreover, the volume increases constantly during the first six months due to the fact that the broken down short units of hyaluronate retain more water. The enzyme dehyaluronidase then gradually breaks down the acid. After 12 months, more than 30% of the gel breaks down. To restore the volume, it is recommended to repeat the process. Hyaluronate breaks down less with repeated injections.
According to reviews, such penis enlargement with hyaluronic acid increases a man's sexual attractiveness, increases the quantity and quality of sexual intercourse, and at the same time experiences more vivid sensations from additional stimulation and gives pleasure to his partner, which also increases a man's self-esteem.
Is hyaluronic acid safe?
Hyaluronic acid (hyaluronate, hyaluronic acid) belongs to mucopolysaccharides and is part of epithelium, nervous and connective tissue. It is contained in the extracellular space, in biological fluid, including biological lubricant. The body of a person of average weight contains about 16 g of this substance. Hyaluronate is involved in tissue hydrodynamics and cell reproduction. Associated with this feature is its regenerating effect.
The substance contains up to 25, 000 disaccharide units and is capable of retaining the same amount of water. It is precisely this ability of polysaccharides that gives hyaluronate and penile tissue additional 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 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 post-procedure pain, but such formulations are more expensive. The density is chosen by the doctor in accordance with the goals and injection site.
Many injectable penile fillers indicate that the product contains cross-linked hyaluronic acid. It consists of alternating monomers 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 hyaluronate and improve the quality of penile tissue filling.
How to enlarge the penis with hyaluronic acid
The procedure itself is preceded by a preparatory phase. The andrologist collects medical history, asks about systemic and chronic diseases, psychological problems and performs an examination. Patients consent to the processing of their personal data. Tests are performed before the procedure:
- general blood analysis;
- urine test;
- blood clotting test.
Additional studies may be required as indicated.
Penis enlargement with hyaluronan 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 introduction of 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 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 evenly distributed in the injection area.
- An aseptic bandage and patch are placed on 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 sites of hyaluronic acid
Ways of application
There are several methods for introducing fillers 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:
- Ventilator method— hyaluronate is injected with a thin needle in different directions through one fan-shaped puncture.
- Spot method- the injection is performed on a limited part of the penis in order to eliminate irregularities or deformations.
- Introduction to contoursThe filler is applied along the scalp, after which the contour becomes voluminous and more pronounced.
Characteristics of the recovery period
After the correction, pain may occur at the injection sites, which can be easily alleviated with lidocaine spray. The penis looks 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 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 associated with poor hygiene and injection site infection, which become entry points for microorganisms. Sometimes hyperpigmentation can be seen at the hematoma site.
Restrictions after the procedure
After the introduction of hyaluronic acid, there are a number of restrictions and recommendations:
- stop intimate life for two weeks;
- antibiotics are needed for 5 days, then according to indications;
- 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 phase;
- malignant tumors;
- diabetes.
Hyaluronate injections are not performed if the man currently has an elevated body temperature, fever, or if there is a rash or ulceration on the penis.
Clinical studies of the results of filler injections
Fillers have 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 foreign clinics. The results of one of the long-term observations conducted by scientists led by Professor De Yul Yang at the Urology Department of the Cha Meditech Co. Clinic have already been published. , Ltd. , in Korea. These studies aimed to summarize the long-term clinical results of hyaluronic acid (HA) injections.
The multicenter, randomized trial was conducted 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 to be smaller than normal for an adult.
All observed men underwent an initial examination before the study, and a detailed medical history with an emphasis on psychiatric and psychological problems was compiled. They have given their consent to the processing of their personal data.
The research 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 screening or injecting adjuvants.
Research results
Overall, the penises were smooth, natural and pliable, and the increase in girth was maintained up to a year and a half after the filler injections. No unevenness, retraction, hardening or deformation of the penis, nor migration of the filler was observed. Six months after the injection, the average increase in penis 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 penis girth increase after filler injection with hyaluronic acid:
| Post-application test period | Average penis girth in the group (cm) | Deviation from the average 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 |
Satisfaction level
After a month, the indicators of the appearance of the penis increased significantly. This improvement lasted up to six months. After that, they gradually decreased until 18 months, but the results after a year and a half were significantly higher than at the beginning. After three months, the rate 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 girth and increased satisfaction associated with the injection. The procedure was tolerable and no major complications were observed during 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 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 score keeps decreasing. The reinforcing effect of the filler lasts up to 18 months.
The results of this study are comparable to the results of previous trials and prove the clinical usefulness of the gel, its effectiveness and safety. Since hyaluronic fillers are temporary, long-term follow-up after the injection is of utmost importance. Regarding the augmentative effect, the penile girth after the filler injection increased maximally within about a month. Satisfaction with the appearance of the penis increased significantly approximately one month after the filler injection. This increase lasted approximately 6 to 12 months. Then they gradually decreased 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 for 18 months, despite the fact that the increased girth of the penis gradually decreased over time. The finding suggests that injecting fillers can 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 cut the ligament that supports the penis;
- liposuction in the pubic area— removal of fatty tissue that hides the penis in obese men;
- lipofilling- increase in penis size by subcutaneous injections of one's own lipids;
- plastic surgery of the scrotum- removal of the scrotal core that hides centimeters of the genital organ;
- circumcision of the foreskin- excision of the dermis 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 surgical procedures is made by the doctor in each specific case.