In studies and surveys of 25, 594 men between 2017 and 2020, 45% said they wanted a bigger penis. However, very 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 the aspects, effectiveness and safety of this technique.
What is this procedure?
Hyaluronic acid penile augmentation 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). After correction, the result is visible 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 plumping agent. In this way, you can increase the circumference of the penis by 2-3 cm and its length by 1-3 cm. Moreover, the effect is constantly increasing in the first month. 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:
- 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, performed on an outpatient basis, and the patient can return home immediately after receiving the drug.
Increasing penis size 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, and more than 2. 6 million such fillers were 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 a woman pleasure and bring her to orgasm. This is due to the fact that the most sensitive G point is located on the front wall at the entrance of the vagina. You can learn more about normal penis size in this article.
Indications for injection 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 his dissatisfaction;
- disproportionality of 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;
- defects of the urethra;
- the consequences of unsuccessful operations on the genital organ;
- fibrosis of cavernous bodies;
- genetic and hormonal pathologies that cause the underdevelopment of the penis, micropenis.
It should be noted that the correction of hyaluronic acid to the shaft of the penis does not increase the length of the penis, but gives it volume, increases the size and diameter of the circumference, although visually the penis looks more effective in a calm state. state and during erection.
Instructions 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 symptoms:
- the small size of the head of the penis relative to the shaft (thin head);
- the crown of the head is not pronounced enough;
- smoothed frenulum;
- wrinkling of the mucous membrane of the head;
- deformation of the head of the penis after an injury;
- premature ejaculation.
This correction of the head can not only improve its shape, but also increase its length.
What results can be expected after the injections?
After inserting the filler into the shaft, its circumference increases by 1-2 cm, and the procedure on the glans improves its aesthetic qualities and lengthens the penis by 3-5 cm. After getting under the skin, hyaluronate is evenly distributed, smoothes the skin and mucous membranes, and improves the appearance of the penis. The application of the gel helps to increase the relief and width of the crown of the head, emphasize the frenulum, make it more prominent, change the shape and volume of the head.
At rest, the hyaluronate-filled penis is heavier, so it appears longer because it is not retracted into the groin. When erect, it looks thicker than before the injections, but the length remains the same.
Penile gel injections help men suffering from premature ejaculation to overcome 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, transferring part of the receptors to the lower subcutaneous layers. As a result, the sensitivity of the genital organ 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 because the hyaluronate's broken down short units hold more water. The enzyme dehyaluronidase then gradually breaks down the acid. After 12 months, more than 30% of the gel is degraded. It is recommended to repeat the procedure to restore the volume. Hyaluronate tends to break down less with repeated injections.
According to reviews, such enlargement of the penis with hyaluronic acid increases a man's sexual attractiveness, increases the quantity and quality of sexual intercourse, and at the same time experiences brighter feelings from additional stimulation and gives pleasure to his partner, which increases a man's self-esteem.
Is hyaluronic acid safe?
Hyaluronic acid (hyaluronate, hyaluronic acid) belongs to mucopolysaccharides and is part of the epithelium, nerves and connective tissues. It is found in extracellular space, biological fluid, including biological lubricant. An average person has about 16 g of this substance in their body. Hyaluronate is involved in tissue hydrodynamics and cell proliferation. Its restorative effect is related to this feature.
The substance contains up to 25, 000 disaccharide units and is capable of holding the same amount of water. It is this ability of hyaluronate and polysaccharide that gives extra volume to penile tissues. Therefore, the application of exogenous hyaluronic acid is completely safe for humans.
This compound is not rejected by the body and does not cause allergies. Since the 80s of the last century, it has been used in medicine to increase the viscosity of the synovial fluid in the joints. The technique of increasing the volume and length of the penis with hyaluronan 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 selected by the doctor according to the purpose and injection site.
Many injectable penile fillers indicate that the product contains cross-linked hyaluronic acid. It consists of alternate monomers of D-N-acetylglucosamine and D-glucuronic acid. The monomer units are cross-linked to the polymer using biocompatible urea. Such cross-linked biopolymers last longer in the implanted area than conventional hyaluronate and improve the filling quality of the penile tissue.
How to make penis grow with hyaluronic acid
The procedure is preceded by a preparatory phase. The andrologist collects anamnesis, asks about systemic and chronic diseases, psychological problems, and conducts 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 required according to the indications.
Penis enlargement with hyaluronate is performed on an outpatient basis. Before the correction, the hair in the pubic area is shaved. The procedure is performed under local anesthesia.
Insertion of the filler into the penis occurs 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 and this gel takes effect after 15 minutes.
- The necessary amount of medicine with hyaluronic acid is injected into the syringe. A thin needle is inserted into the subcutaneous layer and the filler is slowly injected. The doctor ensures an even distribution of hyaluronate in the injection area.
- An aseptic dressing and a patch 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.
Management methods
There are several methods of injecting filler into the head of the penis. The doctor chooses the technique according to the instructions. More often, several methods are combined to improve the aesthetics of the head of the penis:
- Fan method— hyaluronate is injected with a thin needle in different directions through a fan-type puncture.
- Spot method- the injection is performed in a limited part of the penis to eliminate irregularities or deformation.
- Outline presentationThe filler is applied along the crown of the head, after which the contour becomes voluminous and clearer.
Features 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 can be seen. Swelling can last up to 5 days, 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 vessels. Many men often report nighttime erections after the procedure. Serious complications are extremely rare and are often associated with poor hygiene and infection of injection sites, which become entry points for microorganisms. Sometimes hyperpigmentation can be observed at the hematoma site.
Restrictions after the procedure
There are a number of restrictions and recommendations after the application of hyaluronic acid:
- cut off 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 a hot bath, 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;
- acute stage herpes;
- malignant tumors;
- diabetes.
At this time, if the man has high body temperature, fever or rashes or ulcers on the penis, hyaluronate injections are not performed.
Clinical studies of the results of filler injections
Fillers have appeared in our country relatively recently, so long-term clinical studies have not been conducted in this area. However, such experience has been gathered in foreign clinics. Korea's Cha Meditech Co. , Ltd. The results of one of the long-term observations carried out by scientists led by Professor De Yul Young at the Department of Urology of his clinic have already been published. These studies aimed to summarize the long-term clinical results of hyaluronic acid (HA) injections.
A multicenter, randomized trial was conducted between November 2016 and May 2018 for 18 months after a single filler injection. It included 67 healthy men aged 20 to 66 who considered their penises smaller than normal for adults.
All observed men underwent a baseline examination before the study and a detailed medical history was taken, focusing on psychiatric and psychological problems. They have agreed 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). During the blinded portion of the study, all postinjection assessments at each site were performed by an independent physician who was not involved in screening or injection of adjuvants.
Research results
In general, the penises were smooth, natural and flexible, and the growth around them was maintained for up to a year and a half after the filler injections. In the penis, unevenness, retraction, hardening or deformation, migration of fillings was not observed. The average increase in penis circumference 6 months after the injection was 1. 91 cm. Then the average circle gradually decreased until 18 months, and after a year and a half it was +1. 79 ± 1. 41 cm.
Growth dynamics of penis circumference after injection of filler with hyaluronic acid:
| Study period after administration | Average penis circumference in the group (cm) | Deviation from the mean (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 for up to six months. After that, they gradually decreased until 18 months, but scores at one and a half years were significantly higher than at baseline. After three months, sexual activity rates increased significantly. This increase lasted for a year and a half.
Results of the study
Research has shown that hyaluronic acid fillers lead to a significant increase in penile girth and increased satisfaction with the injection. The procedure was well tolerated and no serious complications were observed at 18 months.
Hyaluronic acid consists of natural substances and has a direct and passive effect. After injection, the filler is gradually absorbed by the surrounding tissues. As hyaluronate breaks down into smaller pieces, the molecules bind more water; the same volume can be maintained for several months with less hyaluronic acid. Then the result decreases continuously. The reinforcing effect of the filler lasts up to 18 months.
The results of the present study are comparable to those of previous trials and prove the clinical benefit, efficacy and safety of the gel. Since hyaluronic fillers are temporary, long-term follow-up after injection is extremely important. As for the enhancing effect, penile girth increased to a maximum within about one month after filler injection. Approximately one month after filler injections, satisfaction with the appearance of the penis increased significantly. This increase lasted for about 6-12 months. Then they gradually decreased until a year and a half; however, satisfaction levels were still higher than baseline.
The study showed that the increase in satisfaction with sexual activity after filler injections persisted for 18 months, despite the gradual reduction of increased penile circumference over time. The discovery suggests that injecting the filler can reduce the psychological stress associated with sexual activity. This 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
Insertion of hyaluronate into the penis can be combined with other surgical interventions:
- ligamentotomy— surgical intervention to cut the ligament supporting the penis;
- liposuction in the pubic area— removal of fat tissue hiding the penis in obese men;
- lipofilling- increasing the circumference of the penis shaft by subcutaneous injections of own lipids;
- scrotal plastic surgery- removal of the scrotal veil, which hides the centimeters of the genital organ;
- circumcision of the foreskin- cutting the dermis around the head;
- denervation of the head- reduction of sensitivity by cutting part of the nerves of the penis.
The suitability of certain types of penile correction and the need for such surgical interventions are decided by the doctor on a case-by-case basis.