Penile enlargement surgery is a comprehensive surgical procedure aimed at increasing both the length and girth of the penis. This surgery is based on the principle of combining penile lengthening and stretching using the SLR + V-Y Plasty technique with penile girth enhancement through autologous fat injection and hyaluronic acid filler. Currently, the most effective penile lengthening and stretching procedure is achieved by performing the SLR (Suspensory Ligament Release) and V-Y Plasty techniques simultaneously. When girth enhancement procedures are applied concurrently with this type of surgery, the penis increases in both length and circumference.
Who is a Candidate for Penile Enlargement Surgery?
- This surgery is suitable for men with short to medium penile length and those experiencing thinness of the penis.
- Candidates must meet surgical eligibility criteria based on a preoperative examination and an ultrasonographic evaluation of the penile root.
How is Penile Enlargement Surgery Performed?
The procedure is usually performed under spinal anesthesia and takes approximately 1.5–2 hours. The surgery consists of two main stages:
- SLR + V-Y Plasty: The suspensory ligament, which anchors the penis to the pubic bone and holds the penile root deep within the body, is released using the SLR (Suspensory Ligament Release) technique. About 80% of the ligament is cut, reducing the pulling force that holds the penis inward and allowing it to extend forward and downward. This creates a noticeable length increase by allowing the penis to “hang” more freely. Subsequently, the subcutaneous tissue is approximated, and the V-Y Plasty technique is applied to increase skin elasticity and advance the penile skin slightly forward.
- Girth Enhancement: Autologous fat (the patient’s own fat) or hyaluronic acid filler is injected into the subcutaneous tissue of the penis. Once this stage is completed, the penis gains both increased length and thickness.
Advantages of Penile Enlargement Surgery:
- Simultaneously increases penile extension/suspension and girth in a single session.
- When combined with postoperative exercises, the procedure provides visually satisfying results and high patient satisfaction.
Recovery After Penile Enlargement Surgery:
- Return to daily activities is possible after 1 week.
- Surgical incision healing is usually completed within 3–4 weeks.
- Sexual activity is typically allowed after 4–8 weeks, depending on the individual.
Postoperative Recommendations:
- Manual traction exercises must be performed to further support the increased penile extension achieved after the SLR + V-Y Plasty stage.
- If hyaluronic acid fillers were used for girth enhancement, the patient must drink plenty of water for approximately 3 weeks postoperatively to help the filler integrate properly and maintain shape.
- The penis should be protected from blunt trauma or pressure for about 6 months following surgery.
Final Notes:
Penile enlargement surgery is the most comprehensive solution for men dissatisfied with penile length and girth. When performed by experienced urologists on appropriately selected candidates, it achieves highly satisfying results. Choosing a urologist with extensive expertise in penile anatomy and penile surgeries is critical for optimal outcomes.
