In studies and polls conducted in 2017-2020 involving 25, 594 men, 45% indicated that they would like to have a larger penis. However, few people decide on 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
Hyaluronic acid penile augmentation is a minimally invasive procedure that involves inserting a biocompatible filler under the skin of the penis or glans using 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 filler. In this way, you can increase the girth of the penis by 2-3 cm, and the length by 1-3 cm. In addition, during the first month, the effect is constantly increasing. This is because hyaluronic acid binds and retains water molecules, increasing the volume of the penis.
In aesthetic medicine, several names are used for this method of penis enlargement:
- intimate contour plastic;
- penis enlargement with hyaluronate;
- intimate filling;
- injection phalloplasty.
Enlarging the size of the penis with hyaluronic acid is a non-surgical procedure, it is performed on an outpatient basis and the patient can go home immediately after applying the drug.
Penis enlargement 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 simultaneously: 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 due to the fact that the most sensitive G point is located on the front wall of 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 trunk of the genital organ is carried out for several indications:
- psychological problems related to the small size of the penis;
- 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 parameters of the sexual organs of the partners (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 - distortion of the shaft of the penis;
- urethral defects;
- consequences of unsuccessful operations on the genital organ;
- fibrosis of the cavernous bodies;
- genetic and hormonal pathologies leading to underdevelopment of the penis, micropenis.
It should be noted that the correction of hyaluronic acid in the body 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. condition and during 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 relative to the body (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 head correction can not only improve its shape but also increase its length.
What results can you expect after the injections?
After introducing a filler into the trunk, 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, the hyaluronate is distributed evenly, smoothes the skin andmucous membranes, improving the appearance of the penis. Applying the gel helps to increase the relief of the crown of the head, its width, emphasize the frenulum, make it more prominent, change the shape and volume of the head.
At rest, a penis filled with hyaluronate is heavier, so it appears longer due to the fact that it is not tucked away in the groin. In erection, he looks thicker than before the injections, but the length remains the same.
Injecting gel into the head of the penis helps men suffering from premature ejaculation to cope 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, 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 occurrence of orgasm.
How long does the effect last?
Results from the first filler injection last from nine months to two years. In addition, the volume constantly increases 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 procedure. Hyaluronate tends to degrade 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, while experiencing brighter sensations of additional stimulation and giving pleasure to his partner, which also increases the 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 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. It is with this property that its regenerating effect is associated.
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 additional volume to the hyaluronan 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 1980s 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 it has won the trust of men as an effective procedure that does not require surgery.
Recommendations for choosing a filler with hyaluronic acid
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 post-procedure pain, but such formulations are more expensive. The density is selected by the doctor in accordance with the goals and the injection site.
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 than conventional hyaluronate and improve the filling quality of the penile tissue.
How to do penis enlargement with hyaluronic acid
The procedure itself is preceded by a preparatory stage. The andrologist collects an anamnesis, inquires about systemic and chronic diseases, psychological problems and conducts an examination. Patients consent to their personal data being processed. Before the procedure, tests are taken:
- general blood analysis;
- urine test;
- blood clotting test.
Additional tests may be necessary as indicated.
Penile augmentation 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 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 tissue and filler is slowly injected. The doctor ensures that the hyaluronate is evenly distributed in the injection area.
- An aseptic dressing and plaster 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 injection sites of hyaluronic acid
Ways of application
There are several methods of 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 thin needle in different directions through a fan-shaped puncture.
- Spot method- the injection is performed on a limited part of the penis to eliminate irregularities or deformations.
- Input loopThe filler is applied to the crown 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 hematomas may appear. Swelling can last up to 5 days, hematomas disappear on the 6th day. There is slight redness at the injection site. All these changes don't have to be scary. It should be borne in mind that this is a very sensitive organ with a large number of nerve endings and small vessels. Many men report frequent nighttime erections after the procedure. Serious complications are extremely rare and are most often associated with poor hygiene and infection at the injection sites, which become entry points for microorganisms. Sometimes hyperpigmentation can be observed at the site of the hematoma.
Restrictions after the procedure
After the introduction of hyaluronic acid, there are a number of restrictions and recommendations:
- interruption of intimate life for two weeks;
- antibiotics are needed for 5 days, then as indicated;
- do not forget 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 blood clotting 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.
Hyaluronate injections are not performed if the man at the time has an elevated body temperature, fever, or if there are rashes or ulcers on the penis.
Clinical studies of the results of the injection of fillers
Fillers appeared in our country relatively recently, so long-term clinical studies in this area have not been conducted. However, such experience was gained in foreign clinics. The results of one of the long-term observations conducted in the urology department of the Cha Meditech Co. clinic. , Ltd. , Korea by scholars led by Professor Dae Yul Yang have now been published. These studies aim to summarize the long-term clinical results of hyaluronic acid (HA) injections.
The multicenter, randomized trial was conducted over 18 months after a single injection of filler between November 2016 and May 2018. It included 67 healthy men aged 20 to 66 who considered their penis to be smaller thannormal for an adult.
All observed men underwent an initial examination prior to the study and a detailed medical history was taken 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 the screening or injection of excipients.
Research results
In general, the penises were smooth, natural and flexible, and the increase in girth was maintained up to a year and a half after the injection of fillers. No irregularities, retraction, hardening or deformation of the penis, or migration of fillers were observed. Six months after the injection, the mean increase in penile girth was 1. 91 cm. After that, the mean 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 hyaluronic acid filler injection:
| Study period after administration | Average penile 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 one 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 at one and a half years were significantly higher than the baseline. After three months, the degree of sexual activity increased significantly. This increase lasted for a year and a half.
Research results
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 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 tissue. 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. After that, the score steadily decreases. 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 prove the clinical utility of the gel, its effectiveness and safety. Since hyaluronic fillers are temporary, long-term follow-up after injection is of utmost importance. As for the enhancing effect, the girth of the penis after filler injection increased to a maximum within about one month. Satisfaction with the appearance of the penis increases significantly approximately one month after filler injection. This increase lasted approximately 6 to 12 months. After that, they gradually decrease to a year and a half; but satisfaction levels are still higher than baseline.
The study showed that the increased satisfaction with sexual activity after the injection of fillers lasted for 18 months, although the increased penile circumference gradually decreased 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 cut the ligament supporting the penis;
- liposuction in the pubic area— extraction of fatty tissue that hides the penis in obese men;
- lipofilling- increasing the circumference of the penis by subcutaneous injection of own lipids;
- plastic surgery of the scrotum- removal of the scrotal membrane, which 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 cutting part of the nerves of 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 individually for each specific case.