In studies and surveys conducted in 2017-2020 with 25, 594 men, 45% said they wanted a larger penis. However, very 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 enlargement with hyaluronic acid is a minimally invasive procedure that involves inserting a biocompatible filler under the skin of the penis or glans using a thin needle or Venfor (catheter). Results after correction appear immediately and last one to two years, depending on the properties of the filler.
Hyaluronate is a temporary filler and has been approved as a safe and effective soft tissue filler. In this way, you can increase penis girth by 2-3 cm and penis length by 1-3 cm, and in the first month the effect continues to increase. This is because hyaluronic acid binds and holds water molecules, increasing penis volume.
In cosmetic medicine, several names are used for this method of penis enlargement:
- intimate contour plastic surgery;
- increase penis size with hyaluronate;
- intimate filling;
- phalloplasty injection.
Penis enlargement with hyaluronic acid is a non-surgical procedure, performed on an outpatient basis, and the patient can return home immediately after taking the medication.
Penis enlargement with hyaluronic acid is a safe procedure. The need for less invasive, safer, more effective treatments has increased in all areas of modern medicine. Increasing penis size with hyaluronic acid solves three problems at the same time: 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 not possible to give a general answer. With a good erection, even a small penis can bring pleasure to a woman and bring her to orgasm. This is because the most sensitive G-spot is located on the wall in front of the entrance to the vagina. You can learn more about normal penis size in this article.
Indications for injection into the penile shaft
The introduction of hyaluronate into the genital axis is performed for several indications:
- psychological problems related to small penis size;
- negligible thickness of the penis, also known as "thin penis";
- insufficient stimulation of your partner's vagina during intercourse and her dissatisfaction;
- disproportion in the parameters of the sexual organs of the partner (large vaginal volume and small penis);
- Erectile dysfunction of a psychological nature associated with the syndrome of expectation of failure due to small penis size;
- Peyronie's disease - curvature of the shaft of the penis;
- defects of the urethra;
- consequences of unsuccessful operations on genital organs;
- cavernous fibrosis;
- Genetic and hormonal pathologies lead to underdevelopment of the penis, micropenis.
It should be noted that the injection of hyaluronic acid into the shaft of the penis does not increase the length of the penis, but only increases its volume, increases the size of the girth and diameter, although visually the penis looks more impressivewhen calm. state and during erection.
Indicated for injection into the tip of the penis
Minimally invasive penis head enlargement with hyaluronic acid is performed for the following indications:
- small size of the head of the penis relative to the shaft (thin head);
- The crown of the head is not fully pronounced;
- the frenulum is smoothed;
- Wrinkled head mucosa;
- deformity of the head of the penis after trauma;
- premature ejaculation.
This tip correction can not only improve its shape but also increase its length.
What results can you expect after injection?
After inserting the filler into the shaft, its circumference increases by 1-2 cm, and the procedure performed on the glans not only improves its aesthetic qualities, but also lengthens the penis by 3-5 cm. smoothes the skin and mucous membranes, improves the appearance of the penis. Using gel helps to increase the comfort of the corolla on the head, its width, highlight the frenulum, make it more convex, 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 injection but the length remains the same.
Injecting gel into the tip of the penis helps men with premature ejaculation solve this problem. Hyaluronate is injected into the sensitive part of the head - the frenulum. This substance penetrates into the subcutaneous layer and distributes into the intercellular space, transferring some receptors to the subcutaneous layers. As a result, the sensitivity of the penis is reduced and the man can control the onset of orgasm.
How long does the effect last?
The results of the first filler injection last from 9 months to 2 years. Furthermore, the volume continuously increases during the first six months as the short hyaluronate units decompose, retaining more water. The dehyaluronidase enzyme then gradually decomposes the acid. After 12 months, more than 30% of the gel disintegrated. To restore the volume, the procedure should be repeated. Hyaluronate tends to break down less with repeated injections.
According to reviews, such penis enlargement with hyaluronic acid increases men's sexual attractiveness, increases the quantity and quality of sexual intercourse, and also provides a more lively feeling from stimulationcomplements and brings pleasure to your partner, which also increases men'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 fluids, including biological lubricants. The body of a person of average weight contains about 16 g of this substance. Hyaluronate participates in tissue hydrodynamics and cell regeneration. It is with this feature that its regenerative effect is linked.
This substance contains up to 25, 000 disaccharide units and is capable of containing 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 eliminated 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 penis volume and length using hyaluronic gel appeared relatively recently but has received the trust of men as an effective procedure that does not require surgery.
Recommended selection of hyaluronic acid fillers
The choice of filler is up to the doctor. Gels differ in composition, density and proportion of hyaluronic acid. Some fillers add a local anesthetic to reduce pain after the procedure, but such formulations are more expensive. Density is selected by the doctor in accordance with the target and injection location.
Many fillers for injection into the penis indicate that the product contains cross-linked hyaluronic acid. It is composed 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 quality of penile tissue filling.
How to increase penis size with hyaluronic acid
The procedure itself is preceded by a preparatory period. The endocrinologist collects a medical history, 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 performed:
- general blood analysis;
- urine test;
- blood tests for blood clotting.
Additional studies may be necessary as indicated.
Penis enlargement with hyaluronate is performed on an outpatient basis. Before correction, the hair in the groin area will be shaved. The procedure is performed under local anesthesia.
Insertion 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.
- A numbing 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 ensures that the hyaluronate is evenly distributed in the injection area.
- A sterile bandage and patch 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 time of anesthesia at the hyaluronic acid injection sites.
Managing method
There are several methods of applying filler to the tip of the penis. The doctor chooses the technique according to the indication. More often, several methods are combined to improve the aesthetics of the head of the penis:
- Fan method- hyaluronate is injected with thin needles in different directions through a fan-type puncture.
- Point method- the injection is performed on a limited part of the penis to eliminate abnormalities or deformities.
- Introducing bordersFiller is applied along the top of the head, after which the contour becomes more voluminous and defined.
Characteristics of the recovery period
After correction, pain may occur at the injection site, which can be easily reduced with lidocaine spray. The penis appears swollen and small hematomas may be present. Swelling can last up to 5 days, the hematoma will disappear on the 6th day. There is slight redness at the injection site. All these changes are not scary. It must be borne in mind that this is a very sensitive organ with a large number of nerve endings and small blood vessels. Many men report frequent erections at night after the procedure. Serious complications are extremely rare and are often related to poor hygiene and infection at the injection site, which becomes a point of entry for microorganisms. Sometimes hyperpigmentation can be observed at the site of the hematoma.
Post-procedure restrictions
After the introduction of hyaluronic acid, there are some limitations and recommendations:
- disruption of intimate life for two weeks;
- need antibiotics for 5 days, then as prescribed;
- be sure to treat the penis with anti-inflammatory and antiseptic drugs;
- Do not take hot baths, showers or saunas for a week.
Contraindicated
Like any other procedure, filler injections have some contraindications:
- exacerbation of chronic diseases;
- blood diseases, including bleeding disorders;
- Acute inflammatory and viral diseases (fever, fever);
- taking antibiotics and anticoagulants;
- diseases of the immune system;
- Herpes in the acute stage;
- malignant tumors;
- diabetes.
Hyaluronate injection is not performed if the man at this time has an increased body temperature, fever or if there is a rash or ulcer on the penis.
Clinical research on filler injection results
Fillers appeared in our country relatively recently, so there are no long-term clinical studies in this area. However, such experience has been accumulated in foreign clinics. The results of one of the long-term observations carried out at the Department of Urology of Cha Meditech Co. , Ltd. Clinic, Korea by scientists led by Professor De Yul Yang have been published. These studies aim to summarize the long-term clinical outcomes of hyaluronic acid (HA) injections.
The multicenter, randomized trial was conducted 18 months after a single filler injection between November 2016 and May 2018. The trial included 67 healthy men aged 20 to 66 years old who assumed positiveTheir penis is smaller than normal for an adult. .
All observed men underwent an initial examination before the study and a detailed medical history was obtained about them, focusing on psychiatric and psychological problems. They agree 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. In the blinded portion of the study, all postinjection assessments at each site were performed by an independent physician not involved in screening or adjuvant injection.
Research results
Overall, the penis is smooth, natural and supple, and the increase in girth is maintained for up to a year and a half after filler injections. No unevenness, shrinkage, stiffness, or deformation of the penis or migration of the filler was observed. Six months after injection, the mean increase in penile circumference was 1. 91 cm, then the mean circumference gradually decreased until 18 months and after one and a half years it was +1. 79 ± 1. 41 cm.
Dynamics of increasing penis girth after injecting fillers 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 | ±1. 57 |
| 3 months | 10: 25 | ±1, 64 |
| 6 months | 9, 74 | ±1, 83 |
| 18 months | 9. 08 | ±1, 87 |
Level of satisfaction
After a month, the indicators of the appearance of the penis increased significantly. This improvement lasts for up to six months. They then gradually decreased until 18 months, but scores at one and a half years were significantly higher than at baseline. After three months, the rate of sexual activity increased significantly. This increase lasted for a year and a half.
Research results
Research shows that hyaluronic acid fillers lead to a significant increase in penile circumference and increased injection satisfaction. The procedure was tolerable and no major complications were observed over 18 months.
Hyaluronic acid consists of natural ingredients and has direct and passive effects. After injection, the filler will gradually be absorbed by the surrounding tissues. As hyaluronate breaks down into smaller pieces, the molecules bind with more water; The same volume can be maintained with less hyaluronic acid over several months. Then the results gradually decrease. The enhancing effect of the filler lasts up to 18 months.
The results of this study are comparable to those of previous trials and demonstrate the clinical usefulness of the gel, its effectiveness and safety. Because hyaluronic fillers are temporary, long-term follow-up after injection is extremely important. Regarding the enhancing effect, penis circumference after filler injection increases to its maximum within about a month. Satisfaction with the appearance of the penis increased significantly approximately one month after filler injection. This increase lasts about 6 to 12 months. They then gradually decrease until a year and a half; however, satisfaction levels were still higher than baseline levels.
The study demonstrated that increased satisfaction with sexual activity after filler injection lasted 18 months, despite increases and decreases in penile circumference over time. This discovery suggests that filler injections may alleviate psychological stress related to sexual activity. This also supports the notion that men who want to increase their penis size experience psychological stress. They often require psychological counseling or psychotherapy.
Compatibility of hyaluronate injections with other types of enhancement
Insertion of hyaluronate into the penis can be combined with other surgical interventions:
- ligament cutting— surgical intervention to cut the ligaments that support the penis;
- Liposuction of the pubic area— extraction of adipose tissue that conceals the penis in obese men;
- fill with fat- increase the circumference of the penile shaft by subcutaneous injection of its own lipid;
- scrotal cosmetic surgery- remove the scrotal sail, covering centimeters of the genitals;
- circumcision- removal of the dermis around the head;
- disappearance of the head- Reduce sensitivity by removing part of the nerves of the penis.
The decision on the compatibility of certain types of penile correction and the need for such surgical intervention will be decided by the doctor individually in each specific case.