In studies and surveys conducted between 2017 and 2020 involving 25, 594 men, 45% indicated that they would like to have a larger penis. However, few people decide to undergo the operation. 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 with fine needles or Venfor (cannulas). The result after the 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 circumference of the penis by 2-3 cm, and the length by 1-3 cm. Moreover, in the first month the effect increases continuously. This is because hyaluronic acid attaches to 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 with intimate contour;
- penis enlargement with hyaluronate;
- intimate filling;
- injection phalloplasty.
Penis enlargement with hyaluronic acid is a non-surgical procedure, performed on an outpatient basis, and the patient can return home immediately after the administration 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 bring her to orgasm. This is due to the fact that the most sensitive point G 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 injections in the shaft of the penis
The insertion of hyaluronate into the shaft of the genital organ is performed for several indications:
- psychological problems associated with 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 sexual intercourse and her dissatisfaction;
- disproportion of the partner's genital parameters (large vaginal volume and small penis);
- erectile dysfunction of a psychogenic nature associated with the syndrome of waiting for failure due to the small size of the penis;
- Peyronie's disease - curvature of the shaft of the penis;
- urethral defects;
- the consequences of unsuccessful operations on the genital organ;
- fibrosis of the 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 the size of the circumference and diameter, although visually the penis looks more impressive in a calm state. condition and during an 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:
- the small size of the head of the penis in relation to the shaft (thin head);
- the crown of the head is insufficiently pronounced;
- frenulum smooth;
- 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 the injections?
After inserting the filler into the shaft, its circumference increases by 1-2 cm, and the procedure on the glans not only improves aesthetic qualities, but also lengthens the penis by 3-5 cm. Once under the skin, hyaluronate is distributed evenly. softens the skin and mucous membrane, improving the appearance of the penis. Administration of the gel helps to increase the relief of the crown of the head, its width, highlight the frenulum, makes it more convex, changes the shape and volume of the head.
At rest, the penis filled with hyaluronate is heavier, so it looks longer, due to the fact that it does not retract into the groin. When it rises, 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 cope with this problem. Hyaluronate is injected into the sensitive part of the head - the frenulum. The substance penetrates the subcutaneous layer and diffuses into the intercellular space, displacing some of the receptors in 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. In addition, the volume increases continuously during the first six months due to the fact that the short dissolved units of hyaluronate hold more water. The enzyme dehyaluronidase then gradually breaks down the acid. After 12 months, more than 30% of the gel disintegrates. To restore the volume, it is recommended to repeat the procedure. Hyaluronate tends to break down less with repeated injections.
According to reviews, such an enlargement of the penis with hyaluronic acid increases the sexual attractiveness of a man, increases the quantity and quality of sexual relations, experiencing more vivid sensations from additional stimulation and gives pleasure to his partner, which also increases the self-esteem ofa man.
Is hyaluronic acid safe?
Hyaluronic acid (hyaluronate, hyaluronic acid) belongs to mucopolysaccharides and is part of the epithelium, nerve and connective tissues. It is contained in the extracellular space, in the biological fluid, including the 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. Its regenerative effect is also related to this feature.
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 hyaluronate and penile tissue extra volume. Therefore, the introduction of exogenous hyaluronic acid is absolutely safe for humans.
This ingredient 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 surgical intervention.
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 chosen by the doctor in accordance with the objectives 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. Monomer units are cross-linked into a polymer using biocompatible bridges. 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 history, asks about systemic and chronic diseases, psychological problems and performs an examination. Patients consent to the processing of their personal data. Before the procedure, the following tests are performed:
- general blood analysis;
- urine test;
- blood test for coagulation.
Additional studies may be needed as indicated.
Penis enlargement 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.
Insertion of the filler into the penis occurs in several stages:
- The groin area is treated with an antiseptic and covered with a disposable sterile diaper.
- An anesthetic gel is applied to the penis, which takes effect after 15 minutes.
- The required amount of hyaluronic acid drug 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 distributed evenly in the injection area.
- An aseptic bandage and patches 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 of anesthesia in the places for the introduction of hyaluronic acid.
Methods of administration
There are several methods of inserting the 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-type puncture.
- Point method- the injection is performed in a limited part of the penis to eliminate irregularities or deformations.
- Outline presentationThe filler is applied along the crown of the head, after which the contour becomes voluminous and more pronounced.
Characteristics of the recovery period
After correction, pain may appear at the injection sites, which are easily relieved with lidocaine spray. The penis appears swollen and small hematomas may appear. Swelling can last up to 5 days, hematomas resolve on the 6th day. There is slight redness at the injection site. All these changes do not 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 erections during the night after the procedure. Serious complications are extremely rare and are most often associated with poor hygiene and infection of 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 required for 5 days, then as indicated;
- 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:
- worsening 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 a man at this time has a high body temperature, fever or if there are rashes or ulcers on the penis.
Clinical studies of the results of filler injections
The primers 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 carried out in the Urology Department of the Cha Meditech Co. Clinic. , Ltd. , Korea by scientists led by Professor De Yul Yang have already been published. These studies aimed to summarize the long-term clinical results of hyaluronic acid (HA) injections.
The multicenter, randomized trial was conducted for 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 smaller than normal foran adult.
All observed men underwent an initial examination before the study, and a detailed medical history with emphasis on psychiatric and psychological problems was taken. They consented to the processing of their personal information.
The study was performed using SAS version 9. 4 (SAS Institute Inc. , Cary, NC, USA) by an independent biostatistician. During the blinded portion of the study, all postinjection assessments at each site were performed by an independent physician who was not involved in the screening or injection of the excipients.
Research results
In general, the penises were smooth, natural and pliable, and the increase in girth was maintained for up to a year and a half after filler injections. No unevenness, retraction, stiffness or deformation of the penis, or migration of fillers was observed. Six months after the injection, the average increase in penis circumference was 1. 91 cm. Then the average circumference was gradually reduced until 18 months and after a year and a half it was +1. 79 ± 1. 41 cm.
The dynamics of penis girth growth after hyaluronic acid filler injection:
| Post-administration study period | 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 lasted up to six months. They were then gradually reduced until 18 months, but the results at one and a half years were significantly higher than at baseline. After three months, rates 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 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 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. Then the result decreases continuously. The enhancing 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 gel's clinical utility, effectiveness and safety. Because hyaluronic fillers are temporary, long-term follow-up after injection is of utmost importance. Regarding the augmentation effect, the penis circumference after the injection of the filler increased to the maximum within about one month. Satisfaction with the appearance of the penis increased significantly approximately one month after the filler injection. This growth 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 increase in satisfaction with sexual activity after filler injections lasted 18 months, despite the fact that the increased girth of the penis gradually decreased over time. The finding suggests that injecting the filler may ease 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 require 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 that supports the penis;
- liposuction in the pubic area— extracting the fatty tissue that hides the penis in obese men;
- lipofilling- increasing the circumference of the shaft of the penis with subcutaneous injections of its own lipids;
- scrotal plastic surgery- removal of the scrotal veil, which hides centimeters of the genital organ;
- circumcision of the foreskin- removal of the dermis around the head;
- denervation of the scalp- reduction of sensitivity by excision of part of the nerves of the penis.
The decision about the compatibility of certain types of penile correction and the need for such surgical interventions is decided by the doctor separately in each specific case.