The enlargement procedure involves a simple transfer of fat cells. The patient's own fat cells are used for augmentation because they do not run the risk of rejection of the body. The result is a penis of the same shape and length but greater in circumference. Because the penile shaft is narrower than the maximum diameter of the head, the doctor usually fills out the shaft slightly beyond the head's maximum diameter to maintain proper proportion. Circumference can be increased by 50 percent or more, depending on the results desired by the patient. This is best achieved by a separate second stage fill procedure three months from the first. In each procedure, increases occur in both the flaccid and erect state although length gain in the flaccid state is generally greater.
For lenghtening no actual length is created, rather, the internal portion of the penis is "advanced" or "externalized," exposing greater length. This is accomplished by resecting (cutting) a portion of the suspensory ligaments which hold the penis against the undersurfaces of the pubic bone between your legs. We use LASER to detach the ligaments. The advantages are: a smaller 1" incision therefore less pain, swelling and bruising and also quicker healing. There is less scar tissue produced to possibly obstruct the lengthening and therefore a better overall result is more likely. The ligaments are then reconstructed to prevent any change in the angle of erection and prevent scar retraction compromising the results. The use of the operating microscope also makes this a more precise operation. Actually, another 3-4" of the penis is located INSIDE the body. This penile root actually arches upward inside the body and by resecting the suspensory ligaments, this upward arch is extended forward. A simple 1" curvilinear incision in the pubic area is all that is required to gain access to the ligaments. For overweight men, removal of some of the fat in the pubic area will also add to the perceived length increase of the penis. There is a small percentage (3-4%) of men who get no length gain at all in the erect state and rarely may even lose a bit of length due to scar tissue formation and retraction.

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