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Penoplasty (Penile Lengthening)

Overview

Penoplasty is a surgical procedure designed to increase the length, girth, or both of the penis. For men researching penile lengthening before and after, this surgery may involve penile lengthening, penile girth enhancement using autologous fat grafting (lipopenosculpture), or a combination of both procedures, depending on the patient's anatomy and aesthetic goals.

Many men who seek penoplasty have a penis that falls within the normal anatomical range but are dissatisfied with its appearance or perceive it as disproportionately small. Others wish to restore confidence following aging, weight changes, or personal concerns regarding body image.

Diagram of penile lengthening steps and ligament release.

What Does Penoplasty Treat?

Penoplasty may address:

  • Desire for increased penile length

  • Desire for greater penile girth

  • Buried or partially concealed penis due to excess pubic fat

  • Dissatisfaction with penile appearance despite normal anatomy

  • Reduced self-confidence related to penile size

  • Cosmetic concerns affecting intimate relationships

It is important to understand that penoplasty is an elective cosmetic procedure and is not intended to treat erectile dysfunction or infertility.

Who Is a Good Candidate?

You may be a good candidate for penoplasty if you:

  • Are bothered by the appearance or perceived size of their penis

  • Have realistic expectations regarding achievable results

  • Understand the benefits and limitations of surgery

  • Do not have untreated erectile dysfunction or active genital infections

  • Are non-smokers or willing to stop smoking before surgery

A comprehensive consultation is essential to determine whether surgery is appropriate.

Penile Lengthening Surgery

Surgical procedure for penile lengthening in a sterile room

To reduce the likelihood of reattachment during healing, surrounding tissue may be positioned between the released ligament and the pubic bone.

Patients may also benefit from removal of excess pubic fat when appropriate, further improving visible length.

Penile Girth Enhancement (Lipopenosculpture)

Penile thickening is performed using autologous fat grafting, which transfers the patient's own fat to increase penile circumference.

Fat is harvested through liposuction from areas such as:

  • Abdomen

  • Flanks

  • Inner thighs

  • Outer thighs

  • Pubic region

 

The purified fat is then carefully injected into multiple tissue planes surrounding the penile shaft using specialized microcannulas to create smooth, even contours.

Because the procedure uses the patient's own tissue, there is no risk of allergy or rejection associated with synthetic fillers.

Some of the transferred fat is naturally absorbed during healing. Additional grafting sessions may occasionally be recommended to optimize volume.

Combination Penoplasty

Lengthening and girth enhancement are frequently performed during the same operation.

Combining both procedures can provide a more balanced overall appearance while requiring only one recovery period.

Dr. Danino will determine whether a combined procedure is appropriate based on your anatomy and goals.

Before and after penile lengthening by Dr. Alain Danino

Penile lengthening is performed by partially releasing the suspensory ligament, which anchors part of the penis to the pubic bone.

This allows more of the internal portion of the penis to extend outside the body, increasing the visible flaccid length.

The procedure does not lengthen the erectile tissue itself, and changes in erect length are generally more modest than changes observed when the penis is flaccid.

Surgeon performing a penile lengthening procedure.

Before 

After

Anesthesia

Penoplasty is typically performed under general anesthesia or deep intravenous sedation.

The procedure is usually completed on an outpatient basis, allowing patients to return home the same day.

Recovery

Swelling, bruising, and temporary discomfort are expected during the first several weeks.

Most patients can:

  • Return home the day of surgery

  • Resume light daily activities within several days

  • Return to office work after approximately one week

  • Resume exercise after four to six weeks

  • Resume sexual activity after six to eight weeks, once healing is complete

Following postoperative instructions is essential to optimize healing and long-term results.

Results

Patients typically notice:

  • Increased visible flaccid length following ligament release

  • Increased penile circumference after fat grafting

  • Improved overall penile proportions

  • Greater confidence with body image and intimacy

Because a portion of transferred fat is naturally reabsorbed, final results are evaluated after several months once healing has stabilized.

Risks and Possible Complications

As with any surgical procedure, penoplasty carries potential risks, including:

  • Bleeding

  • Infection

  • Swelling

  • Bruising

  • Temporary numbness

  • Irregular fat distribution

  • Fat resorption

  • Small lumps or contour irregularities

  • Fat cysts or calcification

  • Scar separation

  • Delayed wound healing

  • Unsatisfactory cosmetic outcome

  • Need for revision surgery

Rare complications will be discussed during the consultation.

Locations

Adress

4150 rue Sainte-Catherine Ouest

Suite 402 - 4e étage

Let’s Talk

Email

info@mysite.com

Phone

514-845-9898

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