Penile enlargement surgery is described as any phalloplasty procedure intended to increase the over-all length or girth of the phallus. For penile length, the suspensory ligament is surgically severed. Men wanting to add girth to their penile circumference have a few options, such as, enlargement injections, or implants. As reported by the Journal of Sexual Medicine, penile enlargement surgeries involving subcutaneous fat and/or silicone injections, or the surgical placement of fat and/or silicone implants subcutaneously for male enhancement purposes often leads to serious genital complications when performed outside of a medical setting. Thus, penile enlargement surgeries should only be performed by a well-qualified, board certified physician, or surgeon. Recently, penile implants for added length and girth have gained commercial clearance under the regulatory restrictions set forth by the Food and Drug Administration. The Penuma is a solid silicone block cleared by the FDA 510(k) regulation for cosmetic enhancement.
The Penuma® is available in several U.S. cities and costs upwards of $15,000 out-of-pocket according to Healthline. The silicone implant has been examined in many medical studies, such as, the International Society for Sexual Medicine's study, "A Single-Surgeon Retrospective and Preliminary Evaluation of the Safety and Effectiveness of the Penuma Silicone Sleeve Implant for Elective Cosmetic Correction of the Flaccid Penis," which documents 526 patients that underwent the elective cosmetic penile surgery using a silicone sleeve penile implant between 2009 and 2014.
Since the original Penuma® was released over a decade ago, many advancements have been made to the soft silicone implant and thousands of penis enlargement surgeries have been performed utilizing the Penuma implant. The Penuma has been featured on GQ, Cosmopolitan, and Men's Health Sites, as well as, many credible scientific and medical sites. There are several penile enlargement videos on YouTube about the Penuma and other male enlargement methods. In 2019, the silicone implant was discussed on the popular video podcast: The Joe Rogan Experience—With nearly a half-million views on the subject of the "Penuma" and "Dick Enlargement Operations."
For many men, penis enlargement surgery is unapproachable due to the rising costs of plastic surgeries addressing male enlargement. Particularly, the rising costs of surgical enlargement. Due to this fact, non-surgical dermal fillers, typically utilized in other parts of the body, such as the face and lips, have gained acceptance among many leading doctors and plastic surgeons who perform penoplasty procedures. Olip Hand Productions discovered many of these augmentation procedures are available in the United States, Canada, Mexico, and abroad. Naturally, the injection procedures are safer than surgical enlargement interventions and patient's results range from permanent to semi permanent depending on the dermal filler implanted via injection.
According to Surgery LIFE Enhancement, non-surgical male enhancement procedures, such as, permanent PMMA injections, are increasingly becoming more popular than traditional penile enlargement surgery which requires a laser or scalpel to cut through the superficial layers of dermis to place an implant subcutaneously. "[Injections] greatly decreased risks ramified by contemporary surgical male enlargement operations". Some men have opted for a combination of male enhancement procedures, such as, penile lengthening surgery in sequence with a girth enhancement operation, or non-surgical girth procedure. However, combining a surgical and non-surgical procedure negates the safety factors involved in a strictly non-surgical penile enlargement treatment—abc Medinc: Penile Enlargement Surgery indepth report by oliphandproductions ✋⚕️.
Sources:Penile Enlargement Surgery Complications: https://www.jsm.jsexmed.org/article/S1743-6095(18)31256-6/fulltext
Penuma Silicone Implant: https://www.healthline.com/health/mens-health/penis-enlargement-surgery-cost
Penuma FDA 510(k) Approval: https://www.accessdata.fda.gov/
Penile Enlargement Surgery Costs: https://www.healthline.com/health/mens-health/penis-enlargement-surgery-cost#
Penis Enlargement Surgery Study: https://www.jsm.jsexmed.org/article/S1743-6095(18)31089-0/fulltext
Sue Johnson - Sex Educator & Therapist: https://www.webmd.com/sue-johanson
Average Penile Size: https://www.nhs.uk/live-well/sexual-health/penis-size/
Penile Enlargement Surgery: https://www.surgerylifeenhancement.com/