Penile enlargement surgery choosing a surgeon and expected results

Are you looking for an effective way to increase penile length or girth quickly and safely? Penile enlargement surgery has become a popular cosmetic option for men who feel dissatisfied with their size or want to improve their confidence. But do the results appear quickly? And is the procedure really safe?In this Dalili Medical article, we will explore everything you need to know about penile enlargement surgery — how the procedure works, how effective it can be within the first week, the potential risks and side effects, and what the recovery period looks like. This will help you make a well-informed and comfortable decision before considering this type of surgery.

What is penile enlargement surgery?

Penile enlargement surgery is a cosmetic procedure designed to increase the size of the penis, either in length or girth, to improve its appearance and boost self-confidence. There are several techniques used, including:

Penile lengthening surgery
Autologous fat injection
Penile fillers

The surgeon chooses the suitable method depending on the current penile size, the patient’s goals, and the quality of the tissues. It is very important to consult a qualified specialist to understand the benefits, risks, and set realistic expectations for the final outcome.

Does age affect the procedure?

Penile enlargement is suitable for most adults. However, older patients may require additional assessment of tissue health and blood circulation before surgery.

What is the ideal penis size?

The “ideal size” varies depending on culture and personal preferences. Medically:

Semi-erection length: around 5–6 cm
Full erection length: around 12–16 cm

If the penis is shorter than these ranges, the patient may consider penile enlargement to improve the aesthetic appearance and self-confidence. Size does not directly affect sexual performance, but it may improve body image and satisfaction.

Local or general anesthesia?

The type of anesthesia depends on the technique:

Usually local anesthesia with sedation for simple procedures
General anesthesia may be used if both length and girth techniques are combined

What happens after penile enlargement surgery?

After the procedure, patients must follow certain steps to speed up recovery and reduce complications:

One night of hospital stay for monitoring
Recovery takes around 3 weeks
No sexual intercourse for at least 3 weeks
Avoid long showers, sun exposure, and heavy physical activity in the early days

Common temporary symptoms include pain, swelling, and bruising. The doctor may prescribe painkillers, cold compresses, and proper wound care.

How much added length can be expected?

The average gain is around 2 to 4 cm, depending on individual anatomy and technique used.

Results differ based on:

biological structure
genetic factors
the surgical method

How long does penile enlargement surgery take?

The procedure usually takes 15 minutes to 1 hour, depending on whether additional steps such as:

pubic fat removal
penile thickening
fat grafting

are performed in the same session.

Will there be scars?

The surgeon usually makes a small V-shaped incision at the base of the penis. The scar depends on:

skin type
natural healing
post-operative care

Most patients report that the scar is minimal and barely noticeable with proper care.

What is considered a normal penis size?

Size varies from one man to another depending on genetics and age:

Flaccid length: 7–10 cm
Erect length: 12–16 cm

Anything within this range is considered normal and does not reflect sexual performance or fertility issues.

When can the patient leave the hospital?

Usually after one day of monitoring. The patient should rest, avoid sudden movements, and avoid physical strain in the first day.

When can sexual activity resume?

Sexual intercourse or masturbation should be avoided for at least one month. Healing time differs between individuals, so medical advice is required before resuming activity.

Do the results look natural?

With an experienced surgeon and modern techniques, results usually look natural and proportional to the body. The goal is to improve appearance and confidence without artificial-looking results.

Is penile enlargement permanent?

Lengthening surgery (ligament release) is considered permanent.

Other techniques vary:

Fillers: last around 6 months
Fat injections: last 1–2 years
Pubic fat removal: can be permanent if the patient maintains stable weight

Weight gain may affect the outcome later if fat accumulates again around the pelvis.

Does it help with premature ejaculation?

No. Enlargement surgery does not treat or prevent premature ejaculation.

Some temporary methods may be used like adding girth to the glans to delay sensitivity when needed, but it is not a cure.

Can fat be injected into the glans?

No. In girth enhancement, fat is not injected into the glans. It expands naturally during erection, so there is no need to enlarge it.

Is erectile function affected?

With modern techniques, erectile function is not affected. Bandages may be used during the first days to prevent early erection.

Does the procedure affect penile sensitivity?

Usually no. Some patients may feel temporary numbness due to swelling or tissue tension, but this improves gradually.

Can length and girth enhancement be combined?

Yes. Some surgeons perform combined techniques in one session to achieve both lengthening and thickening at the same time.

Difference Between Fat Injection and Fillers for Girth Enlargement

Autologous fat: Natural and partially permanent.

Fillers: Quick and simple, but may be absorbed over time and require repeat sessions.

Suitable Age for the Procedure

The procedure is suitable after full puberty.

Usually up to 65–70 years of age, depending on tissue health evaluation.

Does the Procedure Affect Fertility?

No. It does not affect sperm or fertility if performed correctly.

Average Duration of the Surgery

Ligament release: 45–60 minutes
Fat injection: 60–90 minutes depending on the amount of fat required

Can You Exercise After the Procedure?

Light walking: allowed after 1–2 days.
Avoid intense exercise or abdominal workouts for 4–6 weeks to prevent swelling or traction on the penis.

Will Scars Be Visible After the Surgery?

Usually there is a small scar under the base of the penis, which becomes almost unnoticeable over time.

Does Body Weight Affect the Results?

Yes. Weight gain after the procedure may affect the visible length and appearance.

Maintaining a stable weight is recommended to keep the results consistent.

Are There Psychological Factors Related to the Procedure?

Some men have unrealistic expectations of the outcome.

Psychological counseling or discussing expectations with the surgeon is important before deciding.

When Do Final Results Appear?

Length: visible immediately after ligament release.
Girth: after swelling settles and fat/filler stabilizes — usually 3–6 months.

Are There Natural Alternatives?

Penis stretching exercises and traction devices may give minor improvement, but they are far less effective than surgery.

Is the Recovery Painful?

Pain is usually moderate and improves within a few days using painkillers.

Swelling and bruising are normal and gradually resolve within 2–4 weeks.

Is the Procedure Safe for Diabetic or Hypertensive Patients?

It requires a careful medical evaluation first.

The surgeon may set a special safety protocol to avoid complications.

Indications for Penis Enlargement Surgery

This surgery is performed in cases such as:

Congenital issues related to penile size or shape
Medical problems affecting urination or penetration, leading to sexual difficulty or fertility issues