Penis enlargement in Cologne

Both men and women alike have long grappled with questions of penis size, length and girth. It has been scientifically demonstrated that penis length is definitively a measurable value. As such, a study by King's College London, a university where Dr. med. Timo Spanholtz completed part of his training, has investigated into the subject of penis length. German men do not perform poorly by any means on international comparison.

Nevertheless, many men have to grapple with issues relating to penis shape, size and length. A well-formed penis can contribute to a man's self-confidence. For this reason, a penis that is regarded as being too small can, in turn, trigger significant psychological stress.

For years now, Dr. med. Spanholtz has ranked amongst the most experienced surgeons in the field of penis enlargement and intimate surgery for men. Having trained at some of the best clinics in the world, he is the first and only German member of the International Academy of Penoplasty. Furthermore, several times each year he participates in exchange with colleagues on the surgical techniques employed for penis enlargement in order to achieve the best possible results.

In the following, we would like to inform you about the reasons for undergoing penis enlargement and the procedure involved for penis enlargement surgery. On our page dedicated to this topic, you will find more detailed information and can contact Dr. med. Spanholtz directly via chat to have all of your questions answered:


What is penis enlargement?

It is important to first distinguish between a penis lengthening procedure, and one which involves penis thickening. Both together result in penis enlargement. Since both result in an increase in size, they are often performed as a combination treatment. In scientific terms, you may also hear the term “penis augmentation”.

In the case of many inexperienced surgeons, it may be that only one aspect is considered. This can lead to a disappointing result: for this reason, at the Rosengarten Clinic we consider an overall result for penis enlargement:

  • A 2-4 cm increase in length; 
  • An approx. 2-3 cm increase in girth.

Time and time again, you will come across information from doctors that refers to significantly higher values than these! Why is this the case, and who is right here? The answer is simple: immediately after penis extension is carried out (i.e. in the operating theatre), a greater increase in length can be achieved, but in the post-surgical recovery phase, this value can be reduced due to scarring. For this reason, the result following an INITIAL gain of 5.5 cm in length is often a 4 cm gain in length within a few weeks. We always talk in terms of the final length, which, from our point of view, will be the most important to you. Some other colleagues, on the other hand, speak in terms of the INITIAL size and as such, in our view, create unrealistic expectations.

What does this all mean for your penis size? If the penis has a length when erect of less than 12 cm before penis enlargement surgery, we cannot help you to achieve an average length. In this case, both parties must be realistic and it is important for us not to make any false promises. You will, however, see a significant increase in size (length and diameter):

  • Penis enlargement before-and-after: taking an example, this would mean that if you have a penis length of 8 cm before surgery, and a penis length of 11.5 cm following penis enlargement, this works out to be around a 1/3 increase in length! A result that can certainly be considered “noticeable”.
  • Penis enlargement before-and-after (2): If your penis length falls within the lower-normal range before surgery, with an erection length of over 12 cm, then we can achieve a very pleasing result using our surgical technique.

More Informationen:


Duration time

1 ½ - 2 hours


Threads self-dissolving, distraction treatment independently


No sexual intercourse for approx. 3-4 weeks, no sport for 2-3 weeks and do not smoke for 8 weeks


Eichelverdickung, Hodensackstraffung, Fettabsaugungen am Bauch und an den Flanken und/oder im Schambereich, Beschneidungen (Zirkumzisionen)

All information about penis enlargement surgery

When is the right time for penis enlargement?

If you are concerned about your penis length or girth, or feel insecure during intercourse, penis enlargement can be a good way to improve your confidence. You must, however, be physically fit.

How is penis enlargement carried out? 


For a more detailed description of the operation, a distinction must be made between penis lengthening and penis thickening.

When considering penis lengthening, it is important to know that a large proportion of penis length is hidden inside the man’s body. This means that the penis outside the body represents only a “proportion” of true length. The penis is held in place by a 3-dimensional structure of ligaments, which also includes ‘sling-like ligaments’ (the suspensory ligaments). These supporting ligaments can be loosened by making a small (3 cm) cut at the root of the penis, allowing the penis to be pulled forward and, as a result, outwards. As a results, the penis visibly gains in length.

It requires years of experience to carry out a penis enlargement whilst ensuring that the penis does not withdraw during the healing phase, and to ensure that the internal restructuring of these retaining ligaments is carried out both professionally and permanently. A follow-up ‘traction’ treatment is vital to ensure a successful result in the long term.

In many cases, our patients express a wish for not only an increase in penis length, but also a thickening of the penis. Therefore, in order to achieve a satisfactory overall result, the penis circumference (girth) is also increased.

If the penis thickening procedure is carried out using the patient's own body fat, we aspirate some of the fat (own-fat, ‘autologous fat transfer’) from the abdomen, thighs or even the flanks and transfer this to the shaft of the penis. The fat is processed using a highly-specialised technique and, if desired, enriched with PRP/stem-cell serum to support the healing of the fat. Since we also perform breast enlargement procedures, and “Brazilian butt lift” procedures using own-fat transfer, we have extensive experience with the technique and can achieve very even and highly-pleasing results. 

Things to consider following a penis enlargement procedure. 

After penis enlargement, the small wound must heal first. We use dissolvable suture material, eliminating the need for stitches to be removed. After a recovery period of around one week, you should carry out the stretching treatments, each morning and evening, using the ‘traction device’ that we will provide you with following surgery. This follow-on treatment is important in order to achieve the desired result after the penis enlargement surgery. If it becomes difficult to carry out traction treatments during the daytime, you can also wear the traction device through the night. For this purpose, we mostly use the Phallosan Forte traction device. You will be provided with a device at the clinic and can take it home with you along with instructions following the penis enlargement procedure.

You should avoid sexual intercourse for about 3 weeks, but otherwise you will be largely unrestricted in your day-to-day activities. For example, scar treatments can be carried out using the Scarcare® product (

There are also some important rules to follow after the penis thickening procedure to ensure the best result: any pressure on the penis must be avoided for a period of 8 weeks (tight trousers, sex, etc.). In addition, the penis should not be exposed to extreme temperatures (swimming in cold water, saunas, etc.) and extreme spikes in blood pressure (i.e. sports) should be avoided. The healing of fat tissue is significantly impaired in smokers: as such, it is essential that you completely avoid cigarettes and nicotine in any form for at least 8 weeks!

Are there risks with penis enlargement? 

As the penis extension surgery is performed under general anaesthesia, it is associated with a low level of risk due to anaesthesia. In addition, swelling or post-operative bleeding may occur after the surgery. However, these after-effects can be avoided if you adhere to the recovery period and follow the recommendations given by Dr. med. Spanholtz. Before the procedure, we will also discuss all possible risks with you, and give advice on what to look out for following the procedure. 

How much does penis enlargement cost

The costs for penis enlargement are as follows:

  • Penis extension: € 7.075
  • Penis thickening: € 7.350 (with no enlargement of the glans/“head of the penis”: € 5.950)

If a second fat transfer procedure is required following the initial treatment, the fee for this is € 3.550, including anaesthesia.


You can make an appointment online. We are also there for you personally to find the right date together. Contact us by phone on 0049 2202 - 240524 or use our contact form.


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Praxisklinik am Rosengarten

Praxisklinik am Rosengarten – Dr. med. Timo A. Spanholtz, Dr. med. Annika Waldhauser, PLASTISCHE-ÄSTHETISCHE CHIRURGIE IN KÖLN , BERGISCH GLADBACH, FRANKFURT und HAMBURG