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 (www.scarcare.de).

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.