What happens in penis extension surgery?

As explained, the combination of penis extension and penis thickening is recommended to achieve an optimal overall appearance of the penis. We explain the two procedures below:

How does the penis extension work?
A lot of people are unaware that a large percentage of the penis length is hidden inside the body. The obvious penis size, in other words the outside part of the penis, is therefore just a small part of the true penis length. In a penis extension, this hidden part of the penis can be made visible. In order to do this, what are known as suspensory ligaments (ligamentum suspensorium) are detached from the penis by means of a small cut on the root of the penis. These suspensory ligaments are part of three-dimensional ligamentous apparatus which holds the penis back. In the penis extension operation, the penis itself is detached from these ligaments and the penis shaft moved further forwards or outwards. Many years of experience are needed to prevent the penis from moving back in the healing phase and create both professional and permanent inner fixing. Follow-up treatment by means of distraction (Dr Spanholtz will explain more about this in person) is an important part of long-term success.

And how is the penis thickening carried out?
The penis length alone does not make the appearance consistent. This means the penis thickness needs to be adapted too during a natural penis extension. We talk about a natural penis extension because we do not fundamentally use any artificial implants. As renowned plastic surgeons, we therefore do not offer penis extensions with silicone but instead use an entirely different method. We use autologous fat for a natural penis extension. For an autologous fat transfer, we first suck the fat out of the patient's flank or stomach. This autologous fat is then transferred into the penis shaft as part of the natural penis extension. This penis extension operation is often also used to remove bothersome rolls of fat completely and use them for the thickening.

What needs to be considered after the penis extension surgery?

After the penis extension, you should do stretching exercises with the penis in the mornings and the evenings. You will find out all of the details you need for this in the personal consultation and you will receive the equipment you need from us too. We use a variant of the PeniMaster tailored specifically to our needs (www.penimaster.com).

You should avoid sexual intercourse for around 3 weeks after the penis extension surgery, but otherwise there are minimal restrictions. Distraction should be carried out in the mornings (before work) and in the evenings. In many cases, patients distract their penis through the night, which is entirely possible in a simple and comfortable manner by wearing the PeniMaster.

Distraction is important to improve the result after the penis extension surgery. We can not only advise you about which distractor would be best for you, you can also purchase the distractor directly from us. As you can see, we offer an all-round package for our patients.

You can care for your scar with Scarcare® (www.scarcare.de).

How dangerous is penis extension?

In capable hands, the risks of penis extension are absolutely manageable. Unfortunately, we repeatedly see results from both Germany and abroad which show knotted scarring, unevenly distributed fatty tissue and unsatisfactory results.

With the numerous procedures Dr Spanholtz has carried out, one thing has become clear: penis extension surgery is safe and reliable in practised hands. One important thing should, however, be noted in advance when it comes to the results:

• Neither an increase in length nor an increase in thickness can be predicted with certainty.
• While the penis length depends on the anatomy of each man, healing of the fatty tissue is determined by both habits (smoking!) and genetics.
• We know that we can achieve both penis extension and penis thickening in every case, but there are differences in how good the results are after a year. Nevertheless, our patients are satisfied because all of them are able to register an increase in length and thickness and know that everything has been tried to maximise the result.

How much does penis extension surgery cost?

The costs of penis extension surgery alone are around EUR 7.750.
For the optimal result, the following costs need to be taken into account too:

• Penis thickening: EUR 7.350 (without glans 5.950) 

If applicable fee for second fat transfer if desired: EUR 3.550