Penis Lengthening & Thickening Surgery

This is a relatively new field in aesthetic surgery, however along the years this type of operation has become more popular.

Penile Lengthening and Thickening | Plastic Surgery Sydney

The length of the penis can vary from a few centimetres up to 15 centimetres whilst at rest. A recent study of 80 physically normal men measured penile dimensions before and after pharmacological erection. The findings indicated a mean flaccid length of 8.8 cm, a stretched length of 12.4 cm, and an erect length of 12.9 cm. Notably, neither age nor flaccid size accurately predicted erectile length, though stretched length closely correlated with erect dimensions.

When considering plastic surgery Sydney, patients should be aware that these procedures follow strict scientific guidelines to address functional concerns or conditions such as “Micropenis.”

Planning Your Treatment

During your consultation with a specialist plastic surgeon, Dr Barnouti will evaluate the length, size, mobility, and suitability of the penis for enlargement. Any underlying urological or sexual concerns will be discussed to determine if further investigation is required.

Many patients searching for the best plastic surgeon in Sydney or the best plastic surgeon in Australia do so to find a practitioner who prioritises safety and clinical outcomes. Under Australian law, all patients seeking cosmetic surgery must obtain a GP referral and undergo a mandatory seven-day cooling-off period following their initial assessment.

Surgical Techniques

1. Penile Lengthening Surgery

This procedure involves extending the flaccid penis by up to 25% of its resting length (typically 2–4 cm). The exact extension is determined during the operation, which is performed under general anaesthetic or local anaesthesia with sedation.

The surgeon loosens the suspensory ligament that holds a portion of the penis inside the body, allowing it to be positioned externally. The tissue is then fastened in its new position, often with an inter-positioning of fatty tissue to stabilise and elongate the area. Erection ability and skin sensitivity are typically unaffected by the procedure.

2. Penile Thickening Procedure

For those seeking increased girth, Dr Barnouti utilises a refined fat transplant technique. Fat is extracted via mini-liposuction from the pubic area, abdomen, or waist. Once the fat is purified, healthy cells are injected around the shaft. Typically, 20–30ml of fat is used. It is expected that approximately 30%–50% of the injected fat remains permanently, with final results visible after three months.

Post-Operative Recovery

Whether you are undergoing lengthening or thickening as part of your plastic surgery Sydney plan, recovery is generally manageable:

• Pain Management: Discomfort is usually addressed with simple painkillers. Swelling is normal, and erections may be painful during the first few days.

• Hygiene: Patients must keep the area clean and shower twice daily starting from the third day post-surgery.

• Follow-up: Sutures are dissolvable, and a clinical review is conducted 5–7 days after the procedure.

• Medication: A prophylactic course of oral antibiotics is prescribed to mitigate the risk of infection.

Getting you back to work and Normal activities

You will need rest for the first 24- 48 hours. After that, light duties can be commenced.

You will be able to return to work after a few days.

Patients should wait 4-6 weeks before sexual activity is resumed.

Penile Girth

The other procedure to widen and thicken the penis is what is known as “dermal fat grafting”. The dermal fat graft is harvested from the buttock, thigh, abdomen or pubic area. The graft is placed along the shaft of the penis.

Dermal Fat Grafts (DFG ) have been the gold standard of penile widening surgery and are often used in combination with Phalloplasty procedures. The dermal graft is permeant.

What is the difference between using fat injections and dermal fat grafts to widen the penis?

Fat transfers by injection often have excellent initial results, but at the end of 6 weeks, 30% of the fat injected is reabsorbed into the body. Some patients require top-ups 12 months after the initial surgery. The other side effect of fat injection is a “lumpy appearance.” This can be settled by massage or simple drainage. Dr Barnouti will select the surgery that suits the individual patient. The preferred technique is dermal fat grafting.