Testicular Prosthesis or Testicle Implant Surgery
Testicular enlargement (enhancement) is a procedure to better fill the scrotum using testicular implants which are ovoid in shape and are placed in front of the existing testes. Rather than a fluff bag appearance of the scrotum created by scrotal fillers, the pleasing contours of two well represented gonads are noticeable.
Atrophic testes may still produce testosterone and sperm and should not be removed unless there are strong medical indications. We do not recommend prosthetic surgery for men with normal sized Testicles.
The procedure is mainly indicated for people who have atrophic (very small) testicles or no testicles (born with none or one, undescended testis, had them removed for trauma, disease, cancer, etc.).
Soft Silicone Testicular Implant
Ovoid testicular prostheses are available in saline-filled and soft silicone models. The texture of the soft silicone models is minimally firmer than a normal testicle and is generally well accepted by our patients. The implants come in different sizes, but they are generally large, medium, and small.
Custom-made prostheses are also available but more expensive. We do not recommend very large testicular implants as they would appear unnatural. With made-to-order implants, consistency may vary. However, with standard sizes, consistency control is excellent, and demonstrators are available at the office.
For prospective patients considering even the remote possibility of parenthood, we suggest sperm banking.
Testicular implant surgery
Types of Testicular Implants I commonly use. Soft Silicone and Solid Soft Silicone Elastomer
Testicle Implants Insertion is done on an outpatient basis and under anaesthesia; after surgical preparation, Dr Barnouti makes a small incision in the lower part (facing the ground) of the scrotum and exposes the internal aspect of the scrotal sack. He then places the testicular prosthesis or Testicle Implants in the dedicated sac. Following the placement of the prosthesis or testicle implants, the scrotal skin is closed in two layers.
The testicle implants (Testicular Prosthesis) serve to enhance the testicular size or to adjust the size of one testicle to the opposite side. Typical patients for the Testicle Implants are men who suffer from asymmetrical testicular size, or who have undergone an orchiectomy with prosthesis placement and asymmetrical results. (Testicular Enhancement)
Testicular Impants Before & After
Before and 4 weeks after Testicular Implant. Notice the expansion in the scrotum.
For more testicular implant surgery before and after images, refer to this page >>
Mandatory Surgical Warning
Surgical Warning: Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner. Please read our Risks and Complications of Plastic Surgery page.
GP Referral & Assessment Requirements
In accordance with the latest April 2026 AHPRA and Medical Board of Australia regulations, all patients seeking a consultation for cosmetic surgery must obtain a referral from their General Practitioner (GP). This ensures your medical history is reviewed by an independent doctor who can discuss your motivations and goals before you meet with a specialist.
A mandatory seven-day cooling-off period applies after your initial consultation before surgery can be booked. Patients are also encouraged to seek a second opinion from an appropriately qualified health practitioner before proceeding. These requirements exist to protect patients and to ensure every decision is fully informed and free of pressure.
Male Genital Surgery Costs
| Procedure | Price Estimate | Conditions / Comments |
|---|
| Circumcision / Phimosis correction | $3,990 | This price includes surgeon fee, anaesthetic fee & 6 weeks follow up. Hospital fees are additional costs if applies. You may be eligible for $250 Medicare rebate. |
| Testicular implants (1 Side) |
$7,500 | Including Surgeon’s fee, Assistant Surgeons fee, Anaesthetist’s fee, implants fees x1, and all follow up visits cost. If fund cover does not apply in your situation, hospital costs apply. If applicable, you may get around $700 rebate back from Medicare. |
| Testicular Implants (2 Sides) |
$9,500 | Including Surgeon’s fee, Assistant Surgeons fee, Anaesthetist’s fee, implants fees x2, and all follow up visits cost. If fund cover does not apply in your situation, hospital costs apply. If applicable, you may get around $700 rebate back from Medicare. |
Page Content Clinically Reviewed by Dr Barnouti
Dr. Barnouti (MED: 0001192783) is a Board-Certified Specialist Plastic Surgeon with 25 years of experience performing advanced cosmetic and reconstructive procedures. He is a Fellow of the Royal Australasian College of Surgeons (RACS), a member of ASAPS, and serves as a Conjoint Lecturer at the University of NSW.
Dr. Barnouti operates out of leading, fully accredited Sydney hospitals with a strict focus on patient safety.
Dr. Barnouti (MED: 0001192783)