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Penoplasty: enlarge and widen the penis

Penoplasty or phalloplasty is a genital cosmetic surgery procedure for men that increases the length and diameter of the penis.

The main surgical techniques are fat transfer and penile ligament release surgery for a permanent result.

Fillers are a temporary non-surgical option to increase the length and girth of the penis through hyaluronic acid injections.

Deformities such as micropenis and deformities are treated with reconstructive penoplasty by your plastic surgeon and a urological surgeon .

This fact sheet was written in December 2021 by Dr. Ralph Abbou who is a plastic surgeon in Paris and a specialist in medical and surgical penoplas

  • Enlargement allows a gain on the circumference both at rest and in erection. It is the most common procedure. The enlargement is done by a lipostructure also called lipomodelling or reinjection of autologous fat. It consists in increasing the size of the penis by injecting fat. It is also possible to increase the diameter of the penis by injections of hyaluronic acid: it is the non-surgical penoplasty.
  • Elongation penoplasty, which is only effective on the penis at rest, is often performed on athletes (locker room syndrome) because it cannot improve the length of the erection and has no visible effect on your sex life. The lengthening is obtained by releasing the suspensory ligament of the penis which connects the corpus cavernosum to the pubic bone in order to unbuckle the sex. Thus, it is externalized and the corpora cavernosa are freed. The result is a lengthening of 2 to 4 cm of the penis at rest. penoplasty ?

These two procedures can be performed alone or in combination.

Other complementary procedures can be performed at the same time:

  • Augmentation of the glans by hyaluronic acid injections 
  • foreskin plasty or circumcision
  • liposuction of the pubis

Before and after penoplasty photos in Paris


What are the different types of penoplasties possible?

Penoplastie non chirurgicale Paris

Penoplasty without surgery by hyaluronic acid

Injections of hyaluronic acid to increase the length and diameter of the penis at the medical office

Penoplastie chirurgicale paris

Surgical penoplasty by lipofilling

Fat injections to increase the length and diameter of the penis in the operating room

The objectives of penoplasty are to improve the proportions of the male sex, i.e. the length and width of the penis and more generally:

-Increase in penis length

-Increase in penis diameter

-Feel better about yourself

-Have a more fulfilling sex life

-Gain of self-confidence

Before the procedure

Cosmetic surgery medical consultation Clinical examination and decision of the therapeutic strategy (surgery or injections of hyaluronic acid)

Anesthesia consultation if surgery preoperative blood test Smoking cessation The patient’s motivations and requests will have been analysed. It is essential that your surgeon is familiar with your sex life before making an operative decision. You should therefore not be surprised by a specific questioning about your sexual relations, your erections… Depending on the case, he may even refer you to a urologist, a sexologist or an andrologist. In the event of a functional problem such as erectile dysfunction, medical treatment may be offered to optimize your result. Preventive treatment is recommended in subjects prone to genital herpes to avoid postoperative rash. Procedure of the intervention Type of anesthesia: Enlargement is most often performed under sedation, i.e. thorough local anesthesia with tranquilizers administered intravenously. Lengthening phalloplasty almost always requires conventional general anesthesia during which you sleep completely. Penoplasty is generally performed on an outpatient basis, that is to say with an exit the same day after a few hours of monitoring. For enlargement, fat is removed with a fine suction cannula through well-concealed incisions on the stomach, thighs or other area as appropriate. The fat is then treated by washing and centrifugation (Coleman technique) or filtered directly by Puregraft technique. The fat is then reinjected from small incisions using fine cannulas in the form of microparticles between the skin of the penis sheath and the cavernous body. Lipostructure is a definitive method. The operation can last between an hour and an hour and a half. Medical penoplasty without surgery takes place in the doctor’s office. The postoperative course: Bruising for about 10 days Edema for 15 days No sexual intercourse for 15-20 days. No bandage is required. Wearing loose underwear is recommended for the first few weeks. A work stoppage is usually not necessary. The sutures generally disappear within ten to fifteen days, when healing is achieved.

Intervention Price
Penoplasty with fillers From 2 000 €
Surgical Penoplasty  From 4 500 €


What are the advantages and disadvantages of penis enlargement?


  • The procedure increased the circumference and/or length of the penis, increased the self-esteem of the patients and increased sexual satisfaction for them and their partners.

The disadvantages

  • Possibility of irregularities in the volume of the penis following fat or hyaluronic acid injections. It is possible to treat these irregularities.

Is penoplasty painful ?

The postoperative period is not very painful and lasts 3-5 days. The prescribed painkillers will provide effective relief.

Can penoplasty lead to a change in sensation ?

Yes, it can cause a change in sensation due to the thickening of the penile tissue. This decrease in sensation can be beneficial in the case of premature ejaculation.

Where to have a penoplasty in Paris ?

You can consult Dr. ABBOU Ralph in Paris who will be able to advise you according to your request and direct you between a surgical intervention: the surgical penoplasty or the medical penoplasty without surgery by injections of hyaluronic acid.

How long does it take to recover from a penoplasty ?

The recovery period lasts about two weeks during which you will have to rest completely. You will have to avoid the gym for four weeks, and wait six weeks before having sexual intercourse.

If all of the above has taken away your desire to have a penoplasty to gain a few extra centimeters, there is a non-surgical option. This consists of hyaluronic acid injections. The amount of injections depends on the size you want to give your penis.

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