Penis Enlargement (Phalloplasty)

At one time or another, most men have wished their penises were larger. For some, the size of the penis is worrying and leads to poor self-esteem, anxiety or depression. For these men, increasing the length and/or girth of the flaccid penis may be worth the risks. A penis can be enlarged in two ways: increasing the length or increasing the girth (circumference). Increasing the girth of the penis is a more complex procedure. Both procedures can be performed together or in isolation.

Intended Results:

The intention is to increase the length and the width of the penis.

Procedure Description

  • Penis enlargement surgery is performed on an outpatient basis. You can go home within a few hours of surgery, once you’ve recovered from the effects of anaesthesia
  • Penis lengthening and penis widening can be performed under local or general anaesthesia. You should discuss these options with your doctor.
  • The two procedures (length and width) can be performed together or separately.

Penile lengthening procedure

  • The extension of the penis can be anything from a few centimetres up to 25% of its length while at rest
  • In specific cases an extension of 4 cm is possible. How long the extension will be is not clearly evident until surgery
  • The operation is performed under general anaesthetic or local anaesthetics with twilight sleep (sedation)
  • In order to extend the penis, the ligament that suspends the penis inside the body is loosened, so that part of the penis which was inside the body is ejected and ends up on the outside
  • The erectile tissue is then fastened to its new position, followed by inter-positioning of fatty tissue to further elongate and stabilise the penis during erection
  • Finally the skin flap is advanced to further elongate the skin of the penis at its base
  • Erection ability is not influenced by the procedure. As long as no complications ensue, the sensitivity of the skin and the head of the penis are not altered

Penile thickening procedure

  • Fat is usually extracted out of the pubic area, abdomen and waistlines in a mini-liposuction procedure
  • It is followed by fat purification
  • Once blood and oil is removed from the fatty tissue, the resultant healthy fatty cells are ready to be re-injected around the penis shaft
  • Normally, 20-30ml of fat is needed to fill the whole shaft and crown of the penis. Post-operative pain is not usually severe. The procedure is performed as day surgery. Erection ability is not influenced by the procedure

Recuperating and Healing

  • Pain after surgery is to be expected, but varies from person to person. Your doctor will prescribe medication to help with the pain
  • When you wake up in the recovery room, your pubic area will be bandaged. Resist the urge to look under your bandages. Keep them on until you next see your surgeon. You don’t want to get an infection by exposing the wound area
  • Keep the dressing dry by washing in the basin, not the shower. It is important to clean the area as directed by your surgeon
  • If you’ve had a penile lengthening procedure, make sure you wear the penile weights as directed by your surgeon. This ensures the suspensory ligament heals in a position where more of your penis is exposed outside your body
  • Itching is common after surgery. It will resolve as you heal. Your scars may take a full year to fully diminish or disappear. Follow your surgeon’s instructions on scar-healing treatments
  • You should expect to be back to most normal activities (excluding sex) about a week after a penis enlargement procedure
  • You should also be prepared to avoid sex or masturbation for at least six weeks after the procedure

Approximate Costs

Price variations can alter widely between patients and what surgery is actually required, so only a broad guide can be offered. Please get in contact with our office for more specific details.

$6,000 – $15,000


The specific risks and suitability of this procedure for a given individual can only be fully determined at the time of consultation with your cosmetic surgeon. All surgical procedures have some degree of risk. Minor complications which do not affect the overall cosmetic results occur occasionally. Major complications are rare.