So how can we be sure it really exists? “Because the number of men seeking surgery, or the growth of this strange industry selling pills and other so-called enlargement remedies, these numbers do not map up with the numbers of men who actually have a significantly smaller penis than average,” Veale says. “So, these men are worrying about – and seeking solutions for – a problem they do not have.”


“Operations are very safe,” says Viel, who founded the London Centre for Aesthetic Surgery with his twin brother Maurizio. “Perhaps 95% of our patients are very happy. Where they are not, it is often to do with expectations. Some men want 10 inches when nature gave them four or five. I have to say, gently, ‘This is not possible. I am not a miracle worker.’”

According to the website of one such product, the safe application of traction encourages tissue cells to divide and multiply, a process called cytokinesis. Over time and with great effort this will lead to tissue growth. The FDA considers these low-risk devices (Class 1) and so provides only general controls intended to be followed by manufacturers.
"Some men are confused (or rather not as educated on the matter) and they believe that the outside skin get’s longer and thicker. That’s false. However, some men have false expectations; they think using a penis pump once will cause them to have a bigger penis permanently, and that’s false. As in the gym example before, you have to keep at it, and you have to practice to see results. Yes, early on you will see results like any newbie in the gym, but if you don’t keep at it you will see those results diminish,” says Dubois.

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