The challenge was how to properly extract the tissue and also how to resolve three related problems. For a number of years some plastic surgeons performed “fat grafts” as a technique for penile enhancement. However, such approaches were known to eventually deteriorate into a clumpy, unhealthy form. Additionally, the body tended to reabsorb the bulk of that implanted tissue causing a loss of increased size. Finally, the technique offered no opportunity to increase penile length – a common patient request with augmentation.
It is also worth noting that a man’s penis may change size considerably depending on time of day, temperature, and factors other than sexual stimulation or excitement. During sexual stimulation or excitement, the penis becomes engorged with blood and stands erect – but there is a wide variation in normal size and shape and angle for an erect penis also. In some men, the erect penis is almost the same size as the flaccid (soft or non-erect) penis, while in other men the erect penis is much longer and wider than the flaccid penis. You cannot tell by looking at a man’s flaccid penis what size it will be when erect.
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.”