I ask for his pre-op dimensions. He doesn’t want his exact measurements reported, but they are surprising: while flaccid, he was smaller than most men; erect, his penis grew significantly. Modecai, it seems, experienced two decades of stress despite the fact that, fully extended, he was bigger than the UK average. This apparent contradiction does not surprise Angela Gregory, a psychosexual therapist based at Nottingham University Hospitals NHS Trust. “Penis enlargements can be about a lot of things,” she says. “But the amount of anxiety a man experiences rarely, in my experience, correlates with his actual size.”
The side effects of lengthening surgeries are numerous and include infections, nerve damage, reduced sensitivity, and difficulty getting an erection. Perhaps most disturbing, scarring can leave you with a penis that's shorter than what you started with. Widening the penis is even more controversial. Side effects can be unsightly -- a lumpy, bumpy, uneven penis.
Another injection option to consider if you want to make your penis bigger is hyaluronic acid injections, which involves injecting stabilized, hyaluronic acid-based non-animal gel into the penis. One study assessed patients who underwent either hyaluronic acid shots or lipofilling, looking at the charts of 83 patients who underwent one of these treatments for penis enlargement. Studies showed that all patients saw an increase in penis length of between 1.8-3.6 centimeters and the patients treated with hyaluronic acid had no complications [14]. While this study showed good results, more studies are necessary.
Salvini moonlights as a pastor and views Matters of Size as a Christian brotherhood — it’s tribal, he says. Men call each other “brother,” which makes it feel like a family rather than a business. The most common issue, he says, is men who were mocked about the size of their dick. “That’s 80 percent of it,” he says. “A lot of women are vindictive and know exactly what to shoot for to hurt a man. If you have a six-inch dick, she’s gonna say it’s eight inches and stroke your ego when she falls in love with you. But when the relationship ends and she suddenly hates you, she’ll deduct two inches and go around saying you have a four-inch nubby cock. That’s just the way it is.”

Herbal remedies, Kegels (pelvic floor exercises — learn more here), and exercises have all been mentioned as potential ways to make your penis bigger. However, we’ve searched and searched for medical evidence that these techniques will work to grow your penis, but there’s simply zero, zilch, nada, no evidence. You may find lots of unverified anecdotes, which come from a sample size of one, but they simply cannot be trusted. After all, no one on the internet knows you’re a dog (or liar). We recommend that you avoid these techniques.
All consultations with Big Al are done remotely via Skype, which he conducts from his home office in Central Florida (out of earshot of his wife and young kids). His wife is aware of what he does and is totally cool with it, so long as he’s helping people. Which he appears to be doing from the looks of dozens of seemingly legit testimonials on PEGym, a sexual improvement site for men. Dear Ambellina, for example, says he made some “good and easy newbie gains” before hitting a wall, but Big Al kept him motivated to reach his desired length of 7.5 inches. “A huge part of penis enlargement is mental discipline,” Ambellina explains. “A coaching service like Big Al’s is invaluable because you’re much more likely to follow through when a passionate professional is monitoring your progress and pushing you to achieve.”
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Vacuum pumps are often used to treat erectile dysfunction because they draw blood into the penis, causing it to swell. Some men have tried to use vacuum pumps to increase size, but routinely using a penis pump or using it longer than typically used to treat ED can result in damage to the elastic tissue of the penis, resulting in less-firm erections. Although a vacuum pump may create the illusion of a larger penis at the time, the results are not permanent [4].

"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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