Dermal fillers or surgery are a way to increase penis size. “I do a lot of dermal fillers simply because many men, understandably, don’t want to go under the knife. Consistent with other nonsurgical procedures which use dermal fillers, male enhancement works by way of injection. Depending on the patient’s goals, a filler is chosen and then injected into the corpus cavernosa of the penis. The filler is then worked through the penis to achieve a uniform increase in length and girth. Dermal fillers are an excellent option for male enhancement because they require no downtime and patients can return to sexual activity the same day. Filler are less of a risk than surgery and, because they are temporary, carry no long-term undesired effects," says Dr. Mirza.
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In July 2017, the 55-year-old decorator, from London, became one of a growing number of British men to have a surgical penis enlargement. Talk of enhancement was once the preserve of promotional spam mail for bizarre-looking pills and pumps; now, it is serious clinical business. British clinics, which have taken consultancy rooms in Harley Street and in UK cities including Manchester, Sheffield, Birmingham and Leeds, report record numbers of patients calling on their services. One practice, the London Centre for Aesthetic Surgery, has gone from performing a handful of penis procedures annually when it opened in 1990 to more than 250 in 2017. Between 2013 and 2017, members of the International Society of Aesthetic Plastic Surgery carried out 45,604 penis enhancements worldwide. Previous numbers are unknown; the procedure was considered such a minority concern that it wasn’t included in surveys. This increase in demand seemingly caters to a growing anxiety about penis size, but it is by no means a risk-free procedure. For Alistair, dreams of a larger penis were overtaken by infections, lumps and an erection that no longer rises above a 45-degree angle. And he is not alone. In recent years, the General Medical Council has recorded stories of “wonky penises” and erectile dysfunction following surgery. In Stockholm, last summer, a 30-year-old man died after suffering a cardiac arrest following an operation to enlarge his penis.
Androgen Deprivation Therapy – Androgen deprivation therapy is used to eliminate as much testosterone as possible in the body to treat prostate cancer. This may be done with GnRH or LHRH agonists, which reduce the amount of testosterone in the body or with anti-androgens, which block the use of testosterone by cancer cells. Unfortunately, the reduction of testosterone can cause genital shrinkage [21]. While other treatments are available if you’re worried about shrinkage, it’s important to weigh the pros and cons with your medical professional when making a decision.
With a rigid ruler handy, get a full erection. Lay the ruler along the top of your penis (that is, the side that faces upward when you're standing with your penis sticking straight out), and press the end of the ruler firmly against your body (where the pubic hair is). Hold your penis against the ruler with your hand, straighten out as much as possible any curvature that may exist, and try to hold your penis so that it's sticking straight out from your body. Then, looking straight down, determine the ruler reading at the very end of your penis.	

“I hate to say it, but I think Elist is wrong,” counters male sexuality educator Paul Nelson, who wonders if Elist is confused with penis pumps, because Nelson says gains with penile extenders are absolutely permanent. There may be some retraction if you’re using it every day and suddenly stop, but most of it, he promises you’ll retain. Nelson agrees that jelqing could be dangerous, though, particularly for guys who believe that “some is good and more is better” and jelq too hard. “He may finish a jelqing session and think, That was good, let me do it again harder. And a little bit more next time. The next thing he knows, he’s got snapped nerves, torn tunicas and all kinds of devastating injuries.”
• Exercise regularly. Exercise improves arterial health, allowing more blood into the penis. But exercising the penis itself is pointless. The sex media sometimes refer to the penis as the "love muscle," implying that like the biceps, certain exercises can buff it up. But there are different kinds of muscle tissue. The penis contains smooth muscle, not the kind that gets bigger with exercise.
As we started to analyze these products we found that there is way too much marketing hype which is completely misleading and is causing people to buy products that not only have no effect, but can also be harmful. There are countless brands to choose from and many of them make outrageous claims about what their product can do without any legitimate studies to back it up. We have done the research and will guide you through this deceptive web we call the male enhancement industry.
Thomas Modecai, 37, a teacher from Crewe, has struggled with the size of his penis for most of his life. “When I was 14, I shot up to 6ft but my penis stayed the same,” he says. “I felt like a man with a child’s penis. And it’s affected everything: my relationships, my confidence, even my desire to have children. I worried they might have the same issue.”
In an operation to increase penis length, the surgeon cuts the suspensory ligament, which attaches the penis to the pubic bone. The result is that the flaccid penis appears longer (but not much), because more of the upper part of the shaft is exposed outside the body. Skin from the abdomen is used to cover the new longer shaft of the penis. The risk involved in cutting the suspensory ligament is that its function, that of supporting an erection and angling it upwards, may be lost. The erect penis may be unstable or point downwards.
Interestingly, studies suggest that men attribute more importance to penis size than their female partners. Generally, what is more, important to women is a partner who is tender and caring. Discovering how your partner likes to be touched and caressed tends to make for better sex. The idea that a woman’s priority during sex is to be penetrated by a giant penis isn’t that accurate. In fact, it’s not the inside of the vagina where most of the pleasurable sensations come from, it’s on the outside, at the clitoris, where the most sensitive parts of a woman’s body can be found. You don’t need a big penis (or any penis) to stimulate her there. During intercourse, a woman’s vagina adapts to her partner’s penis, deepening, widening and lubricating during sexual arousal, so in this sense, the size is not so important. Also, a smaller penis is often preferable for oral and anal sex.
Alternate the Pressure – Work with the pump by varying the pressure, similar to interval workouts by athletes. Try alternating the pressure levels such as starting in 3 in Hg for 30 seconds, then increasing the level after 30 seconds. Then, lower the pressure by increments down to zero. After 30 seconds, climb back again. This enhances the inner chambers and overall circulation.
In a last brief conversation with Alistair, he asks if I would ever consider going under the knife. I tell him I’ve seen such a bewildering array of shapes and sizes over the past few weeks, I don’t even know what normal is any more. If it does the job nature intended, I say, that should be enough. For many men wanting an enlargement, it’s probably not so much about what’s in their pants as what, somewhere along the way, has got into their minds – and that can’t be fixed by a fat injection and a severed ligament.
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How do penis extenders work? There are two fastening points: “One at the base of the penis and one just before the glans," says Rybchin. These connect to bars or rods that "extend the length of the extender. The bars or rods are lengthened by the wearer to stretch the penis over time. Where design differences come into play is the mechanism by which the rods are lengthened and the comfort features (such as padding) of the device itself."
• Eat less meat and cheese, and more fruits the vegetables. A diet high in animal fat raises cholesterol, which narrows the arteries, including those that carry blood into the penis. Try going a day or two a week without meat or cheese. And eat five to eight daily servings of fruits and vegetables. They contain antioxidants that help keep the arteries open.

Is It Actually Effective? There’s conflicting evidence about this, and it’s mainly anecdotal. Some reports suggest success, but more suggest permanent damage was incurred as a result of the procedure. The only major medical research body to give this topic any real consideration eventually decided that there was no evidence that the penis can be permanently enlarged, and that most men would not want to go ahead with the surgery if they knew the risks and dangers involved.
Sure, you may encounter partners who may be turned off by that, as with any physical or sexual preference. But you’ll also find partners who are turned on by it, or who don’t care either way. It’s all about finding the right sexual compatibility with the right partner — and that might include adding more oral stimulation, manual stimulation, sex toys, and so on. It's 100% entirely possible to have an amazing sex life with any size penis (or, you know, none at all).

It's important to remember that male enhancement is a big industry which reinforces men's insecurities about the size of their penis. Penis enlargement pills do not work, and neither do creams, lotions, supplements or other male enhancement products. If there was an approved and effective treatment it would be available from pharmacies rather than illegitimate online pharmacies only.
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