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Mistakes in penis enlargement

I struggle with mistakes almost everywhere I go. My friends, acquaintances, colleagues, even my dentist, who know that I do male genital aesthetics, told me, “it happens like this, it happens like this..” by saying, they are asking for a lot of misinformation that has spread from ear to ear. Even in some congresses I attend, I am surprised to see how much misinformation even specialist physicians have on these issues; I am constantly taking decrees and making corrections between presentations. Tell you the truth, I’m out of fluff on my tongue, but let me write it down here. Misconceptions about penis enlargement surgery.

Here you are…

– “60% of the injected fat melts during thickening..” WRONG! The truth is this: it can only be estimated how much of the fat will melt. The amount of melting varies from person to person and depending on some factors. Besides, it changes so much that you can’t give an average rate of 60%. Some people have 80% melting at the end of 6 months, it is necessary to make fat injection once again. In some of them, 6-7 years have passed after the operation, there is no gram melting. I think my colleagues who give rates such as 60% melt, 40% stay do not have experience in this regard. Let me tell you the reason for such different results; food regimen. In our patients who live abroad and (I guess) are not very picky about foods, the belly fat tissue becomes very “dry and solid” because they take lard in their food. When we put it in a vacuum injector, this oil fills the injector like mashed potatoes or crushed bananas, no liquid decomposes when we filter it in a strainer. This “dry” oil holds very well. Even after many years, there is no meltdown. In our domestic patients or patients who live abroad and pay close attention to their food, who even buy their bread from the halal market because lard is used in bread ovens, belly fat feels very edematous and loose. This type of fat tissue tends to melt. There is some melting happening over the months and 6. per month or 1. at the end of the year, he needs to be given a fat injection once again. That’s why we can’t give average rates like 60%-40% for everyone like that.. We can make an estimate based on the patient’s nutrition and the structure of the fat we took from the belly during surgery (dry, i.e. high quality / edematous, i.e. very watery, poor quality).

– “There is no real lengthening in this surgery” is WRONG! There are several reasons for this misunderstanding. The first is impatient patients. After the operation, there is an erection at the base of the penis where the suspensory ligament is cut. A healing tissue is forming here that goes quite deep. This healing tissue is hard, not flexible. In addition, there is also stiffness and edema of the injected fat around the penis. Patients compare the soft, flexible state of the penis during the first 2 months before surgery with the hardened state after surgery. Patients who say that prolongation is not noticeable during erection always complain within the first 2-3 months. These patients see an increase in erection lengthening as time passes and the stiffness begins to soften. Usually 6. there are no such complaints per month. Surgeons who claim that there is no elongation in a real sense have either never performed this operation or are trying to make an extension without cutting the suspender ligament. In order to achieve elongation, it is necessary to cut the suspensory ligament. Some surgeons are afraid to cut the hanging ligament and do z-plasty under the penis with the claim “we are making extensions under the penis”. Naturally, there is no prolongation since the hanging bond is not cut. Patients who have been operated on like this also lead to the spread of the “there is no elongation with surgery” mistake. In summary, it is necessary to cut the suspensory ligament for elongation. After the operation, the patient must also be patient. As the hardness softens, you will see the elongation..

By the way, let me clarify how much penis elongation occurs with surgery. At a genital aesthetic congress I attended last time, some surgeons (they are not plastic surgeons, I was one of the 2 plastic surgeons who attended that congress anyway, there were no other plastic surgeons..) I watched with surprise when they claimed that there was no penis enlargement with surgery. The noticeable degree of elongation depends on two things. Let me sort the item by item, make it easy to read:

1- The first is that the penis is big enough!. Surgeons who have no experience with this operation, unfortunately, because of the name of the operation, they logically come up with the following idea: this operation is an operation to enlarge small penises. no! WRONG! WRONG! Friends, this surgery is actually “an operation to make normal-sized or large penises bigger! it is not an operation to enlarge small penises!” We are not adding a piece in this surgery. We slide out the inside part of the penis. So we are officially “using the material at hand”. That is, the larger the penis, the more elongation there is, the smaller it is, the less elongation there is. According to my experience, there is no benefit in erection in patients with a penis length below 9 centimeters; there is no elongation. At a congress, a teacher of ours asked after my presentation in this way: “What should patients with micropenis do? I accept these patients for surgery..” I think this is a very wrong attitude. It is wrong to accept a patient who will not be able to achieve an extension by surgery by promising an extension. The psychology of these patients is already broken. There are many patients with such a micropenis who come because I am on the verge of suicide. It is very wrong to give empty hope to these patients. It is necessary to create other solutions for these patients (I mentioned in my previous article about penis size, for example, finding a bride from the far east is a remedy..) In contrast to cases with micropenis, in patients with very good penis length, you will see the elongation very clearly at the end of the operation. For example, when I operated on my first black patient (penis length was 20 inches in erection), at the end of the operation, when I walked away from the operating table and looked at the penis, 2 things came to mind at that moment: “The penis came out of the penis, it became a snake!… How will this come to an erection now?” The answer to this question also instantly came to my mind: “He will get an erection the way he used to get an erection. There is no difference in erection, because what we are doing is sliding out the part of the penis that is not visible from the outside. We have not added a piece.” I mean, the bigger the penis, the better the elongation. There is no need to measure with a ruler, it is already visible. It’s definitely an elongation, the point is that the penis is big enough (at least it should be 9-10 inches in erection) so that the extension we made during the surgery can be seen. If the penis is too small, the extension will be at the level of millimeters and will not be noticeable.

2- The second factor is that enough time has passed since the operation. We see and photograph the prolongation right at the end of the surgery, but the healing begins in that area. Healing means stiffness in the tissues. Stiffness means a lack of flexibility. Unfortunately, in the first months after surgery, patients always compare their flexible and soft state before surgery with their state during the recovery period, when the tissues harden after surgery. Some even complain that “I didn’t see enough elongation” before the stitches fell out. Oh, god, wait a minute! The healing process needs to end, the tissues need to soften. This process is at least 6 months. You have to be patient.. No patient at all 6. he does not come with such complaints per month.

After all, when it is performed on the appropriate patient (we already select patients, we do not perform this surgery on patients with an erection penis length below 9 centimeters) and the patient is patient and waits for the stiffness to soften, there is no reason why you should not see the elongation at the end of 6 months.

– “There may be numbness or erection problems during penis enlargement surgery” is WRONG! Once there are such possibilities, can this surgery be performed? Ask yourself this is a problem for yourself. Only a very thin vein of balls passes through the suspensory ligament. It also passes through the lower levels of the hanging ligament. When the suspensory ligament is cut, when we get to the lower 20%, we see that it has been cut and there is a slight bleeding. This shows us that we are approaching the end of the hanging bond. There is no harm in cutting this vein at all. When the skin is cut, the veins are already cut thicker balls than this. There is no harm in these things. These balls do not have an important structure passing through the suspensory ligament other than the vein. In order for there to be a numbness or erection problem in the penis, an important nerve, an important vessel must be cut, injured. However, this surgery is the safest surgery among plastic surgeries. For one thing, the operation is “penis enlargement surgery”, but in a real sense, “the penis tissue is never touched!”.. The surgery is officially performed around the penis. In this aspect, it is a unique plastic surgery. For extension, the suspensory ligament connecting the penis to the pelvis is cut by up to 80%. Fat injection is also performed under the skin of the penis for thickening. No procedures are performed on the vein, nerves, erectile tissue, sperm channels, urinary tract of the penis. That is why it is an extremely safe surgery.

By the way, I told you that there is a vein of balls that runs through the lower parts of the penis’s ligament. I even said that when this vein is cut, there is a slight bleeding, and we understand that we have reached the lower 20% of the ligamentous ligament. I think these fine balls, the vein does not have a specific name. Let me call this vein “Idil vein” with this article.. I think because it is a very small vein, this vein has not been identified with a name before…



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President of Organ Transplant Center at MedicalPark Hospital Antalya

Turkey's world-renowned organ transplant specialist. Dr. Demirbaş has 104 international publications and 102 national publications.

Physician's Resume:

Born on August 7, 1963 in Çorum, Prof. Dr. Alper Demirbaş has been continuing his work as the President of MedicalPark Antalya Hospital Organ Transplantation Center since 2008.

Prof. who performed the first tissue incompatible kidney transplant in Turkey, the first blood type incompatible kidney transplant, the first kidney-pancreas transplant program and the first cadaveric donor and live donor liver transplant in Antalya. Dr. As of August 2016, Alper Demirbaş has performed 4900 kidney transplants, 500 liver transplants and 95 pancreas transplants.

In addition to being the chairman of 6 national congresses, he has also been an invited speaker at 12 international and 65 national scientific congresses. Dr. Alper Demirbaş was married and the father of 1 girl and 1 boy.


Eczacibasi Medical Award of 2002, Akdeniz University Service Award of 2005, Izder Medical Man of the Year Award of 2006, BÖHAK Medical Man of the Year Award of 2007, Sabah Mediterranean Newspaper Scientist of the Year Award of 2007, ANTIKAD Scientist of the Year Award of 2009, Social Ethics Association Award of 2010, Işık University Medical Man of the Year Award of 2015, VTV Antalya's Brand Value Award of 2015.


Doctor of Medicine Degree Hacettepe University Faculty of Medicine Ankara, General Surgeon Ministry of Health Turkey EKFMG (0-477-343-8), University of Miami School of Medicine Member of Multiple Organ Transplant, ASTS Multiorgan Transplant Scholarship. Lecturer at Kyoto University. Lecturer at University of Essen, Research assistant at the University of Cambridge .

Professional Members:

American Society of Transplant Surgeons, American Transplantation Society Nominated, Middle East and Southern Africa Council Transplantation Society 2007, International Liver Transplantation Association, Turkish Transplantation Association, Turkish Society of Surgery, Turkish Hepatobiliary Surgery Association.


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Medically Reviewed by Professor Doctor Alper Demirbaş
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