Penis too small?


Professor Shaeer has invented several methods for increasing the size of the penis. It is to be noted that most gentlemen with the complaint of a short penis turn out to be within normal when examined. Professor Shaeer filters out such cases, reserving surgery for those really in physical need, and advising others that the genital area is within normal range, discouraging surgery in such cases, though still possible for cosmetic reasons.  In terns of safety and efficacy, elongation of the penis is safer and more effective than widening.

Elongation / Lengthening of the Penis

FACTS:

There are no medications that can increase the length of the adult penis. This is only possible at puberty and not afterwards.

The only way to obtain a long penis is by surgery.

How does surgery elongate the penis?

1-Reveealing the base of the penis 

Prof.Shaeer invented two minimally invasive techniques to reveal the buried penis, which is the case when the part of the base of the penis is hidden in the pubic fat. Those techniques involve pulling the pubic skin and fat back to tack them to the pubic bone, or pulling them upwards by a tape underneath the skin. 

This in addition to the possibility of removing the fat plus or minus the redundant skin altogether by either liposuction or surgical lipectomy.

2-Suspensory Ligament Release

The penis is composed of two parts, on that is the penis you see and is called the pendulous penis, and another that is hidden in the pubic fat, attached to the bone of the pelvis by a ligament called "the suspensory ligament", and can be named the (reserve penis).

The reserve penis can be released from its attachment to the pelvis and from the surrounding fat and advanced to be seen and used, adding to the length of the pendulous penis.

This is performed by cutting the suspensory ligament and reducing the fat that surrounds the penis. Te fat is reduced by liposuction or by removing part of the pubic fat and skin if the fat is excessive and skin is redundant.

This surgery does not involve the corpora cavernosa and is therefore harmless as regards erection, if performed by expert hands. 

 Surgery can add a length of 2-8 to the penis, depending on the size of the reserve and the volume of fat. Those who benefit the most are men with excessive fat around the penis. Those who benefit least are those with no fat around the penis and with a small penile reserve (the part of the penis attached to the bony pelvis).

The drawback of cutting the suspensory ligament is that the angle of erection (position of the penis in relation to the abdomen) changes and the penis points slightly downwards instead of upwards (normally, the erect penis points forwards or upwards). Most men find this slight change in angle of erection of no importance.

The other drawback is that cutting the suspensory ligament creates a gap between the reserve penis and the pelvis. This gap may swallow the penis back at intercourse and the added length may disappear. Dr.Shaeer designed a surgical technique that fills this gap by vascular flaps that act as a cushion for the penis, preventing the reserve from falling back. This technique gives the best results in penile elongation. It has also been used in cases of accidents, amputations and injuries of the penis where the lost part of the penis can be substituted by the reserve using this technique:

Refining Penile Lengthening: “V-Y Half-Skin Half-Fat Advancement Flap” Combined With Severing The Suspensory Ligament
 O.K.Z. Shaeer, K.Z. Shaeer and A. El Sebaie
 J Sex Med 2006;3:155–160

Surgery usually requires an average of 40 minutes according to the extent of fat around the penis. The patient can resume his daily activities the same day and does not usually stay in the hospital except for 4 hours after surgery.

Penile Augmentation

 (Widening / Widening / Broadening)  

FACTS:

A large penis is desired by every man. 

There are NO MEDICATIONS that can increase the size of the penis.

Only surgery can enlarge the penis.

The diameter of the shaft of the penis can be enlarged surgically by inserting special tissues under the skin, all around the penis. These tissues are preferably obtained from the person himself since synthetic materials can result in infection at higher rates than natural tissues.

 

Cut section in the penis before augmentation showing the outer layer of skin and the internal structures

 

Cut section in the penis after augmentation showing a layer of natural tissues inserted underneath the skin. 

What are the Different Methods for Augmentation (Widening / Broadening) ?

The method depends on the type of tissue that is chosen for Widening / Broadening. Natural tissues from the same person to himself give the best results. The golden rule is: 

In order for natural tissues to survive in their new place in the penis, they need blood supply.

1-Fat Injection

Fat can be aspirated from the hips, abdomen or otherwise, and reinjected underneath the skin of the penis to increase its volume (Widening / Broadening). 

Unfortunately, when fat is aspirated, it passes through a narrow tube that breaks the fat into small particles, destroying the architecture of blood vessels that used to feed the fat in its original place. When those particles are laid in their new place in the penis, blood seeps around the fat and feeds its outer surface but not its core, since there are no blood vessels to transfer the blood in there. Therefore, with time, the core dies, disintegrates, and is absorbed away from the penis into the body, in an irregular fashion. This leaves a thin and irregular layer of fat behind, that is, loss of the gained volume and irregularity of the penis.  Total loss of the injected fat usually occurs  in 1-3 years time. In addition, since the fat is injected as particles, it may give a lobular feeling to the surface of the penis. 

It is important to mention that fat can be re-injected every couple of years to maintain the penis in the enlarged state.

2-Dermal Fat Graft

Grafts are a better method for Widening / Broadening. A graft is a piece of tissue TOTALLY separated from its original place and transferred to another site in the body. Various tissues can be grafted, including the fore mentioned fat. 

Dermal fat is a type of graft where a 1 cm thick (approximately) sheet of tissue is harvested from right beneath the skin. The sheet can be of variable area, according to the requirements. The graft is harvested by cutting around its outline by a scalpel, removing the skin and the 1cm thickness of tissue underneath it, pealing the skin off those tissues, and closing the wound left behind by sutures. The graft is usually taken from a hidden part of the body so that the wound will not show, such as from the gluteal crease (the long skin crease between the buttock and thigh).

Dermal fat graft is much better than injected fat for the purpose of widening the penis because it is harvested as one sheet, preserving the architecture of blood vessels within, so that the blood seeping from the recipient site will reach every part of the graft through those blood vessels. Thus it survives for a long time, sometimes for life. The survival rate of the dermal fat graft is upto 80%. The dermal far graft is much less prone to death than injected fat, and if death occurs, it is usually partial leading only to a slight loss of thickness, rather than total loss. In addition, the outer surface of the penis feels smooth contrary to the lobular feeling of the injected fat.

3-Synthetic Materials

A number of synthetic tissues are available for injection or wrapping under the skin of the penis. The virtue of synthetic materials is that some of them can stay in the body longer that natural tissues would. They are also easier to operate with surgically. However, infection can occur in case of such materials more than it would with natural tissues.

A crucial point is that the graft should not exceed 1 cm thickness, otherwise blood will not reach into its core. This limits the gain of volume increase to 30% approximately, which is usually enough for almost every man requiring augmentation. 

4-Flaps "Shaeer's Augmentation"

Falps are the best method for widening the penis, in selected cases. Flaps are tissues transferred from their original site in the body to another site, without disconnecting them from their original feeding blood vessels. This gives them excellent longevity because blood PUMPS into them as in normal situations, rather than seep into them as happens in case of grafts. 

The author of this website; Dr.Shaeer designed the first-ever surgical technique where a flap is transferred and wrapped under the skin of the penis for the purpose of penile widening.

Flap augmentation has showed viability and maintenance of the volume gain for almost 90%, considering the excellent blood supply. 

There is no limit to the thickness of the flap. Therefore, the penis can be augmented to much larger extents than was possible with grafts, upto100% in some cases. 

Penile girth augmentation using flaps "Shaeer's augmentation phalloplasty"- a case report

Girth Augmentation of the Penis Using Flaps "Shaeer's Augmentation Phalloplasty"- The Superficial Circumflex Iliac Flap

Augmentation of the Glans

If the glans is particularly small, its volume can be increased by injection of fillers. Fillers are materials used in cosmetic surgery, as in lip augmentation. This is a minor and fast procedure that takes about 15-30 minutes, can be performed under local or general anesthesia and does not require any length of hospital stay. 

Unfortunately, all fillers are gradually absorbed by the body leading to loss of the added volume over years. Fortunately, injection can be repeated periodically, maintaining the glans in the augmented state for life. 

Injection of fillers in the glans leads -in many cases- to delaying ejaculation, which is a virtue in the opinion of many, since this increases the sexual intercourse time. 

Augmentation of the glans is therefore performed in many cases to treat  premature ejaculation

Latest Innovation: Shaeer's Glans Augmentation using grafts:

Prof.Shaeer invented a technique whereby the glans is augmented by insertion of a dermal graft for long lasting increase in volume with minimal decrease over time and minimal sensory loss:

Shaeer's glans augmentation technique- a pilot study