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There aren't enough studies of penis-enlargement surgery to give an accurate picture of risks and benefits.
In addition, there's no proven way to make a penis larger.
Regular exercise can make a big difference.
A few small studies have reported length increases of half an inch to almost 2 inches (about 1 to 3 centimeters) with these devices.
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The length of a non-erect penis doesn't consistently predict length when the penis is erect.
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Severing the suspensory ligament is sometimes combined with other procedures, such as removing excess fat over the pubic bone.
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Although this technique appears safer than other methods, there's no scientific proof it works, and it can lead to scar formation, pain and disfigurement.
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The most widely used surgical procedure to lengthen the penis involves severing the suspensory ligament that attaches the penis to the pubic bone and moving skin from the abdomen to the penile shaft.
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Although there's no guaranteed safe and effective way to enlarge your penis, there are a few things you can do if you're concerned about your penis size.
Many men feel better with reassurance that they are "normal" or with advice about how to better satisfy their partner without resorting to cosmetic penis enlargement.
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When this ligament is cut, the penis appears longer because more of it hangs down.
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However, there's little scientific support for nonsurgical methods to enlarge the penis.
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Many men believe that increasing the size of their penis will make them a better lover or make them more attractive.
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Stretching involves attaching a stretcher or extender device — also referred to as a penile traction device — to the penis to exert gentle tension.
If you're concerned, talk to your partner.
At worst, surgery can result in complications such as infection, scarring, and loss of sensation or function.
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Surgery is typically reserved for men whose penises don't function normally because of a birth defect or injury.
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At best, surgery such as division of the suspensory ligament may add half an inch (1 centimeter) to the appearance of the flaccid penis but does not change actual length of the penis.
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A procedure to make the penis thicker involves taking fat from a fleshy part of the body and injecting it into the penis shaft.
Larger, more-rigorous research is needed to establish safety and effectiveness.
If those steps don't help, try talking with a professional counselor about your concerns.
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Tempted by products that claim to increase penis size? Get the facts about what to expect from male-enhancement pills, pumps, exercises and surgeries.
These surgeries should be considered experimental.
Although some surgeons offer cosmetic penis enlargement using various techniques, it's controversial and considered by many to be unnecessary and in some cases permanently harmful.
When the suspensory ligament is cut, the penis may look longer because more of it hangs outside the body.
Think twice before trying any of them.
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Better physical conditioning may not only make you look better, but also can improve strength and endurance during sex.
Suspensory ligamentThe need for penis-enlargement surgery is rare.
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A penis is considered abnormally small only if it measures less than 3 inches (about 5 centimeters) when erect, a condition called micropenis.
But using one too often or too long can damage elastic tissue in the penis, leading to less firm erections.
If you're overweight and have a "beer gut," your penis might appear shorter than it is.
Keep in mind that understanding your partner's needs and desires is more likely to improve your sexual relationship than changing the size of your penis.
This can lead to penile curvature or asymmetry and an irregular looking penis.
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Another technique for increasing width is grafting tissue onto the shaft of the penis.
None of these procedures has been proved safe or effective and can even affect potency and your ability to obtain an erection.
But studies have shown that most men who think their penises are too small actually have normal-sized penises.
Results may be disappointing, however, because some of the injected fat may be reabsorbed by the body.
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Sometimes called jelqing, these exercises use a hand-over-hand motion to push blood from the base to the head of the penis.
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But cutting the suspensory ligament can cause an erect penis to be unstable.
If your penis is about 13 cm (5 inches) or longer when erect, it's of normal size.
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A vacuum pump can make a penis look larger temporarily.