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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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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.

A procedure to make the penis thicker involves taking fat from a fleshy part of the body and injecting it into the penis shaft.

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But studies have shown that most men who think their penises are too small actually have normal-sized penises.

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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Ads for penis-enlargement products and procedures are everywhere.

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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The fear that your penis looks too small or is too small to satisfy your partner during sex is common.

The solution to your concerns about penis size may be as easy as talking with your partner or getting in shape.

And no reputable medical organization endorses penis surgery for purely cosmetic reasons.

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Severing the suspensory ligament is sometimes combined with other procedures, such as removing excess fat over the pubic bone.

Similarly, studies suggest that many men have an exaggerated idea of what constitutes "normal" penis size.

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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.

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When the suspensory ligament is cut, the penis may look longer because more of it hangs outside the body.

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Results may be disappointing, however, because some of the injected fat may be reabsorbed by the body.

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.

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.

A plethora of pumps, pills, weights, exercises and surgeries claim to increase the length and width of your penis.

Another technique for increasing width is grafting tissue onto the shaft of the penis.

In addition, there's no proven way to make a penis larger.

Surgery is typically reserved for men whose penises don't function normally because of a birth defect or injury.

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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.

But using one too often or too long can damage elastic tissue in the penis, leading to less firm erections.

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Suspensory ligamentThe need for penis-enlargement surgery is rare.

When this ligament is cut, the penis appears longer because more of it hangs down.

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If you're overweight and have a "beer gut," your penis might appear shorter than it is.

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But cutting the suspensory ligament can cause an erect penis to be unstable.

None of these procedures has been proved safe or effective and can even affect potency and your ability to obtain an erection.

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.

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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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The length of a non-erect penis doesn't consistently predict length when the penis is erect.

Look closely — you'll see that claims of safety and effectiveness haven't been proved.

Sometimes called jelqing, these exercises use a hand-over-hand motion to push blood from the base to the head of the penis.

Marketers rely on testimonials, skewed data and questionable before-and-after photos.

Studies of available surgical techniques to lengthen the penis have found mixed results in safety, effectiveness and patient satisfaction.

Here are some of the most widely promoted products and techniques:Vacuum pumps.

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However, there's little scientific support for nonsurgical methods to enlarge the penis.

If your penis is about 13 cm (5 inches) or longer when erect, it's of normal size.

This can lead to penile curvature or asymmetry and an irregular looking penis.

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Most of the techniques you see advertised are ineffective, and some can damage your penis.

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Mayo Clinic does not endorse companies or products.

Most advertised penis-enlargement methods are ineffective, and some can cause permanent damage to your penis.

Companies offer many types of nonsurgical penis-enlargement treatments, and often promote them with serious-looking advertisements that include endorsements from "scientific" researchers.

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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.

At worst, surgery can result in complications such as infection, scarring, and loss of sensation or function.