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Severing the suspensory ligament is sometimes combined with other procedures, such as removing excess fat over the pubic bone.
Surgery is typically reserved for men whose penises don't function normally because of a birth defect or injury.
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Even if your penis is smaller than average, it may not matter to your partner.
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Companies offer many types of nonsurgical penis-enlargement treatments, and often promote them with serious-looking advertisements that include endorsements from "scientific" researchers.
Suspensory ligamentThe need for penis-enlargement surgery is rare.
Look closely — you'll see that claims of safety and effectiveness haven't been proved.
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.
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.
There aren't enough studies of penis-enlargement surgery to give an accurate picture of risks and benefits.
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Regular exercise can make a big difference.
Here are some of the most widely promoted products and techniques:Vacuum pumps.
The length of a non-erect penis doesn't consistently predict length when the penis is erect.
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At worst, surgery can result in complications such as infection, scarring, and loss of sensation or function.
If those steps don't help, try talking with a professional counselor about your concerns.
If you're overweight and have a "beer gut," your penis might appear shorter than it is.
And no reputable medical organization endorses penis surgery for purely cosmetic reasons.
But using one too often or too long can damage elastic tissue in the penis, leading to less firm erections.
Most advertised penis-enlargement methods are ineffective, and some can cause permanent damage to your penis.
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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.
This can lead to penile curvature or asymmetry and an irregular looking penis.
A vacuum pump can make a penis look larger temporarily.
Another technique for increasing width is grafting tissue onto the shaft of the penis.
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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Results may be disappointing, however, because some of the injected fat may be reabsorbed by the body.
Because pumps draw blood into the penis, making it swell, they're sometimes used to treat erectile dysfunction.
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Similarly, studies suggest that many men have an exaggerated idea of what constitutes "normal" penis size.
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The fear that your penis looks too small or is too small to satisfy your partner during sex is common.
Marketers rely on testimonials, skewed data and questionable before-and-after photos.
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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.
Studies of available surgical techniques to lengthen the penis have found mixed results in safety, effectiveness and patient satisfaction.
Most of the techniques you see advertised are ineffective, and some can damage your penis.
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.
These surgeries should be considered experimental.
A plethora of pumps, pills, weights, exercises and surgeries claim to increase the length and width of your penis.
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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.
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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Larger, more-rigorous research is needed to establish safety and effectiveness.
If your penis is about 13 cm (5 inches) or longer when erect, it's of normal size.
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Better physical conditioning may not only make you look better, but also can improve strength and endurance during sex.
Think twice before trying any of them.
However, there's little scientific support for nonsurgical methods to enlarge the penis.
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In addition, there's no proven way to make a penis larger.
If you're concerned, talk to your partner.
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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.
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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 cutting the suspensory ligament can cause an erect penis to be unstable.
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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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A penis is considered abnormally small only if it measures less than 3 inches (about 5 centimeters) when erect, a condition called micropenis.
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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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When this ligament is cut, the penis appears longer because more of it hangs down.