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Suspensory ligamentThe need for penis-enlargement surgery is rare.

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

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

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

If those steps don't help, try talking with a professional counselor about your concerns.

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

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

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.

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

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

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

A few small studies have reported length increases of half an inch to almost 2 inches (about 1 to 3 centimeters) with these devices.

Stretching involves attaching a stretcher or extender device — also referred to as a penile traction device — to the penis to exert gentle tension.

Dietary supplements don't require approval by the Food and Drug Administration, so manufacturers don't have to prove safety or effectiveness.

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

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

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

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

Even if your penis is smaller than average, it may not matter to your partner.

Better physical conditioning may not only make you look better, but also can improve strength and endurance during sex.

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

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Larger, more-rigorous research is needed to establish safety and effectiveness.

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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.

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

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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.

Ads for penis-enlargement products and procedures are everywhere.

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

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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.

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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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A vacuum pump can make a penis look larger temporarily.

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

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

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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.

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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If you're concerned, talk to your partner.

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

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

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

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.

Mayo Clinic does not endorse companies or products.

Subscribe to HousecallOur general interest e-newsletter keeps you up to date on a wide variety of health topics.

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

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

But chances are your penis is within the normal size range.

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

Get in shape and lose the belly fat.

Advertisers would have you believe that your partner cares deeply about penis size.

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