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

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

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

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

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.

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

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

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.

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

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

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

A penis is considered abnormally small only if it measures less than 3 inches (about 5 centimeters) when erect, a condition called micropenis.

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

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

Exercises.

Regular exercise can make a big difference.

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

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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.

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

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.

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

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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Suspensory ligamentThe need for penis-enlargement surgery is rare.

These surgeries should be considered experimental.

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

If you're concerned, talk to your partner.

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

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

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

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

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

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

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