Like injectable fillers, these platelet-rich plasma (PRP) treatments involve injections into your penis. First, you get a local and topical anesthetic to keep you comfortable. Then your doctor draws blood from your arm and spins it in a centrifuge to separate the red and white blood cells and concentrate the platelets, which are rich in growth factors. They then inject the platelets into several different areas of your penis.

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Ligament release will immediately make you look about one-half to one inch longer, but it can also change the angle of your erections so the penis doesn’t rise, but elongates while pointing straight down. Between that and the risk of erectile dysfunction, it’s no surprise that many men find this option unappealing. If this is not a compromise you want to make, it’s wise to avoid this procedure.
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Some men are born with what’s called a micropenis, defined by the American Urological Association as a stretched penile length of 7.5 centimeters or less. Micropenis is a condition with varying degrees of severity and may include a hormonal imbalance. Having a micropenis does not necessarily make you a good candidate for any or all penis enlargement surgeries.
“My advice to men is that before they try any potions, creams, pumps or surgery, improve your technique. You will feel more confident and women will like you a lot more, at least in the bedroom,” says Dr. David Shusterman, MD, the Medical Director of NY Urology. A lot of men don't invest money into the right products that will improve the outcomes. “At every Duane Reade they have what I call a penis enhancement pack; it includes a penis ring with a vibrator on it. The pack is $10 and it will achieve what the men want to achieve without going through surgery,” says Dr. Shusterman. A lot of men want enhancement but it tends to only hurt your sex life, not help. “Most guys regret going through surgical enhancement,” says Dr. Shusterman.
Sliding elongation is sometimes used in men who have experienced a shortening of the penis due to Peyronie's disease. The procedure involves the temporary "degloving" of skin and underlying tissues from the shaft of the penis. The constricted sheath surrounding the shaft is then severed, allowing the penis to straighten and lengthen. While the surgery does not involve any grafting, nerve injury is possible.
Avoiding injury has two major reasons. One is general penile health, you need your penis working properly. After all, you use it every day when you use the bathroom. The second reason is because injury creates long-setbacks. If you injure yourself, you cannot continue to do penis stretching training, which adds on a 1-3 months of delay because you need to focus on recovery, instead.
Dermal fat grafting (DFG) involves the extraction of a patch of skin from the patient's own body (usually the lower back, lower abdomen, or buttocks) along with a layer of fat. After the skin is removed from the penis, the extracted tissue is grafted in its place. Because the extracted skin is thicker, it will increase the circumference of the penis. By taking tissue from the patient's own body, the risk of rejection is low.
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