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.
Update 10/20/2019: A new metastudy done by scietists from Italy and the UK reviewed several non-surgical and surgical approaches to increase penis size and evaluated their risks. The results are fully in line with out own and support the statement that penis surgery and almost all of the devices and pums sold for enlargement present a high risk and very limited results.
Doing exercises and staying on track can sometimes be tedious and requires motivation. If you tend to procrastinate things, it can be helpful to have someone coaching you, someone who knows how penis enlargement works, someone who already helped thousands of guys to get a bigger penis, more stamina and and overall better sex. The most famous male enhancement coach in my experience, who was even featured on CNN, MSNBC and sites like Men’s Health, is AJ Alfaro, also called “Big Al”. He is one of the few real male enhancement experts worldwide who offers 1 on 1 coaching, helping you to get exactly the penis you want, no matter if your problem is length, girth or a curvature. This personal coaching called “MeCoach” costs a little more than a normal at home training program without additional support, but is inexpensive anyway, starting at about $25 a month depending on the package you choose (1 month, 3 month or 3 month with additional weekly calls by phone and direct access to your coach via Skype). So, if you are insecure if you can exercise correctly with a guide or you need additional information, some extra motivation and documentation of your progress, this program is what you are looking for and what I recommend. Of course, absolute discretion is guaranteed.
Try ginseng. Korean red ginseng is said to give the nervous system a boost through ginsenosides, a natural component of the plant. While there is no conclusive scientific evidence that ginseng causes the penis to get bigger, men who took ginseng extract tablets as part of a study in South Korea experienced better sexual function after taking the supplements for several weeks.
It seems every guy either wants to tell you how huge his penis is, or make it bigger than it is. And there are lots of methods out there that claim to be able to help. From drugs and supplements to devices and injections and even surgery, there’s lots of options to make your penis grow. But do they actually work, and are they something you want or need to get involved in?
Eat watermelon. It's not an herb, but it has properties that might help increase the size and duration of erections in a similar way arginine. Watermelon contains an amino acid called citrulline, which gets converted into arginine and leads to the dilation of blood vessels. The fact that watermelon contains citrulline is a relatively new finding, so no studies have been conducted to find out how well it really works or how much watermelon you'd have to eat to see the benefits. However, since watermelon is considered a superfood when it comes to men's health, you can't go wrong by eating plenty of it while it's in season.
Streching devices and penis pumps are increasingly popular, often selling for hundreds of US dollars. We recommend staying away from these devices, because using them can lead to permanent damage of the cavernous body and blood vessels of your penis. In worst case, the usage of penis extenders can result in erectile dysfunction, the inability to get and maintain an erection. Although many surgeons, including our advisory team, keep warning about them, these warnings are unheard and ignored by many men. Reconstructive surgery for a penis damaged by excessive and wrong use of streching devices is very expensive and rarely results in full recovery.
“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.
Combined with stretching and jelqing, extenders can further boost length gains. One good thing about extender is that you can wear it under a loose clothing, which saves you time as you can perform penis enlargement while doing your normal activities. You can wear an extender daily for at least 3 hours. However, there should be 1-2 rest days per week for recovery.
“I have personally recommended this to men and I have received lots of great feedback regarding its long(er) term use. It’s a hydropump, so it works by using water when you’re in the shower or bathtub. To fully understand this, it’s important to know that the penis has three soft chambers, the corpora cavernosa (two large one’s on the top of the penis) and the Carpus Spongiosum (a smaller one on the bottom of the two). When these two fill with blood, you get an erection. What Bathmate or a penis pump can do is expand these chambers, thereby allowing more blood to fill in."
Yes, it can, but surgery is always associated with risks, including anesthesia, wound healing deficits, pain from scars, worst case even a deformed penis or permanent erectile problems. It’s effective without a doubt from our experience, but the last resort in our opinion. For men with a real micropenis (smaller than 2.75 inch) it’s often the only solution and covered by health insurance, but only about 0.5% of all men worldwide suffer from this condition. If you are just a bit below average, the risk versus reward calculation is negative for surgical penis enlargement. Especially one problem that arises from cutting the ligaments, the erection pointing slightly downwards instead of straight forward, can become a real problem according to professor Kevan Wylie from the NHS, he said “It can make sex quite uncomfortable. You’ve got to do a lot more manoeuvring with your partner. The advantage of a 2cm (0,8 inch) gain in flaccid length is far outweighed by the loss of angle of erection.”
The vacuum pump. This is a cylinder that sucks out air. You stick your penis in and the resulting vacuum draws extra blood into it, making it erect and a little bigger. You then clamp off the penis with a tight ring -- like a tourniquet -- to keep the blood from leaking back into your body. What are the drawbacks? The effect only lasts as long as you have the ring on. Using it for more than 20 to 30 minutes can cause tissue damage. This is sometimes used as a treatment for erectile dysfunction, but has not been proven to actually increase the size of the penis.