A numbing cream, followed by an injected numbing agent, prevents pain. “Depending on the patient’s goals, a filler is chosen and then injected into the corpus cavernosum of the penis [two columns that contain most of the blood during an erection]. The filler is then worked through the penis, to achieve a uniform increase in length and girth,” says Cedar Grove, New Jersey, physician Dr. Muhammad Mirza in a RealSelf Q&A.

A study published in 2019 that looked at various medical, traction, injection, prosthetic, and reconstructive procedures states that complications are “likely underreported.” The same study also says that the worst complications, although rare, can be “devastating.” These include penile fibrosis, sexual dysfunction, and even (in at least one case) death from pulmonary embolism. If you do decide to undergo a penis enlargement procedure, consider all the risks and follow all post-op instructions carefully.
A great thing about supplements is that if the right brand is chosen, it can produce noticeable improvements naturally, without any side effects. A lot of new changes have gone into the world of supplements, making it a more reliable and useful way of experiencing benefits. This is also the safest possible way to increase penis size since there’s now ingredients supported by real clinical studies.
Free fat grafting (FFT) starts with the extraction of adipose (fat-storing) tissue from the thighs of thin men, lower abdomen of normal-weight men, or the pelvic area of overweight men. The tissues are centrifuged (spun at a high rate) to break the cells apart and injected into the penis with a syringe or flexible tube called a cannula. This final step helps prevent the irregular clumping of fat cells. Because 20% to 80% of the fat cells will be reabsorbed by the body in the first year, multiple procedures may be needed.
Even those penile extenders and stretchers that claim to work over time would actually just be stretching your flaccid length, and that has absolutely no correlation to how big you get when hard, says Fisch. So don’t waste your money on a product or service that swears it can give you five more inches. “There’s no actual scientific study that they rely on."

The force you need to apply is just enough to induce micro-tears in your penis tissue. Fortunately, this is way less than 3 lbs. of force. In fact, the micro-tears are safely generated by applying small to moderate force for long periods of time. Applying a small force for long periods of time (4-6 hours a day), is the correct way to create the micro-tears and go about penis stretching. It’s also the best way to ensure safety and prevent injury.

Especially strechers are aggressively marketed because manufacturing costs are only about $20 in China and they sell to consumers from $150 up to almost $500. Don’t believe it? Check chinese websites/marketplaces like Alibaba for wholesale prices. A profit margin of up to 2500% is something even many drug lords are envious of, so the companies selling extenders build shiny websites, pay medical personnel for fake testimonials or raving reviews of these useless and dangerous devices.
However, after more than a century of generally dubious and sometimes lunatic penis enlargement attempts, there's still not much you can do. Sure, there are lots and lots of supposed options out there -- penis pills, creams, brutal stretching exercises, horrific-looking devices, and penis surgery. Almost none of it works. The few approaches that can work often have modest benefits and serious side effects. How serious? In some cases, erectile dysfunction-serious.
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