Penile Lengthening

Increasing penile length requires releasing the suspensory ligament and the wearing of penile weights after the surgery. Releasing the ligament partially frees the penis from its pubic bone attachments, dropping it to a slightly lower position, which may minimally increase penile length or give the illusion of length gain. I usually perform the operation through an inch and a half horizontal (sideways) incision just above the penis in the pubic hair. Many surgeons advance skin onto the shaft of the penis with VY advancement flaps. A V-shaped triangle of pubic skin is moved (advanced) to the base to the penis and closed in a Y-shape. However, a large VY flap based at the junction of the penis and pubic skin is not recommended, because it often produces a deforming hair-bearing hump at the base of the penis. It also is associated with a high incidence of wound breakdown and wide, unsightly scars.

Ligament release alone may rarely increase flaccid (soft) length a half an inch, but often no gain is achieved. Releasing the ligament frees more of the penis to be stretched, which can cause real length gain. Weights or stretching devices are suspended from the penis daily for a period of many months. Flaccid (soft) length is often increased, and erect length gain is also possible. Length increases of several inches are rare; these claims are usually based on misleading measurements taken from the apex of a V flap. However, some compulsive weight-users report anecdotal flaccid as well as erect gains of several inches. In fact, a one-inch gain is considered a major success even with the use of weights. Each man’s penis varies, so no guarantee can be made as to the eventual length gain that will be achieved. Decreased length resulting from penis reattachment after ligament release is uncommon and has not happened to my patients. Weights can stretch the penis without surgery, but a greater incremental gain will result if the suspensory ligament is released. Data concerning the average gain possible have not been accurately documented or verified in peer review journals.

Release of the suspensory ligament is a relatively minor operation performed as an outpatient in a surgical center. The patient has only minor discomfort. The skin is closed meticulously. Sutures are placed just below the skin, which improves the appearance of the final scar. The patient should refrain from sexual activity and active sports for about one month.

As a best in class plastic surgeon, Dr. Gary Alter provides highly personalized and comprehensive care. His philosophy regarding the physician / patient relationship is based on trust and has earned him one of the most respected reputations in the world.

For more information about the surgeries we offer or to schedule a consultation with the board certified plastic surgeon, please contact either our Beverly Hills of New York City plastic surgery practice: