A. Yes.

A. Yes.

A. Yes.

A. Yes.

A. Yes.

A. With respect to feelings of penile inadequacy, meaning the man's perception that his penile size is smaller than what he would like, even if it is normal, the results of such surgery frequently will improve his sexual and machismo image and positively affect his interactions with sexual partners, coworkers and professional associates.

A. Yes.

A. Yes.

A. Yes.

A. This is a hard question to answer, and absolute promises cannot be made. However, length may be increased by approximately one to two inches. Maximum length is obtained when the surgery is combined with a penile stretching device.

A. If you have widening by the liposuction technique, the results are variable. I do not perform this technique.

If you have the pericavernosal penile widening for girth enhancement in the flaccid state by the Allograft Dermal Matrix Graft (Alloderm ®) technique you may expect an approximate 30% width gain (circumference) in the flaccid state and an approximate 5 to 10% gain in the girth in the erect state.

A. It is advisable to wait six weeks before engaging in penetrative sex. However, you can masturbate in approximately 1 week after surgery, as long as you use gentle masturbation of the glans (head of the penis) only.

A. The results of penile lengthening are permanent, and when combined with a penile stretching device added length will occur over time.

A. The results of penile widening by the liposuction technique are frequently not permanent. Usually only thirty percent of the fat injected into the penis survives after one year. In addition, asymmetry, that is to say, unevenness and nodularity may occur. Frequently, repeat injections (touch ups) to fill in the defects are needed.

If you have the pericavernosal penile widening for girth enhancement in the flaccid state with the Allograft Dermal Matrix Graft (Alloderm ®) technique the results are much more predictable and permanent.

I have been using the Allograft Dermal Matrix Graft (Alloderm ®) technique for 6 years and I can tell you from my experience that the results are predictable and appear to be permanent.

I do not perform the liposuction technique, and I no longer perform the dermal fat graft technique.

A. It depends upon how you define success. There is a high patient satisfaction rate from penile enlargement surgery with my techniques for penile lengthening and pericavernosal penile widening for girth enhancement primarily in the flaccid state with the Allograft Dermal Matrix Graft (Alloderm ®) technique. Almost all men who have been informed of reasonable expectations - are happy with the results. However, it is also important that the surgical techniques, incisions, scars and postoperative management be reviewed and accepted preoperatively. When this is done, almost all men are happy and consider the surgical procedures successful.

Note: There is no unevenness and no nodularity and there are no donor site incisions and, therefore, no scars, on the buttocks, inguinal areas, abdomen, flank or back with the Allograft Dermal Matrix Graft (Alloderm ®) technique that I use for penile widening (pericavernosal) and the duration of surgery is shorter than the dermal fat graft technique. The contour is even and cylindrical.

A. There are several unproven, non-surgical techniques of penile lengthening using penile weights, penile stretching devices and a vacuum pump (penis pump). The medical community does not recommend these techniques and since no studies have been made it is impossible to tell how effective these techniques are or what the risks might be. Sometimes, overweight men with an increase in fat in their pubic area will notice increased penile length after significant weight loss. There is no non-surgical technique that produces permanent penile widening.

A. The risks of penile lengthening surgery are very low with my technique. Very few patients experience complications. However, I will discuss the following possible risks with you:

• a reduction of the erect upward angle of the penis
• a keloid scar at the site of the incision
• fibrosis of a superficial vein
• shortening of the penis
• skin incision separation
• bruising
• bleeding
• infection
• temporary swelling of the penis
• a collection of serum under the skin
• reduction in penile sensation
• erectile dysfunction

The risks of penile widening surgery are very low with my techniques. Very few patients experience complications. However, I will discuss the following possible risks with you:

• absorption, contracture or failure of the graft to take
• skin incision separation (Note: with the Allograft Dermal Matrix Graft (Alloderm ®) technique, there are no donor site incisions in the buttocks, groin, abdomen, flanks or back)
• a keloid scar (Note: with the Allograft Dermal Matrix Graft (Alloderm ®) technique, no grafts are obtained and, therefore, there are no incisions or scars in the buttock, groin, abdomen, flank or back regions because there are no DONOR SITES )
• fibrosis of a superficial vein
• shortening of the penis
• infection
• bleeding
• bruising
• decrease in penile sensation
• temporary swelling of the penis
• a collection of serum under the skin
• loss of penile skin
• erectile dysfunction

A. Although greater than 30% increase in the flare of the glans is possible, a reasonable expectation is between 10% and 15% increase in the flare of the proximal 1/3 of your glans (head of penis).

A. See the section on Payment Information for complete details.

A. If you have a truly small penis - in medical terms this is called micropenis - and the length measures less than three and two thirds inches in the erect state, and the width measures less than three and a half inches in circumference in the erect state; or if you have had previous penile surgery, Peyronie's disease, an aggressive circumcision, other genital trauma, or a neurogenic bladder that caused penile shortening then insurance will probably pay for the surgery of penile lengthening. However, insurance will not cover the costs of these procedures when done purely for cosmetic reasons. Insurance will not cover penile widening.