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Studies of available surgical techniques to lengthen the penis have found mixed results in safety, effectiveness and patient satisfaction.
Mayo Clinic does not endorse companies or products.
However, there's little scientific support for nonsurgical methods to enlarge the penis.
Although some surgeons offer cosmetic penis enlargement using various techniques, it's controversial and considered by many to be unnecessary and in some cases permanently harmful.
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But studies have shown that most men who think their penises are too small actually have normal-sized penises.
Most of the techniques you see advertised are ineffective, and some can damage your penis.
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Sometimes called jelqing, these exercises use a hand-over-hand motion to push blood from the base to the head of the penis.
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If you're concerned, talk to your partner.
Similarly, studies suggest that many men have an exaggerated idea of what constitutes "normal" penis size.
Stretching involves attaching a stretcher or extender device — also referred to as a penile traction device — to the penis to exert gentle tension.
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When this ligament is cut, the penis appears longer because more of it hangs down.
If you're overweight and have a "beer gut," your penis might appear shorter than it is.
If your penis is about 13 cm (5 inches) or longer when erect, it's of normal size.
None of these procedures has been proved safe or effective and can even affect potency and your ability to obtain an erection.
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Many men feel better with reassurance that they are "normal" or with advice about how to better satisfy their partner without resorting to cosmetic penis enlargement.
This can lead to penile curvature or asymmetry and an irregular looking penis.
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A procedure to make the penis thicker involves taking fat from a fleshy part of the body and injecting it into the penis shaft.
A penis is considered abnormally small only if it measures less than 3 inches (about 5 centimeters) when erect, a condition called micropenis.
Although there's no guaranteed safe and effective way to enlarge your penis, there are a few things you can do if you're concerned about your penis size.
Get in shape and lose the belly fat.
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The most widely used surgical procedure to lengthen the penis involves severing the suspensory ligament that attaches the penis to the pubic bone and moving skin from the abdomen to the penile shaft.
A few small studies have reported length increases of half an inch to almost 2 inches (about 1 to 3 centimeters) with these devices.
Severing the suspensory ligament is sometimes combined with other procedures, such as removing excess fat over the pubic bone.
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Surgery is typically reserved for men whose penises don't function normally because of a birth defect or injury.
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Better physical conditioning may not only make you look better, but also can improve strength and endurance during sex.
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Even if your penis is smaller than average, it may not matter to your partner.
Larger, more-rigorous research is needed to establish safety and effectiveness.
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A vacuum pump can make a penis look larger temporarily.
At best, surgery such as division of the suspensory ligament may add half an inch (1 centimeter) to the appearance of the flaccid penis but does not change actual length of the penis.
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But cutting the suspensory ligament can cause an erect penis to be unstable.
Another technique for increasing width is grafting tissue onto the shaft of the penis.
Regular exercise can make a big difference.
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When the suspensory ligament is cut, the penis may look longer because more of it hangs outside the body.
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Marketers rely on testimonials, skewed data and questionable before-and-after photos.
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Results may be disappointing, however, because some of the injected fat may be reabsorbed by the body.
Most advertised penis-enlargement methods are ineffective, and some can cause permanent damage to your penis.
There aren't enough studies of penis-enlargement surgery to give an accurate picture of risks and benefits.
The length of a non-erect penis doesn't consistently predict length when the penis is erect.
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Although this technique appears safer than other methods, there's no scientific proof it works, and it can lead to scar formation, pain and disfigurement.
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If those steps don't help, try talking with a professional counselor about your concerns.
Advertisers would have you believe that your partner cares deeply about penis size.
But using one too often or too long can damage elastic tissue in the penis, leading to less firm erections.
These surgeries should be considered experimental.
Keep in mind that understanding your partner's needs and desires is more likely to improve your sexual relationship than changing the size of your penis.
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