Penoplasty
Restoring harmony to the penis
Penoplasty (or cosmetic phalloplasty ) is a combination of medical and surgical techniques aimed at increasing the length and/or circumference of the penis. It is aimed at men who are bothered by the appearance of their penis when flaccid or erect, with an impact on their self-esteem and intimate life .
Dr. Sébastien Beley , urologist-andrologist in Paris, offers personalized care , favoring safe techniques and natural results .
Benefits
Why consider penoplasty?
✔ Improved self-confidence and psychosexual comfort
✔ Harmony of the proportions of the penis (at rest and/or erect depending on the technique)
✔ Natural results when the indication and technique are correctly applied
✔ Graduated approaches: medical (non-surgical) or surgical depending on the patient's plan
✔ Supervised process: information, informed consent and close monitoring
Available techniques
Two families of treatments, to choose according to your expectations, your anatomy and the benefit/risk ratio.
Surgical penoplasty
- Enlargement by lipostructure (lipofilling)
Reinjection of autologous fat (taken from the patient) into the penile envelope to increase circumference .
+ Stable result if the weight remains constant, natural texture. - Lengthening by section of the suspensory ligament
Releases a buried portion of the penis, providing +2 to +6 cm at rest (but minimal gain in erection ).
+ Visible effect on flaccid length, discreet scar in pubic hair. - Additional procedures on indication : frenulum plastic surgery, foreskin/circumcision, glans augmentation (see below).
Medical (non-surgical) penoplasty
Hyaluronic Acid (HA) – Enlargement
Cohesive HA injections to increase girth in erection and at rest.
Duration : final result after 30% loss in the first few months (≈ 12–18 months), possible touch-up after approximately 1 month in the event of irregularities.
Points of vigilance : risk of asymmetries , nodules , migration ; indication given with caution after information and consent.Glans Augmentation (GA)
Useful if the glans is considered “small” or after widening the shaft to rebalance the volumes .
Duration : ≈ 12–18 months; moderate volumes for safety.
Operating procedures
Lipostructure (enlargement with autologous fat)
How is a lipostructure enlargement penoplasty performed?
1️⃣ Marking & fat removal (abdomen/hip/thighs) by micro-liposuction
2️⃣ Preparation (decantation/centrifugation)
3️⃣ Reinjection of micro-threads around the corpora cavernosa for even distribution
4️⃣ Light dressing – most often outpatient
📌 Duration of the procedure: 60-90 min
📌 Hospitalization: Outpatient (discharge from the clinic the same day) or even 24 hours
Lengthening (section of the suspensory ligament)
How is a penoplasty to lengthen by sectioning the suspensory ligament performed?
1️⃣ Discreet incision in the pubic hair
2️⃣ Controlled section of the suspensory ligament
3️⃣ Closure + bandage
📌 Duration of the procedure: 60-90 min
📌 Hospitalization: 1 night depending on the case
Hyaluronic acid (enlargement/augmentation of the glans)
How is hyaluronic acid enlargement penoplasty performed?
1️⃣ Anesthetic cream
2️⃣ Targeted injections (micro-cannulas)
3️⃣ Gentle massage
📌 Duration of the intervention: 20-45 min
📌 Hospitalization: None because the procedure was performed in the office
Indications – For whom?
A solution adapted to patients suffering from:
- Persistent aesthetic discomfort
- Realistic and stable motivation; expectation of natural results
- Functional erection or dysfunction treated/balanced
- BMI compatible with fat sampling (for lipofilling)
Surgical vs. Medical Method
Penoplasty can be performed using either medical techniques (hyaluronic acid injections) or surgery (lipofilling or sectioning of the suspensory ligament). The choice depends on your expectations, your lifestyle, and your tolerance for the benefits and constraints of each option.
✔ Medical penoplasty (Hyaluronic acid)
🔹 Simple procedure, performed in the office
🔹 Quick resumption of daily life
🔹 Immediately visible results
🔹 Reversible (product resorbs in 12–18 months or can be dissolved if necessary)
👉 Indicated if you are looking for moderate aesthetic improvement, without major surgery, with rapid recovery.
✔ Surgical penoplasty
🔹 Longer lasting results (especially with lipofilling)
🔹 Possibility of treating circumference (lipostructure) and length (ligament section)
🔹 Visible improvement at rest, with effect also in erection (especially for girth)
🔹 Tailor-made procedure, with a natural result when the volumes are reasoned
👉 Indicated if you are looking for a long-term solution, with significant discomfort or a more pronounced aesthetic expectation.
Penile Surgery Specialist
Dr. Sébastien Beley will guide you in choosing the method with a tailor-made approach to guarantee optimal results.
✔ Personalized diagnosis and recommendations
✔ Advanced techniques for a safe procedure
✔ Post-operative support
My opinion in video
I made this video to clearly explain to you the differences between medical penoplasty (by hyaluronic acid injections) and surgical penoplasty (lipofilling, section of the suspensory ligament).
Make an appointment
I will welcome you to my office in Paris to discuss your expectations and offer you the most suitable solution: medical penoplasty or surgical penoplasty .