Penis enhancement by the PIONEER of the method in France and other countries "1 cm in the penis, 1 km in the head"©
The penis may be enhanced in both length and circumference: - The LIPOPENISCULPTURE (LPS) technique uses the advantages of the syringe liposculpture method to transplant fat into the penis in order to increase its circumference. - Penis elongation involves partial sectioning of the PENIS SUSPENSOR LIGAMENT (PSL). If required, these two techniques may be performed together.
	Surgery
	After surgery
	Developments and complications
	Indications
	Conclusion

Surgery

1. Preliminary examination

In addition to the usual preoperative analysis (anaesthesia and blood test), a complete examination is mandatory.

This involves:

- Andrology test: any possible conditions connected to impotence or erection and ejaculation problems is assessed and treated prior to the operation by an endocrinologist and/or an andrologist surgeon.

- Psychological examination: this is an absolute requirement in order to understand the patient's underlying motives before the operation and to ascertain his personality to reveal any reason contraindicating the treatment.

Preoperative consultations with the team are very important because they set up a link between the patient and the doctor, and the patient, fully informed, will be able to assess and accept the realities of the surgery.

2. Surgical techniques

LPS is an operation involving very little physical trauma, carried out in the operating theatre under local anaesthesia, often associated with light sedation. It lasts around half hour and requires no stitches and no hospitalisation.

It consists of two main phases:

1) Fat extraction from the inside of the thighs, the abdomen or the pubis,

2) Fat grafting.

This transplant is carried out using a very fine and delicate instrumentation and cannulas, inserted in the subcutaneous layer of the penis.

PSL requires general anaesthesia. The patient is then required to spend one night in the clinic.

After surgery

A support dressing is applied for twenty four hours; antibiotics and painkillers are prescribed. There is very little pain after the PSL, whereas after LSP the patient may require analgesics for several days.

Generally speaking, work may be resumed the day following PSL and a week after LSP. These periods may be adapted to different types of professional activity.

It is advisable to refrain from sexual activity for three weeks.
A schedule will be prepared for follow-up consultations.

Developments and complications

The final result can be seen between three and six months on average after insertion of the graft. It is impossible to predict the new size because the result depends on the behaviour of the fat and the metabolism of the patient.

In the majority of cases, PSL increases the circumference of the penis by between 2 and 4 centimetres.

LSP increases the length of the penis between 2 and 4 centimetres.
Sixty percent of patients declare themselves to be satisfied after the first operation and, as this is not very traumatic, one or more further stages may be proposed if the anticipated result has not been achieved.

The possible complications are those encountered in fat grafting ("lipofilling") with the risk of failure of the fat transplant to take.
Hardened fatty deposits and/or temporary deformations may appear.

These disappear in a few weeks, either spontaneously or with the help of local corticoid injections.

We have been carrying out this operation since 1992 in France and other countries, we have an expertise based on thousands of cases and our patients' monitoring system allows us to assert that this graft has a durable effect.

Indications

The common denominator for patients consulting for these operations is poor acceptance of their body image and in particular their sexual organs. As a result, their sexual relations and private lives often suffer. This situation generates a climate of unease and sometimes even distress.

Conclusion

Both LPS and LSP involve very little risk or complication. After surgery, patients consider that it has been highly beneficial both psychologically and sexually, and that they have gained self-esteem and self-confidence.

Our goal is not to transform but to harmonize.