Hanseaticum - Department of Cosmetic and Aesthetic Surgery

Martinistraße 64 - 20251 Hamburg
In the Spectrum at the UKE

General office hours

Monday to Thursday: 8:00 - 12:00 & 15:00 - 18:00
Friday: 8:00 - 14:00 - and by arrangement

Hanseaticum West - Department of Orthopaedics and Trauma Surgery, Hand, Cosmetic and Aesthetic Surgery

Jürgen-Töpfer-Straße 46 - 22763 Hamburg

General office hours

Monday to Thursday: 8:00 - 18:00
Friday: 8:00 - 12:00 - and by arrangement

Work and school accidents Monday to Friday 8:00 - 18:00

PENIS ENLARGEMENT

  • Qualified specialists, plastic aesthetic surgeons.
  • State of the art technology.
  • Individual consultation.

Make an appointment

Tradition meets Innovation

60 years of surgical expertise in the second generation

  • Duration of treatmentapprox. 1.5 hours
  • AftercareCooling with cool packs
  • AnesthesiaLocal anesthesia and twilight sleep (general anesthesia optional)
  • Downtimeapprox. 1 week
  • Hospitalizationambulant
  • Costs from 4270 Euro (thickening), from 6902 Euro (lengthening), from 9999 Euro (both) incl. VAT after GOÄ

The reasons for penis enlargement

Dissatisfaction with the size or shape of the penis is a widespread issue among men, which can significantly affect self-confidence and well-being and in some cases even lead to psychological stress and partnership problems. Although the average penis length in Germany is 12-13 centimetres when erect and the average girth is 11.66 centimetres, some men feel that their size is inadequate. This subjective perception can begin in childhood and continue throughout life.

Surgical penis enlargement can be a solution if the dissatisfaction affects the mental balance. The operation often involves two steps: penis lengthening and penis thickening. However, it is also possible to thicken the penis only, without any lengthening.

All detailed questions can be clarified in a personal consultation with our plastic and aesthetic surgeon Dr. Cornelius Grüber. Dr. Cornelius Grüber will explain the various procedures, their limitations and the expected results. The costs of penis enlargement are also discussed to enable patients to make an informed decision.

WHAT YOU CAN EXPECT AFTER A PENIS ENLARGEMENT

After penis enlargement surgery, there are several positive changes that patients can experience. The following points summarize the most important results:

  • Penis enlargement can result in an increase of 2.5 to 5.5 centimeters.
  • Penis thickening can increase the girth by up to 2 centimeters. A thickening procedure with autologous fat also offers a long-lasting effect.
  • After the procedure, many patients report increased self-confidence, a greater sense of well-being and an improved sex life.

PENIS THICKENING VS. PENIS ENLARGEMENT

When deciding between penis thickening and penis lengthening, different factors should be taken into account, as both procedures have different goals and results.

Penis thickening aims to increase the girth of the penis, which is particularly attractive to men who find their penis too thin. Penile lengthening, on the other hand, aims to increase the length of the penis. This procedure can achieve an extension of 2.5 to 5.5 centimeters. Lengthening is often an option for men who feel their penis is too short and lose self-confidence and sexual satisfaction as a result. However, it is important to note that the proportions between length and girth are crucial to achieving an aesthetically pleasing result.

In many cases, it can make sense to combine both procedures to create a harmonious overall appearance. The decision as to whether a thickening, lengthening or a combination of both procedures should be carried out depends on the patient's individual wishes and will be discussed in detail during a personal consultation at HANSEATICUM.

METHODS OF PENIS THICKENING

There are two main methods of penis thickening: thickening with hyaluronic acid filler and surgical thickening with autologous fat.

PENIS THICKENING WITH HYALURONIC ACID FILLER

Penile thickening with hyaluronic acid is a simple, less traumatic method of increasing the girth and length of the penis by 1 to 2 centimeters at a time.hyaluronic acid is a gel-like, highly water-binding substance that is well tolerated as a natural component of the body. This non-surgical method is particularly suitable for patients who prefer a minimally invasive solution or are unsure whether thickening is right for them.

The treatment is usually performed under local anesthesia and takes about 60 minutes. Initial results are visible immediately, and the maximum circumference is achieved after about 1 to 2 weeks.

About 12 weeks after the minimally invasive procedure, a check-up is carried out by the attending physician. The effect then lasts for at least 12 months. During this time, around two thirds of the hyaluronic acid is broken down by the body. If you like the effect, you can repeat the treatment. Compared to penis thickening with hyaluronic acid, the use of autologous fat is the more sustainable method.

PENIS THICKENING WITH AUTOLOGOUS FAT

Surgical penis thickening with autologous fat, also known as lipofilling, involves the removal of autologous fat by liposuction and its injection along the shaft of the penis. Dr. Cornelius Grüber obtains the material for penile thickening with autologous fat by liposuction from the pubic area, thighs or abdomen. After drawing the fat cells onto syringes, he injects the natural filler with a microcannula at regular intervals along the shaft. Injections with the body's own fat provide long-lasting results, as up to 70 percent of the fat cells grow and the volume remains permanent. Between 40 and 70 milliliters of autologous fat are sufficient and the circumferential enlargement is around 25 to 30 percent.

Surgical penis thickening is performed under local or general anesthesia as desired and offers a more permanent solution compared to hyaluronic acid. The procedure not only improves the girth, but also the elasticity of the skin and the sensation of pleasure.

COSTS OF PENIS ENLARGEMENT

The cost of penis enlargement varies depending on the method. Surgical penis enlargement costs from 6650 euros at HANSEATICUM. In combination with penis thickening, the treatment costs for injections with hyaluronic acid (from 9163 euros for both treatments) or autologous fat injections (from 3808 euros in addition to surgical penis enlargement) are added. All prices include VAT after GOÄ.

BEFORE PENIS ENLARGEMENT

All open questions can be discussed in detail during an individual consultation with our intimate surgeon Dr. Cornelius Grüber. The consultation always starts with an examination to fully explore the options. There is enough time to ask all your questions and express your wishes. Based on the initial findings, all treatment options are discussed, as well as all risks, pre- and post-operative care.

As the planned procedure approaches, patients are advised to stop taking blood-thinning medication (such as aspirin) 10 days beforehand. This helps to avoid an increased risk of heavy bleeding during and after the operation. Patients should also avoid nicotine for 2 weeks before the operation if possible, as it can interfere with wound healing and weaken the cardiovascular system. This also applies after the operation, as the carbon monoxide it contains causes a lack of oxygen in the blood. Due to the low concentration of oxygen in the blood, the body cells cannot regenerate well and wound healing slows down.

Penis enlargement: step by step

  • Before the operation, the procedure is discussed again and carefully planned.
  • The treating specialist applies an anesthetic ointment so that the injection of the local anesthetic is barely noticeable.
  • On request, induction of twilight sleep or general anesthesia, which is not necessary from a medical point of view in most cases.
  • The surgeon makes a small, triangular incision on the pubic mound and cuts the inner anterior ligaments of the penis.
  • This loosens the inner part of the penis and protrudes downwards, but retains its stability in the longitudinal direction.
  • During the operation, the intimate surgeon cuts the anterior, internal retaining ligaments.
  • The inner, oblique part of the penis is straightened, thus lengthening the visible part.
  • The skin incision is finely sutured with self-dissolving stitches and covered with a plaster.
  • The undergarment supports regeneration and prevents dents and should be worn consistently for several weeks or months to guarantee the best possible result.
  • If desired, the penis can be thickened in the second stage of the operation.
  • The procedure takes between 1 and 3 hours, depending on the complexity.

AFTER PENIS ENLARGEMENT

The pain after a penis enlargement is minimal. A slight soreness after the anesthetic has worn off is normal. A painkiller will help on the first day. Immediately after the plastic surgery procedure, the area is swollen and should be moderately cooled regularly.

Light sport is possible again after a week, and the penis is fully functional again after 6 weeks. During this time, extreme physical exertion - as well as sex and masturbation - are not beneficial. To ensure that the small scar heals as invisibly as possible, scar care is recommended in the morning and evening. After penis enlargement surgery, it is important to treat the penis with a distractor such as Phallosan Forte or Penimaster Pro from the 10th day onwards.

The post-operative treatment phase for penis enlargement lasts 16 weeks. It requires cooperation and discipline from the patient to ensure a good result and prevent scarring of the severed retaining ligaments, for example.

ACORN AUGMENTATION WITH HYALURONIC ACID

In uncircumcised men, the glans penis (Latin for glans) is covered by the foreskin when flaccid. And this procedure is only a matter of millimetres. But they can reduce the pleasure of sex. Thickening the glans is an uncomplicated way of filling in missing volume or adapting a glans that is too small to the diameter of the penis shaft. Glans thickening works very well with hyaluronic acid. The minimally invasive procedure reduces irritability at the nerve endings and thus also reduces the problem of premature ejaculation.

THICKENING OF THE PENIS AND GLANS WITH HYALURONIC ACID STEP BY STEP

  • An anesthetic ointment is applied before the injection.
  • The hyaluronic acid to be injected also contains a local anesthetic that ensures pain-free treatment.
  • A blunt cannula is used to inject a customized amount of hyaluronic acid along the shaft of the penis or around the glans.
  • After inserting the fine needle, the filler is released little by little.
  • The first results are immediately visible.
  • The treatment takes about 30 minutes.

Risks associated with penis enlargement

As with any surgical procedure, there are certain risks and possible complications to consider when undergoing penis enlargement surgery. It is crucial to choose an experienced surgeon to minimize the risks and achieve an optimal result.

General surgical risks include allergic reactions, swelling and bruising, which usually subside within 1 to 2 weeks. In rare cases, delayed wound healing, infections or temporary numbness of the penis may occur. There is also a small risk of erectile dysfunction and sensory disturbances, although these are temporary in most cases. Erectile function and fertility are not affected by the operation, as the root of the penis remains unchanged.

Specific risks such as asymmetries, uneven distribution of fatty tissue, lump or nodule formation can occur with penile thickening, especially when using autologous fat. An excessive increase in girth, erectile dysfunction, hypertrophic scars or injuries to the urethra are also possible complications. Smokers in particular run the risk of nicotine impairing the fat healing rate, which can lead to suboptimal results.

Durch die Wahl eines seriösen Chirurgen mit langjähriger Erfahrung können viele dieser Risiken minimiert werden, sodass der Eingriff insgesamt als sicher und komplikationsarm gilt.

ALTERNATIVE METHODS OF PENIS ENLARGEMENT

Some men initially try to gain missing centimetres with manual exercises and non-invasive methods. Regular medical pulling massages, called jelqing (jelq = milking), are said to lengthen the penis. The Arabic penis massage must be performed daily for at least a year in order to be successful. However, it usually does not have the desired effect. 

Special stretching devices (penis extenders), which have to be worn for months, are more effective. This is intended to stretch the ligamentous suspension of the penis and pull the hidden part of the erectile tissue further forward, although this does not usually lead to lasting success. Vacuum pumps have long been used to treat erectile dysfunction. They create an erection through negative pressure, while a rubber ring suppresses the outflow of blood. After several months of training, some patients report a slight lengthening of the penis after pumping blood into the penis several times a day. However, this does not permanently lengthen the penis.

About the HANSEATICUM

HANSEATICUM is your clinic for plastic and aesthetic surgery in the heart of Hamburg. You will find us at two locations: Martinistraße 64 and Jürgen-Töpfer-Straße 46. With the expertise of our experienced specialists in plastic and aesthetic surgery, the modern equipment of the practice and the central location, the HANSEATICUM has positioned itself as a real hotspot in plastic and aesthetic surgery.

At HANSEATICUM, we are proud to have a team of highly qualified surgeons with more than a decade of experience. Our plastic surgeons, Dr. Grüber and Dr. Tomschik, are renowned specialists in plastic and aesthetic surgery, members of numerous specialist societies and have excellent networks in interdisciplinary fields. They are determined to keep up to date at all times and therefore regularly attend congresses and further training courses. This ensures that you are always informed about current technological developments and the latest safety standards.

At the HANSEATICUM, we offer the entire spectrum of aesthetic surgery, including reconstructive surgery after tumors and accidents - and all elective aesthetic operations on the face and body. Our specialists also have a flair for finding the right measure for breast operations, corrections in the genital area and gender reassignment transgender surgery.

In the area of minimally invasive procedures, we offer autologous fat injections, eyebrow lifts, chemical peels and vampire lifts. Treatments with Botox (botulinum toxin) and hyaluronic acid are standard. Our surgeons exclusively offer the BodyTite and Fractora method, which uses radio frequency to gently tighten the face and body.

Patient opinions

"I am very satisfied. Super nice doctor and team. I could turn to the practice and the doctor with confidence for every question. I can only recommend Dr. Grüber and team."

Hamburg, 2021

Jürgen M., 32 (Name changed)Hamburg, 2021

I felt comfortable in the practice from the first moment. The staff and doctors are all very nice and empathetic. If I had any questions afterwards, they were answered immediately by email. The day of the operation was also very well organised. I never had the feeling that I was not being taken seriously. Dr Grüber also checked on me by phone in the evening. After the operation, I was checked again and again at certain intervals, which put my mind at rest. You can always contact the practice with questions. I am glad that I chose this doctor.

Oldenburg, 2021

Thomas H., 37 (Name changed)Oldenburg, 2021

"My penis measured only 11 centimetres when erect. That had been a burden on me every day for years. For psychological reasons, I even developed bladder incontinence as a teenager. Now I have had the operation, the good bit works and I have 4 centimetres more length. In the next step I had fat removed from my belly and Dr. Grüber was able to use it to thicken my penis, almost 2 centimetres more in circumference. I was really scared about the surgery, but now I feel very good. Better than I've ever felt before, for that matter. Dr Grüber was very professional about it and he knows his stuff. He explained everything in detail and that took away my panic. I only needed painkillers on the first day, the small incision healed quickly."

Hamburg, January 2020

Robert M., 28Hamburg, January 2020

"I tried all the tricks. Shaving, jelq and pills didn't help. Then I decided to have an operation. I had read about the HANSEATICUM in a newspaper and didn't hesitate for long after talking to Dr. Grüber. I was left with 3 centimetres of lengthening and the thickening was done with fillers. Unfortunately, not much of it remained because I do a lot of sport. I will try it again with my own fat. Nevertheless, I'm really happy that I dared to do it."

Schwerin, October 2019

Johannes E., 27Schwerin, October 2019

Frequently asked questions

When does penis enlargement make sense?

Generally speaking, penis enlargement is suitable for all men who suffer from a penis that is too small and for this reason do not experience a fulfilling sex life, suffer from inferiority complexes or, in the worst case, struggle with depression. However, men who want more length and/or girth with a normal size can also fulfill their wish with a relatively minor procedure.

Who is not eligible for penis enlargement?

Patients who assume that they can achieve a guaranteed increase in length of five or six centimetres through penis enlargement may be disappointed. True miracles or an increase in length that can be determined in advance are not feasible.

No reputable surgeon will promise this either, as they only have full insight during the operation and can see the length of the hidden erectile tissue. To put it bluntly, he brings something from the inside to the outside. How much depends on how much the patient has. Unfortunately, this cannot be visualized before surgery, at least not in such a way that a reliable conclusion can be drawn about the result.

What is the normal penis length?

The average penis size in Germany is around 13 centimetres when erect and 8.6 centimetres when flaccid. Only when the length is 7.5 centimetres or more do we speak of a so-called micropenis. However, only 2 to 3 percent of the male population suffer from this. International studies show that the length of the penis in an erect state can vary between 4 and 26 centimetres.

How many centimeters can you lengthen a penis?

In many cases, an increase in penis length of 3 centimetres is achieved, the range is between 2 and 6 centimetres. With 3 centimeters more penis length, the penis thickness should be adjusted accordingly.

Is penis enlargement painful?

The procedures are generally not very painful. An operation to cut the retaining ligaments is performed under general anesthesia. Local anesthesia is sufficient for penis thickening and is also painless.

This also applies to twilight anesthesia, in which no pain is felt through the incisions made. The best method for penis thickening is an autologous fat transfer, as the fat cells largely grow and the treatment is therefore long-lasting. Minor swelling and bruising may occur after all procedures, which heal within a few days. Mild to moderate pain may occur when pressure or light friction is applied to the penis area. It is therefore important to avoid exertion after the operation. Commercially available painkillers can relieve uncomfortable pressure and are available without a prescription.

Do health insurance companies pay for penis enlargement?

Penis enlargement is an aesthetic procedure that is not a medically necessary operation. For this reason, statutory health insurance does not cover the costs incurred. The costs of penis enlargement must therefore be paid by the patient themselves. This applies to both surgical penis enlargement and penis thickening.

What about alternative methods of penis enlargement?

Indigenous peoples have been using stretching systems for thousands of years to stretch and enlarge body parts. Many of the systems on offer for use at home work along these lines. Some use negative pressure in addition to traction. All of them have to be worn for many hours a day over many months. Some are said to be able to achieve small stretching results when used consistently. These methods have no effect on the circumference.

Can I thicken the glans with fillers?

When injecting with fillers, it's all about millimeters. But these are sometimes crucial. Thickening the glans is an uncomplicated way of filling in missing volume or adapting a glans that is too small to the diameter of the penis shaft. For anatomical reasons, however, only the lower edge can be injected, as otherwise there is a risk of constricting the urethra. The minimally invasive procedure reduces irritability at the nerve endings and thus also reduces the problem of premature ejaculation.

Does penis thickening leave scars?

No. In contrast to penis enlargement, penis thickening with hyaluronic acid leaves no scars at all. The intimate area also remains scar-free with the autologous fat method. Where the fat was suctioned out, the small incision usually heals quickly to form a fine, light line.

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HANSEATICUM - CENTER FOR PLASTIC AND AESTHETIC SURGERY

 

General office hours

Mon-Thu 8:00 a.m. - 6:00 p.m. - and by appointment
Fri           8:00 -13:00 - and by appointment

HANSEATICUM WEST - CENTER FOR ORTHOPEDICS AND TRAUMA SURGERY, HAND, PLASTIC AND AESTHETIC SURGERY

 

General office hours

Mon-Thu 8:00-12:00, 15:00-18:00 - and by appointment
Fri           8:00-12:00 - and by appointment