Penis size, non-surgical penoplasty

Penis size is often a vexatious issue for men. Old adages such as “size doesn't matter” are not enough to renew confidence among men who think that their penis is too small. Penoplasty is a simple, accessible and non-surgical solution. It involves hyaluronic acid injection to the head and/or shaft of the penis. This only takes a few minutes and gives immediate results.

Moreover, hyaluronic acid injections can be used to treat premature ejaculation. This inability to keep control over ejaculation affects one man in five, and creates many problems for the patient and their partner. Injection to the penis head can effectively treat the majority of such cases and can result in the blossoming sexual activity of the patient.

Medical Penoplasty

Medical penoplasty : treatment in AESTHETIC MEDECINE REFERENCE MD

Medical penoplasty (the enlargement and lengthening of the penis) and the augmentation of the glans (head) is possible nowadays without surgery, using filler injections (hyaluronic acid).

Demand is increasing for acts of genital aesthetics, helping men to gain in sexual confidence, and increased pleasure for women.

The aim of injecting the glans is also medical: it can treat premature ejaculation.

Penis types and shapes

– Pencil shaped penis: The head is narrower than the penis, and the shaft has a uniform thicknes
– Curved penis: The penis curves to the right or to the left
– Mushroom shaped penis: The head is voluminous, and is wider than the shaft
– Cone shaped penis: The head is quite narrow. The penis shaft becomes gradually thicker towards the base.
– Banana shaped penis: The head and the base of the penis are equally thick, but the middle part of the penis shaft is thicker

What happens during the session at the REFERENCE MD?

On the night before the appointment, the patient should shave himself at home, and perform a betadine scrub before coming to the clinic.

An anaesthetic cream is applied 30 minutes before the start of the session. Hyaluronic acid injections are performed at the doctor's surgery, under strict antiseptic conditions.

There are no incisions or stitches. A preliminary hole is made by needle (overall there is only one jab), and then a needle is put into the correct plane for the injection, that is the plane between the skin and the cavernous tissues for penoplasty.

Preventative antibiotics are systematically prescribed after the session.
A check-up is performed after three weeks.

Products used

Hyaluronic acid is utilised. This product is naturally present in the skin, and is the same product used for facial injections. There are different types of hyaluronic acid according to the particle size and its hardness. The choice of product is personalised and depends on each individual's anatomy and the hoped for results.

For penoplasty, the number of syringes injected varies according to the result demanded and the initial anatomical situation. In order to achieve a satisfactory result, at least 8 syringes are injected.

Side effects and contraindications of penoplasty

The same side-effects as for all injections: pain, stinging sensation, oedema, and very rarely haematomas. These side effects are temporary and only last a few days.
Return to work the same day.
No recovery time.
Resumption of sexual activity 24 hours after the injection.
Possible contraindications are those linked to hyaluronic acid injections (see the relevant section)


The result is immediately visible, and even more evident 72 hours after the injection, and it will stabilise within 10 days.
After penoplasty, when at rest the penis is larger and longer; when erect the same gain can be seen for the girth, but not for length.

Penile enlargement & Premature ejaculation
Aesthetic medicine, and penile enlargement. Using hyaluronic acid to volumise the glans (penis head)

The head is the sesnitive end of the penis, separated from the sharft by the balano-preputial (prepuce) groove. The circumference at the base of the glans or head stands out to a variable degree. This is the crown of the glans or head, with a relief of 0.3 cm at rest and 0.5-0.7 cm during an erection. The surface of the glans is smooth, although a proportion of men have little bumps or papules, the ‘pearl crown' of the glans. The skin which covers the glans or head is called the prepuce or foreskin.

Types and shapes of the glans or head, and its classification

Glans classification recognises the relationship between the glans and the foreskin.
The proportions of the glans or head itself, and in relation to the size of the penis, vary between individuals

Type I, no foreskin retraction.
Type II, urinary meatus visible.
Type III, half the head or glans is visible.
Type IV, glans or head exposed until just above the crown, where the foreskin starts.
Type V, total exposure of the glans or head.

Increasing the glans volume using hyaluronic acid injections

It is possible to increase the volume of the glans or head, and to modify its shape using hyaluronic acid injections, rather than having recourse to surgery.

Thanks to aesthetic medicine, we can:

– Increase the volume of the crown of the glans or head
– Increase the girth of the glans or head (the increase depends on the patient's wishes)
– Increase the length of the glans or head
– Change the shape of the glans or head

What happens during the glans augmentation session in REFERENCE MD Aesthetics?

The injection takes about ten minutes, and will take place at the doctor's office

Thirty minutes beforehand, the patient applies an anaesthetising cream, or this can be applied in the office (it takes 5 minutes to act).

A small local anaesthetic is administered by needle to the base of the head.

Hyaluronic acid products used to increase glans volume.A supple, flexibly hyaluronic acid must be used: as such, I use Restylane.

Complications following hyaluronic acid injections to increase glans volume

Side effects and complications are minimal. Slight swelling might last for a few days, but there is no scarring.

How long should you wait after the hyaluronic acid injections before having intercourse ?

3-5 days of abstinence are recommended after the injection.

When are hyaluronic acid injections not suitable for augmenting the volume of the glans?

The counter-indications are the same as for any hyaluronic acid injection (see the relevant section). It si not suitable for sufferers of Peyronie's disease.

When are hyaluronic acid injections ideal for increasing glans volume?

Hyaluronic acid injections to increase the volume of the glans are used when the glans' dimensions make the man ill at ease.


The result is immediate and natural.

How many centimetres can one increase the circumference of the glans or head using hyaluronic acid injections?

Two syringes of acid lead to an average increase of 1cm. It is important to harmonise the glans in relation to the overall penis.

Cost for glans or head augmentation using hyaluronic acid injections 

The number of syringes needed depends on the result sought. I suggest using two syringes to start with, as this quantity is enough for about 60% of men.


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