Contents
Penis enlargement
Why don't we use other penis enlargement techniques?
Why don't we use hyaluronic acid, silicone or artificial skin?
Concealed risks and major dangers
Since around 2014, other sometimes questionable doctors have discovered penis enlargement for themselves and advertise with irresponsible, scientifically unproven promises and clear false statements. We take a stand on the other penis enlargement techniques in the order we feel they are most dangerous for patients.
Scientific evaluation of other methods according to risk
In the following, we list methods offered as “alternatives” to the penis enlargement technique we use and evaluate them according to scientific knowledge and personal experience.
Hyaluronic acid
Hyaluronic acid is advertised as a harmless, risk-free, cost-effective alternative to complex penis enlargement surgery. In our opinion, this is irresponsible. Scientific findings support our opinion.
What key facts speak against hyaluronic acid for penis enlargement?
The key facts here are:
- No approval: There is (as of 5/2025) no hyaluronic acid product explicitly approved for penis enlargement. It is used by the respective doctor in so-called off-label use, i.e. the manufacturer assumes no liability, which can be of enormous consequence for the patient in the event of complications during penis enlargement.
- Deaths documented: There are even scientifically reported deaths following the use of hyaluronic acid for penile thickening(32, 33)
Risk-free and harmless looks different!
What are the known risks of hyaluronic acid?
Hyaluronic acid can, depending on the area of application and the quality of the application:
- Infections
- Biofilms caused by bacteria, especially when large quantities are used
- Necrosis (dying off) of the skin
- and in particular cause vascular occlusions
Hyaluronic acid and its risks have long been known(34, 35, 36, 37).
When applied to the face, blindness occurred repeatedly(38, 39).
What are the consequences of off-label use of hyaluronic acid on the penis?
It can be assumed that vascular occlusion in the penis as a side effect of hyaluronic acid treatment for penis enlargement leads to erectile dysfunction, possibly permanently.
This assumption was made in particular because vascular occlusions in the face caused by hyaluronic acid also affected veins as a late reaction(40). Veins in the penis are responsible for erection control.
Is hyaluronic acid really a cost-effective alternative for penis enlargement?
The statement that it is a cost-effective alternative to penis enlargement is also not true. It is in fact a dubious advertising promise.
Why the cost statement is wrong:
Hyaluronic acid is a degradable filler, which means that the respective treatment for penis enlargement must be repeated at intervals. This means that the costs are not only incurred once, but several times and quickly add up over time.
As the penis skin is thin and the amount of hyaluronic acid required for the treatment is relatively large, the penis skin wears out over time. This means that if the replenishments are not carried out, there is a risk that the penis skin will be too large and hang down wrinkled. This makes the penis look old and misshapen.
What is problematic about brand names for hyaluronic acid for penis enlargement?
We find it reprehensible for doctors to register brand names for the use of hyaluronic acid for penis enlargement if they use these brand names as long as hyaluronic acid on the penis has not been approved.
The brand name “AndroFill”, for example, does not describe a product approved for penis enlargement, as patients repeatedly think when they ask us about it, but merely the technique of holding the needle during injection. Due to the fact that patients repeatedly believe it to be an independent approved product for penis enlargement, we can only assume that this was exactly the intention.
Important to know: No medical procedure is without risk. It becomes problematic when risks are concealed to promote sales or the existence of products is feigned in the eyes of patients.
So why don't we use hyaluronic acid?
Our method for penis thickening with autologous fat as part of a penis enlargement is permanent. Fatty tissue is also the body’s own living tissue. Hyaluronic acid is a liquid that breaks down again.
Silicone sleeves
In the USA in particular, silicone plates for penis enlargement are offered under different product names, even by the same manufacturer. Similar to hyaluronic acid, these products are also often marketed as simple, low-risk and with equivalent results.
What important scientific findings are there on silicone sleeves?
Important scientific findings:
- Enlargement in the flaccid state: Silicone sleeves often only lead to penis enlargement in the flaccid state(41). In our experience, many patients are not even aware of this.
- Significant risks: The insertion of silicone sleeves can involve considerable risks and complications. These include biofilm formation due to bacteria, infections and foreign body reactions(42, 43). These risks can also lead to shortening and curvature of the penis(44). Foreign materials, especially in mechanically stressed areas such as the penis, can also slip out of place.
- Risk of erosion: Since the penis is a highly flexible organ and the silicone plate is not, the implant may puncture the skin (erosion) or disrupt underlying structures that are important for the function of the penis. A very comprehensive scientific study on the subject of silicone sleeves for penis enlargement concludes that the risk of erosion in particular was probably underestimated in earlier publications(45)
So why don't we use silicone sleeves for penis enlargement?
Our technique leads to penis enlargement in a flaccid AND erect state and does not involve the risks of foreign material.
While the autologous fat tissue transplantation we use is a minimally invasive procedure, the insertion of a silicone plate requires a more extensive procedure with the corresponding surgical risks.
Silicone balls
A silicone ball for penis enlargement is also an artificial foreign body and there is a risk of biofilm formation, infection, foreign body reaction and systemic reaction to the insertion of silicone(42, 43, 46).
What are the mechanical risks of silicone balls during sexual intercourse?
There is also considerable mechanical force at the point between the penis and the pelvic bone during sexual intercourse. In the worst case, the implant can slip.
Conclusion:
Our lengthening technique as part of a penis enlargement procedure uses the body’s own tissue. This eliminates the additional risks associated with artificial material.
Thanks to our experience and expertise, we do not need to use a silicone ball for penis enlargement.
Artificial skin strips or own skin strips
The study situation on this new penis enlargement procedure is extremely poor. Some studies report an implausibly low complication rate and only a small increase in the circumference of the penis when erect(47).
What contradictory study results are there on skin strips for penis enlargement?
Other studies report a high complication rate, as we would expect, because infections, unsightly appearance and penile curvature can occur after penis enlargement(48, 49, 50). It is also reported that patients who have undergone this new technique regret it(49).
So why don't we use skin strips for penis enlargement?
We consider the risk of infection to be too high. Your own skin strips for penis enlargement must also be taken from a place where scars occur – in addition to the risks on the penis itself.
Vein implants
Intervention in the organ:
These vein implants or vein interpositions for penis enlargement are a profound intervention in the penis itself. The cavernous body is altered in the depth of the organ. If successfully performed without the sometimes considerable risks, this results in penis enlargement exclusively in the form of an erection(51).
For us, the risk and expense of this experimental procedure for penis enlargement is disproportionate to the result.
Options for penis enlargement without surgery
We do not have to resort to science to answer this question, but can answer it on the basis of general logic and common knowledge:
If there was something simple and inexpensive for penis enlargement, we doctors would not be in the operating theater from morning to night performing penis enlargement surgery.
Hormone pills or hormone patches
If hormone pills or hormone patches caused penis enlargement, many professional bodybuilders and millions of older men who take these pills due to age-related hormonal weakness would have very large penises because they take these pills for years. The opposite is the case.
Penis stretching belts
With regard to penis stretching belts, it should be noted that the best-known one refers to an FDA approval that does not even exist and presents a study on the effectiveness of penis enlargement that firstly relates to a different product and secondly is controversial in the scientific community.
Whether it is credible that it would be risk-free to pull the penis to the side for hours every day for 6 months or longer is a question you can surely answer for yourself.
Kontakt aufnehmen
Give us a call or write to us.
You can reach us from Monday to Friday, from 9:30 to 19:00 or individually by appointment.
Your contact in Darmstadt is Mr. Felix Jung, Head of the Plastic Surgery Patient Secretariat, together with his team of exclusively male employees.
We will be happy to have one of our doctors call you back if you make an appointment.
We take the time to answer your questions about penis enlargement surgery.
