This operation can add modest flaccid length in carefully selected men. It does not lengthen the erect penis in any meaningful way, and any surgeon who tells you otherwise is not being straight with you.
Part of the penis sits inside the body, anchored by the suspensory ligament. Releasing that ligament allows a portion of the hidden shaft to sit further forward, which increases visible flaccid length. In carefully selected men the visible gain is usually one to two centimetres, sometimes less.
What it does not do is lengthen the erect penis. The internal structures that fill during an erection are not made longer by this operation. Some men also find the erection points forward or slightly downward afterwards rather than upward, because the ligament that held the angle has been released. That trade off must be understood before, not after.
Dr. Ashutosh Shah measures stretched flaccid length at consultation, because that measurement predicts erect length reasonably well and often reassures men that their anatomy is entirely within the normal range. A meaningful number of men who come asking for this operation are advised, honestly, that they do not need it.
There is a small group of men for whom this surgery makes a real difference, and a much larger group for whom it does not. These are the situations worth assessing.
Before considering surgery it is worth knowing why the length appears reduced, because several of these causes are correctable without any operation on the penis itself.
A frank conversation about what is troubling you, followed by proper measurement. Expectations and motivation are explored honestly, because they predict satisfaction more reliably than any surgical detail.
Examination of the fat pad, skin quality, erectile function and any scarring. If your anatomy is normal, or if another approach would serve you better, you will be told plainly at this stage.
If surgery is appropriate, the plan, the realistic gain, the change in erection angle and the traction commitment are all set out in writing. A single all inclusive quote is given.
Performed under spinal or general anaesthesia, taking sixty to ninety minutes. Ligament release with or without fat pad reduction, then a supportive dressing. Discharge is usually the same day or the next morning.
Reviews at one week and three weeks to check the wound and swelling. Desk work resumes after about a week. Traction or vacuum therapy is prescribed and taught at around four to six weeks.
Daily traction continues for three to six months with periodic checks on technique and progress. Final length is measured and recorded at six months, once swelling has resolved and the scar has matured.
Expect swelling and bruising at the base for two to three weeks, and a pulling sensation when you stand upright in the first fortnight. Desk based work is usually possible after a week, and physical work after three to four weeks.
The part most men underestimate is what comes after. Scar tissue at the release site contracts as it heals, and without steady traction or a vacuum device used daily for three to six months, much of the gain is lost. If you are not prepared to commit to that routine, this is not the right operation for you, and we would rather say so at the consultation.
Sexual activity restarts at six weeks. Final length is judged at six months, once swelling has fully resolved and the scar has matured.
Cost depends on whether ligament release alone is performed, whether fat pad reduction or liposuction is combined with it, the anaesthesia required, and the length of theatre time. Combined procedures cost more than a single one but far less than two separate operations. A traction or vacuum device is needed afterwards and is quoted separately. You receive one all inclusive surgical figure after examination, and if we do not think surgery is right for you, we will tell you at the consultation rather than after a deposit.
Surgery is at the far end of a list. Several men gain more visible length from weight loss and a fat pad procedure than from any ligament release.
Stretched flaccid length is measured properly and compared against published normal ranges. A large share of men who attend are found to be entirely normal, and are told so clearly rather than being sold an operation they do not need.
Ask about thisA prominent pubic fat pad hides a considerable portion of the shaft. Reducing it reveals length that was always present, at no surgical risk. For overweight men this is genuinely the most effective single step available.
Ask about thisDevices used daily over several months can produce small but real gains without any operation. They demand consistency and patience, and results are modest, but there is no anaesthetic, no scar and no recovery period.
Ask about thisSurgical reduction of the fat pad above the base, sometimes with fixation of the tissue to the underlying layer. For men with a heavy pad this often gives more visible gain than ligament release, and is frequently combined with it.
Ask about thisThe ligament anchoring the shaft to the pubic bone is divided, allowing part of the internal shaft to sit further forward. Visible flaccid gain of one to two centimetres is typical. Erect length is largely unchanged and the erection angle may lower.
Ask about thisWhere length has been lost through injury, scarring, Peyronie's disease or radical prostate surgery, the aim is restoring what was lost rather than adding beyond it. Planning here is individual and results depend heavily on the original cause.
Ask about thisHonest answers about this procedure in Surat.
Ask a QuestionIn carefully selected men, one to two centimetres of visible flaccid length, and sometimes less. Erect length changes very little because the internal structures that fill during erection are not lengthened. Anyone promising a large or guaranteed gain is overselling the operation. Honest counselling before surgery avoids a great deal of disappointment afterwards.
Not in any meaningful way. Releasing the suspensory ligament allows more of the shaft to sit outside the body when flaccid, but it does not lengthen the erectile chambers themselves. Men whose main concern is erect length are usually better served by understanding normal measurements than by having this operation.
Men with normal measurements who are dissatisfied for psychological reasons, men with body dysmorphic concerns, anyone unwilling to commit to months of traction therapy, men with untreated erectile dysfunction, uncontrolled diabetes, active infection or significant obesity that has not yet been addressed. In several of these situations another approach helps far more.
Scar tissue at the release site contracts as it heals, and that contraction pulls the shaft back towards where it started. Daily traction or vacuum therapy for three to six months counteracts it and preserves the gain. Skipping this step is the single commonest reason men end up disappointed with the result.
It can. The suspensory ligament holds the erect penis at an upward angle, so releasing it often results in an erection that points forward or slightly downward. Most men adapt without difficulty, but some find it affects certain positions. This is discussed in detail before surgery, because it cannot be undone easily.
For many men, yes, and it is not a fobbing off. A prominent pubic fat pad conceals a significant portion of the shaft, and reducing it reveals length that was always there. Roughly one centimetre of visible length is often recovered for every several kilograms lost, with no surgical risk at all.
Bleeding, infection, scarring at the base, temporary numbness, a change in erection angle, an unstable or wobbly feeling at the base during erection, and a result that falls short of expectations. Revision surgery is possible but is more difficult than the original operation. These risks are gone through fully before you decide.
Pills and creams sold for enlargement do not work, and some are unsafe. Vacuum devices and traction extenders can produce small gains over many months of consistent daily use, and they carry no surgical risk, so they are a reasonable first step. Their results are modest and require genuine persistence.
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