At his Harley Street clinic, Dr Roberto Viel is explaining how a typical enlargement works. First, surgeons sever the organ’s suspensory ligament, causing it to hang an inch or two lower, giving the impression of extra length. They then extract fat from the patient’s stomach and inject it into the penis shaft, increasing girth by around two inches. Erect, it’s worth noting, it remains roughly the same size, suggesting the motives for many men are not necessarily to enhance either their – or a partner’s – sexual experience.
These products usually contain vitamins, minerals, herbs or hormones that claim to enlarge the penis. Despite their impressive claims, there's absolutely no clinical evidence that these products work and some may even be harmful. The University of Maryland in the US carried out an analysis on some of these and found traces of lead, pesticides, E. coli bacteria and animal faeces.
• Exercise counts. Exercise improves arterial health, allowing more blood into the penis. But exercising the penis itself is pointless. The sex media sometimes refer to the penis as the “love muscle,” implying that like the biceps, certain exercises can buff it up. But there are different kinds of muscle tissue. The penis contains smooth muscle, not the kind that gets bigger with exercise. Lose the big belly, because a big belly encroaches on the base of the penis, making the organ look smaller. Lose abdominal fat, and your penis looks larger.
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Richard, a mechanic from upstate New York, is a muscular, athletic guy. He has a loving wife who has always enjoyed their sex life. But ever since he was a young boy, Richard couldn't get over the feeling that his penis was too small. In public bathrooms, he'd use the handicapped stall. He felt embarrassed in gym locker rooms and when standing naked before his wife. "I didn't feel manly enough," he tells WebMD.