The circumference of the penis can be increased by 2 to 3.5 cm with hyaluronic acid or fat injections. This difference will be seen significantly at rest and more discreetly in erection.

The length can also be increased by 2 to 4 cm at rest, by cutting the anterior part of the suspensory ligament


Hyaluronic acid: filling with a cannula after local anesthesia
Lipofilling: fat removal (often internal knee or abdomen) under local anesthesia (no pain with an appropriate anesthesia), decantation and specific preparation of the fat (purified fat, rich in stem cells) and then reinjection by the same technique as hyaluronic acid.

Results :

Time to final results:
Hyaluronic acid: immediate
Lipofilling: 4-7 days, after a period of swelling, you will see 80% of the result. During the first 3 months, there is a natural resorption of fat of 10 to 30%, which reaches 80% in smokers.

Longevity results :
Hyaluronic acid: 3-12 months
Lipofilling: 5-10 years

Before surgery:
Stop smoking 1 month before lipofilling
Do not take Aspirin 10 days before surgery, inform Dr. Lucas of any anticoagulant medication (Sintrom, Coumadin, Eliquis, etc.) to arrange for its discontinuation or replacement.
Take Arnica capsules 5 times a day for 5 days before surgery to prevent hematoma.
Contraindications hyaluronic acid: autoimmune diseases.

Intervention :
Pain: the pain during the intervention will be almost non-existent, with an adapted anesthesia
Duration of the procedure: 30 minutes for hyaluronic acid, 60 minutes for lipofilling
Anesthesia: local
Location: office for hyaluronic acid, operating room for lipofilling
Ambulatory (without hospitalization)

After surgery:

Post-operative pain: 1/10 often responding to Dafalgan

Social eviction:

Hyaluronic acid: no (discrete swelling for 24-48h)
Lipofilling: swelling and hematoma for 4-7 days
Suture removal: no sutures
Return to work: immediate
Return to sports: 2-3 days

Instructions for penile augmentation:

Hyaluronic acid
Control by Dr Lucas 2 weeks, 3 months.
No sexual activity for 2 weeks.

Disinfection of the entry points with Merfen disinfection for 7 days.
Do not compress the fat injection area (risk of fat loss) for 3 weeks: therefore do not wear tight underwear and do not have sexual activity for 3 weeks.
Shower from day 1: for 10 days, do not rub too hard, dry with a clean cloth and dab.
Stop smoking for good to prevent fat resorption.
Lyman 50,000 IU cream twice a day on fat harvesting areas.
Preventive antibiotic therapy with Augmentin 1 g twice a day for 3 days.
Dr Lucas control 2 days, 1 week, 3 weeks, 3 months.

Complications of the penile augmentation:

  • Infection, hematoma, undercorrection.

Alternatives and operations that can be combined :

The length can also be increased by 2 to 4 cm at rest, by cutting the anterior part of the suspensory ligament