Penoplasty is a cosmetic surgery and includes lengthening the penis and if required increasing its girth. This procedure is done for men whose penis is smaller than average, causing them physical and psychological concerns.

Two types of penoplasty exist:

 Penile girth enhancement is designed to increase the shaft circumference, both flaccid and erect. This is done using a lipofilling technique. The surgeon performs fat injection using the patient’s own body fat to increase the girth of the penis.

 Penile lengthening penoplasty is only effective on the length of the flaccid penis. This surgery is aimed more at athletes because it does not improve a man’s sex life. The penis is lengthened by cutting the suspensory ligament that connects the corpus cavernosum to the pubic bone at the root of the penis, thereby exposing more of the penis. The length of the flaccid penis increases by 3 to 6 cm.

Penis size has been a source of anxiety for men throughout history. Penoplasty surgery addresses issues concerning penis dimensions and shapes for men looking to achieve substantial lengthening and increase in the volume of their penis.

Penile augmentation will, for some, remain a controversial issue. The perception a man has of the adequacy of the size of his penis is, of course, subjective, and does not necessarily coincide with the true dimensions of the organ.

Complex social and psychological interactions can affect the degree to which a person accepts his own body image. Thus, men with hypoplasia of the penis may declare themselves satisfied with its size, while others who are considered ‘normal’ may request augmentation surgery. In this latter case, the phobia may predominantly be an aesthetic issue and, where this applies, penile surgery belongs to the field of cosmetic surgery.