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- [00:01]
A
Most people that come to us asking for girth enhancement, they themselves actually don't have what we consider like a small penis. You know, the standard, you know, the penis size is, you know, and of course, it differs from race and ethnicities and. But it's really, you know, anywhere between four and a half inches. Now you look at flaccid versus, you know, stretched penile length, which is what we use to kind of put the ruler and we stretch that. We put the penis in the stretch.
- [00:29]
B
You really put it on a ruler?
- [00:31]
A
We do, absolutely. We put on a ruler. Yeah, we do a stretch, you know, flaccid. Okay, right. Because you can get a lot of penile shrinkage with just, you know, being in the cold and whatnot. And there's a lot of spongy tissue. And so we. So we should. We put it on stretch, and then we. We go ahead and we get our ruler out and then we obviously we talk about girth as well. So most people want both increase girth. They want to be girthier, if that's a word.
- [00:58]
B
I am so shocked at that.
- [01:00]
A
Who would have thought, you know, they want more girth and they want more length. But I' tell you, a lot of what we do really improves the flaccid length. So what's called, like, the quote unquote, like, locker room penis. And I know that that term has been thrown around loosely, but what locker room penis is, is you in the flaccid state, a male in the flaccid state, where it's not kind of shrinking in. It's not quote unquote, that buried, concealed penis that we actually do surgery for. But we want it to be lengthier. We want it to hang longer. And so in order to do have ways of making the penis a little bit longer, one way is by doing. I'm going to talk least invasive to surgery, right? The least invasive is by doing Botox. And you guys may be thinking like, people do Botox in the penis.
- [01:50]
B
Oh, listen, we've got it for trigeminal neuralgia. We've got it for. We can put Botox really. Anyway, we can.
- [01:56]
A
We can. We put it for hair. We put face, right? So. So Botox in the penis will relax the dartos muscle and allow the penis to hang longer. So that walking around in the locker room where it hangs longer is what a lot of men like, right? Second thing we can do is penile fillers for girth. So fillers is hyaluronic acid. I don't like to use like silicone or any of those permanent injectables, because, you know, you can't really take them out if there's any issues or they create granulomas or there's any, you know, lumpy bumpiness. And it's cosmetically unpleasing. So we like to do, you know, smooth hyaluronic acid fillers to increase the growth of the penis. And you put that on Darto. So you put it outside, you don't put it inside because there's blood flow inside, and you cannot block the blood flow because then you won't get blood flow to the penis and you can't get erections. Right. So this is all just for cosmetic enhancement. And then there are things that we can do, such as cutting the suspensory ligament of the penis and then putting weights on the penis as it's healing so that it hangs longer.
- [03:03]
B
Wow.
- [03:03]
A
Yeah. Because there's a suspensory ligament that actually attaches the penis to the pubic bone. And part of that is inside. Right. Kind of internal. So if you're. If we're releasing and we're cutting and severing that ligament and you're putting weights on there, it's gonna cause that penis to be lengthier. Right. But that hasn't really been shown to work very well because things scar down, they become even shorter. And so we don't actually typically do those procedures anymore, but now we have a penuma implant. It's like, imagine women getting breast implants, putting silicone breast implants or saline breast implants. This is a silicone impl implant that goes on the penis underneath the skin.
- [03:45]
B
Oh, wow. Yeah.
- [03:46]
A
Okay, That's a good thing.
- [03:47]
B
That's amazing.
- [03:48]
A
In the last five years, and I think there's only eight urologists that do that in the whole country. And one of my partners does that, and he's very busy with this procedure.
- [03:58]
B
He must be.
- [03:59]
A
You know, I'm really happy that you're.
- [04:00]
B
A shining light on this, because females get a lot of attention when it comes to cosmetic surgery. And you mentioned. I wouldn't call it cosmetic, but when you mentioned earlier how you look, you know, when it comes to, you know, beauty and esthetics, it's about how you feel. Do men. I can't imagine as many men coming to you for, you know, Botox and fillers and, you know, face things, but do they come to you and equate how they feel and how they look at themselves in the mirror with the size of their penis?
- [04:29]
A
I would say they're kind of two different populations, at least in my practice. The men that are coming for penile augmentation, I'll say non surgical versus surgical are like a different subset of people. Yes. I think men are caring more and more about their, you know, their physical appearance, but also their face and their wrinkles. Mainly, though, for aesthetics purposes, cosmetic purposes for men, for face, they care a lot about their hair. Okay. Yes. And their teeth.
- [04:59]
B
Yes.
- [04:59]
A
And some wrinkles. Right. But everything else they kind of like, you know, they, they kind of deal with because, you know, they have good testosterone and good skin most of the time. Right.