Combined Penis Lengthening + Penis Thickening | Dr. Jethon

Combined penis lengthening plus penile thickening at PraxisClinic Jadore (Dr. Christoph Jethon) is designed to optimize both the visible length and the circumference of the penis in a single operative session, creating a more harmonized overall proportion with only one recovery phase. The lengthening component is performed as ligamentolysis: through an approximately 3-4 cm incision in the pubic hair area, the position of the internal support ligaments is modified so that a larger portion of the internal penis becomes externally visible. The procedure is typically performed on an outpatient basis and mostly under twilight sedation, with operative time for the lengthening portion commonly 60-90 minutes. The thickening component uses autologous fat grafting rather than foreign material. Fat is harvested via gentle liposuction, commonly from the inner thighs, then carefully processed and precisely injected to achieve a uniform increase in shaft circumference. The expected average girth increase is about 2–3 cm, with the goal of achieving a natural look and feel. Combining both steps in one session is presented as advantageous because it addresses length and girth together, avoids two separate operations, and consolidates the healing period into a single postoperative course. Aftercare focuses on stabilizing the fat graft and protecting the ligament release during early healing. Following fat grafting, a special graduated compression dressing is applied and typically worn for about seven days to support even integration of the transplanted fat. Mild swelling can be expected in the early phase. Everyday activities are generally possible again after a short period, while sports and sexual activity are typically postponed until around five weeks after the lengthening procedure; individual recommendations may vary depending on healing and the combined scope of treatment. Results are anatomy-dependent and should be framed realistically. The lengthening effect is described as visible in both flaccid and erect states, with an average visible length increase in the range of 3-6 cm, depending on individual ligament structure and baseline anatomy, while girth outcomes depend on fat integration and the body’s variable resorption of transplanted fat.