This article was reviewed by Kelly Brown MD, MBA.
The Penuma implant is an FDA-cleared implant designed to make the privates look and feel bigger. It’s been garnering attention as a potentially safe way for men to increase their privates size for a few specific reasons.
Unlike most “ privates-enhancement” surgical devices on the market, the Penuma implant doesn’t promise the world. And it appears to be backed by some fairly solid scientific principles — at least, at first glance.
While the outlook seems good, you should understand exactly how the Penuma implant is supposed to work and what side effects it might cause before going down this path. Beyond that, it should still only be a last option if you’re unhappy with your privates size — after other treatments have been explored.
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What Is the Penuma Implant?
Unlike some other products on the market, the Penuma implant isn’t designed to be a privates prosthesis (an inflatable device for treating ED). It’s not actually intended to treat ED or give your privates extra functionality.
Instead, the cosmetic implant can create extra girth, fix indentation deformities or increase the perceived size of the retractile privates (one that partly sits below the surface of the skin). The goal is to improve a man’s intimate experience and overall confidence in his intimate life.
The soft privates implant is made of medical-grade silicone (similar to butt and chin implants). It’s inserted subcutaneously, meaning it’s placed below the skin but above the tissue that allows the privates to function.
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How Does the Penuma Implant Work?
The Penuma implant essentially “wraps” around the tissue of your privates, creating extra girth that’s typically visible when flaccid or aroused. It’s contoured to suit your specific privates shape, then carefully inserted beneath the skin of your privates during surgery.
By creating a small incision for the implant, there’s little to no visible scarring left behind from surgery.
The Penuma implant has no impact on fertility or your ability to urinate. It’s also discreet — most guys who get the procedure report that it’s undetectable to their partners.
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Where Can You Get Penuma Surgery?
According to Penuma, the implant was designed by a team of “world-renowned” urologists and scientists. Tens of thousands of men have gotten it, but where they had the surgery isn’t totally clear.
Currently, Penuma is only available from American surgeons, and only a few surgeons offer this type of procedure — usually those specializing in urology.
Penuma lists physicians in Beverly Hills, Chicago, Washington D.C., Phoenix, the Bay Area, New York, Miami and Louisiana as specializing in this type of cosmetic surgery.
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Does Penuma Increase Aroused Privates Length?
The Penuma implant doesn’t actually make your aroused privates longer, meaning it’s not a true enlargement surgery that’s going to give you any extra inches.
Instead, the Penuma implant essentially “wraps around” the internal tissue of your privates, acting similarly to a privates sleeve but under the skin. Because of its design, it can also make your privates longer when it’s not aroused.
In most cosmetic procedures that increase the size of a body part, a surgeon dissects tissue and then places a silicone implant inside this space to create extra size.
However, this process doesn’t work for adding length to privates. Why not? Spongy privates tissue relies on a network of blood vessels to become engorged in the first place.
Since the Penuma implant only increases girth, it fits inside your privates without disrupting the complex tissue.
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Penuma Implant Before and After: Is It Worth It?
So, is an implant surgery like Penuma worth getting if you don’t feel totally satisfied with your privates size? Ehhh… It depends.
Penuma implant reviews shared by the manufacturer of Penuma suggest that men who have the surgery typically see an increase in length and girth of one to two inches, both when flaccid and aroused. Many also report that the implant increases the length of their flaccid privates.
Unfortunately, there are many things a Penuma implant won’t help with. Penuma isn’t effective in the treatment of PE, nervous system injuries or low testosterone levels.
As for its performance-enhancing capabilities, the only way this type of procedure could impact your performance is if you currently have a psychologically induced form of ED. For instance, performance anxiety brought on by feelings of inadequacy.
A larger privates might help with those insecurities. Still, it’s by no means a medically recommended solution for confidence issues unless they’ve been explored in therapy. And it’s definitely not the type of procedure you should consider undergoing lightly.
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Penuma Implants: The Facts
As mentioned, Penuma implant surgery is a new and emerging procedure. While there are lots of positive messages about it on the internet, research on its efficacy is still very much in the developmental stages.
However, the info we do have is pretty promising.
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Penuma Implant Research and Trials
In an interesting single-surgeon study published in the Journal of Medicine, researchers found mostly positive results. From 2009 to 2014, more than 500 patients underwent surgery with the Penuma soft silicone implant. Of these patients, more than 400 agreed to take part in a study to assess their results and levels of satisfaction.
The researchers found that the study participants displayed an average increase in midshaft circumference (the measurement around the middle of the privates) of 56.7 percent.
What’s more, 72 percent of the men who underwent the surgery had improvements in self-esteem two to six years after the procedure, with 81 percent claiming “high” or “very high” levels of satisfaction.
That said, the study has some limitations — the biggest is that the surgeon who performed the procedures was the inventor of the device. This doesn’t necessarily mean the results aren’t accurate, but it could affect some patients’ assessments of the Penuma implant’s effectiveness.
It’s also worth noting that not all of the patients who underwent the surgery took part in the study afterward. This isn’t abnormal for a scientific study (it’s common for people to drop out of research or choose not to participate). However, it may mean the true patient satisfaction rate from this procedure can’t be accurately measured based on this study’s findings alone.
Long-term follow-up research also suggests that many men view getting the Penuma procedure as a positive decision.
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How Much Does a Penuma Implant Cost?
According to the Penuma website, the cost of surgery with a Penuma implant can vary based on your location and choice of healthcare provider. However, it’s normal for the procedure to cost $16,000 to $18,000.
The manufacturer’s website notes that the precise cost of surgery can vary, as the implant is customized to match each patient’s anatomy and meet their needs.
And since it’s considered an elective surgery, it likely won’t be covered by your insurance. Surgery performed solely for cosmetic reasons is rarely cheap, and the Penuma implant appears to be no exception.
Some financial lending companies may offer payment plans for penile enhancement surgery. But this is something you’ll need to discuss with your provider if you’re considering this type of procedure.
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Who Can Get a Penuma Implant?
To get a Penuma implant, you have to be 21 or older.
You’ll also need to meet certain safety criteria:
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If you aren’t circumcised, you’ll need to get an adult circumcision prior to having the Penuma implant inserted into your privates.
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If you’ve previously had a privates-enhancement procedure (for example, fat transfer, filler injections or silicone gel), you might not be able to have the Penuma implant inserted.
Your surgeon will discuss this with you before approving you as a candidate for the procedure.
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Penuma Implant Procedure: What to Expect
In order to insert the Penuma implant, your surgeon will create a small surgical incision close to your scrotum. The implant will be inserted and the incision will be closed, leaving a tiny, hidden scar.
The entire procedure is performed under general anesthesia, meaning you’ll be asleep and won’t be able to feel anything.
The Penuma website says most men are able to walk after the surgery. You can usually go home the same day as the procedure, but you’ll have several follow-up sessions with your surgeon to assess your recovery and Penuma results.
It’s normal for your privates to swell following the procedure. Also, you’ll need to abstain from intimacy and solo-time for several — typically six — weeks until your healthcare provider clears you for it.
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Risks and Complications of the Penuma Implant Surgery
All surgical procedures come with some potential risks, and the Penuma implant surgery is no exception. However, complications are generally uncommon, and the risks of most complications can be mitigated with the right pre-op and post-op care.
Potential risks and complications associated with the Penuma implant include:
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Seroma (buildup of fluid inside the body)
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Scar tissue development
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Infection
Many of these, such as scar formation and infection, are common possible risks associated with most surgical procedures — not just this surgery.
Research suggests that complications from the Penuma implant are mostly uncommon. Fewer than five percent of participants in studies reported seroma (the most common problem), with a smaller percentage reporting other complications.
In total, less than three percent of men who underwent surgery for the Penuma implant had to have the device removed due to complications or other adverse events.
No participants in studies of the Penuma implant reported any problems with intimate functions.
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Alternative Options for Increasing Privates Size
If you’re looking for a cosmetic procedure, the Penuma implant might be just the thing. Right now, it’s the only reliable option for privates augmentation without a high risk of complications or changes in privates function.
Other options include:
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Privates suspensory ligament surgery. This procedure involves surgically cutting the ligament above the privates. It can make your privates appear larger but also makes it hang at an unusual, downward-facing angle when aroused. And it does nothing to extend your privates skin, meaning it could make it look like there is pubic hair growing on your privates shaft.
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Fat grafting to the privates. This procedure involves removing fat from the abdomen or other locations with liposuction, then transferring the fat to the privates to increase its girth and perceived size. Fat grafting can make your privates appear larger, but like the Penuma implant, it has no effect on arousal or privates function. This type of surgery might result in lumps of fat on your privates, giving it an unusual appearance that isn’t natural-looking.
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Over-the-counter privates growth pills. These supplements, usually marketed as “male-enhancement” pills, claim to increase privates size and boost your self-confidence in bed. There’s no scientific evidence that they work, and several have been identified as containing hidden, potentially harmful ingredients. As such, they’re best avoided.
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Jelqing. This pseudo-scientific DIY technique involves stretching your privates at home using your thumb and index finger. The jelqing process is uncomfortable, and most research suggests results aren’t great.
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Dealing With Privates Dysmorphic Disorder (PDD)
It’s common to want an extra inch or two. But if your privates length is in the normal range and you feel like you need privates enlargement surgery, it could be a sign you have PDD.
PDD is similar to body dysmorphic disorder, only specifically focused on privates length, girth or shape. It’s a real issue for some men that can cause a variety of mental health problems, including an increased risk of certain anxiety disorders.
Experts don’t know exactly what causes PDD. But the adult movies industry — which tends to feature men and women with larger-than-average appendages — may play at least a small role in distorting people’s idea of what is or isn’t normal.
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Average Privates Size
One study published in the journal BJU International found that the average aroused privates is 5.2 inches long. Privates can be an inch smaller or larger than this and still fit comfortably within the “normal” range.
Basically, you’re fine just the way you are. And according to the research, you’re probably way more concerned about your privates size than your partner.
In a survey published in the journal Psychology of Men & Masculinity, 85 percent of women said they were satisfied with their partner’s privates size. Conversely, only 55 percent of men stated that they were satisfied with their own size.
If you feel like your privates aren’t big enough and think you could have PDD, it’s best to talk to a mental health provider about your concerns.
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The Bottom Line on the Penuma Implant
Currently, the Penuma is the only silicone sleeve implant for improving privates appearance that’s been cleared by the FDA (U.S. Food and Drug Administration).
If you’re considering aesthetic surgery for your privates, there are a few things to keep in mind:
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The Penuma primarily increases girth, not length. Because of the way your privates function, this type of implant can’t provide additional length. However, it’ll give your privates extra girth, making it look and feel larger.
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This type of surgery isn’t cheap. You can expect to pay $16,000 to $18,000 for the procedure, depending on your location and surgeon. You’ll also need to be circumcised (if you aren’t already), which can cost several thousand dollars.
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You probably don’t need it. Thanks to the widespread availability of adult movies, it’s easy to feel worried about your privates. But the average size isn’t really that big. You likely have more than enough to satisfy your partner with the right approach to intimacy. And if you’re experiencing (shrinkage), it’s probably temporary.
A lot of the time, dealing with ED issues can go a longer way toward improving intimacy than a bigger member.
Before opting for surgery, make sure you’ve tried other methods to improve your intimate function and enjoy better, more satisfying intimacy.
Related: Do Enlargement Pills Work?
Related: Are ED Injections Safe & Effective?
This article originally appeared on Hims.com and was syndicated by MediaFeed.org
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