Apart from the risks, penoplasty (surgical penile lengthening and girth enhancement) is the most expensive way for penile enhancement. According to About Health it ranges from $4000 up to $17000. If you are interested in surgical enhancement, we recommend reading the in-depth article on Medscape about possible surgical techniques and results. There is a less risky new method, the FDA-cleared Penuma implant developed by Dr. Elist (James Elist, MD) for flacid size enlargement, but the erect size lengthening is minimal and the cost is in the low five digits, too.
As previously noted, gaining weight can result in the penis appearing shorter because the base becomes buried in fat. Liposuction may be used to reduce the pubic fat pad to make the penis appear larger . Studies show that suprapubic liposuction is very safe and successful with minor or no complications when it is performed meticulously, and long with improving associated esthetic concerns, it may help improve self-esteem as well .