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Penile size differs between men of different ethnic backgrounds and large studies of penis girth and length have been conducted by condom manufacturers. What many men perceive as a short penis actually falls into normal range size. Based on many published charts, scientific articles, and self reported web based surveys, 95 % of Caucasian men will fall into one of the following categories of size:
This evaluation is something all clinics I speak to insist on. It involves a patient meeting with a surgeon or psychologist to have their general mental wellbeing assessed. If there is any hint of underlying concerns, problems or mental health issues, the operation does not go ahead. But, given that such a refusal would mean clinics losing £5,000 a pop, one does wonder how rigorous these assessments are. Is the entire industry just profiting off insecurity bordering on dysmorphia?
Dr Schulman also notes that it's a millennial phenomenon, with men aged between 20-35 requesting it the most. "The Kardashians have fuelled the increase in the procedure. Plus, Instagram has made us very conscious of how our body looks and there are plenty of photos of ideal butts." A reality show changed the beauty aesthetic of the United States and started a body modification trend that has trickled down to men. At a recent Hollywood party, the prevailing look for women was thin with a big derriere, stuffed into a tight dress.
At his Harley Street clinic, Dr Roberto Viel is explaining how a typical enlargement works. First, surgeons sever the organ’s suspensory ligament, causing it to hang an inch or two lower, giving the impression of extra length. They then extract fat from the patient’s stomach and inject it into the penis shaft, increasing girth by around two inches. Erect, it’s worth noting, it remains roughly the same size, suggesting the motives for many men are not necessarily to enhance either their – or a partner’s – sexual experience.
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“The majority of men who come in seeking penile enlargement are average,” says Lipshultz. “I just don’t think men have a realistic idea of what normal is. Hence they think that they are below normal when actually they’re average.” (For the record, the average erect penis measures 5.6 inches, according to research published in the Journal of Sexual Medicine.) 

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