Big Al has been a pioneer in penis enlargement for going on two decades. The 44-year-old Miami native tells me he was a “thin, shy and bookish child” until age 14, when he began lifting weights and caught the self-improvement bug. After a five-year stint in the Army, he became a self-taught expert on nutrition, kinesiology and biomechanics. While researching a book on steroid-free natural bodybuilding, Big Al noticed the muscle mags were all filled with ads for penis enlargement pumps, pills and surgical procedures, so he developed a natural penis enlargement program as a free bonus for his bodybuilding course. “Surprisingly, nine out of ten weightlifters I spoke with were only interested in male enhancement,” he says.
According to the website of one such product, the safe application of traction encourages tissue cells to divide and multiply, a process called cytokinesis. Over time and with great effort this will lead to tissue growth. The FDA considers these low-risk devices (Class 1) and so provides only general controls intended to be followed by manufacturers.
Platelet-rich plasma (PRP) has been used clinically in humans since the 1970s, and the healing properties of PRP have been attributed to the secretory proteins and autologous growth factors that may enhance the healing process at a cellular level. It’s also been found to enhance the differentiation, recruitment, and proliferation of cells that are involved in tissue regeneration . Through the years, researchers have found many different uses for PRP, studying it in the skin healing process  and as a symptom- and disease-modifying treatment for osteoarthritis .
Not all operations leave happy customers – infections and scarring are both potential side-effects (“This is the same as an operation of any kind,” Viel says). Some men report a decline in angle after the suspensory ligament is cut, but according to David Ralph, a professor of urology at UCL, “By and large, patients don’t complain about that. The operation doesn’t change the erect length at all – this is only for men who have anxiety about how they look in the changing rooms. The average increase in size is 1.3cm, less than the diameter of a 1p coin. In my clinics, I show patients one of these and ask if they still think it is worth it. Less than 5% decide to, and of those who do, the satisfaction rate is just 20%.”