These simply do not work and are scams. There is no magic pill or cream that can increase penis size. There are medications that can help you get or maintain an erection (Viagra, for example).
Testosterone can theoretically increase penis size, but only in VERY limited circumstances – mainly in men who do not naturally produce enough testosterone, such as in children/adolescents, transgender men, or eunuchs.
Fully grown men who have normal testosterone levels will not see penis growth from taking testosterone and will instead end up with smaller testicle size as a side effect.
The studies are conflicting with some showing no effect and other showing modest gains in length that may only be temporary.
However, please be aware that in order for these techniques to possibly be successful, they do require SIGNIFICANT work. This means performing exercises for many hours per day or even keeping the penis on stretch constantly.
There is also a risk of over stretching or damaging the function of the penis. This technique DOES NOT increase girth, instead, if anything, it is likely to decrease girth.
This is starting to become heavily advertised and the reason for this is because filler injections are NOT surgery, which means that non-surgeons (and even non-doctors!) can perform this. Filler injections do work to primarily increase girth and minimally increase length.
Hyaluronic acid, which is a soft and temporary filler (often used to augment lips), and calcium hydroxyapatite, which is a hard and permanent filler (often used as bone cement) are the two primary fillers used.
I have also heard reports of free silicone being used for this purpose. In general, I DO NOT recommend fillers for penile augmentation because the filler does not tend to stay in place so you can end up with a lumpy, misshapen penis.
Free silicone injections anywhere for cosmetic purposes is in general a terrible idea. Calcium hydroxyapatite is essentially bone cement which is also a terrible idea to inject into the penis unless you want a penis that is permanently as hard as rock.
Of the fillers, hyaluronic acid is the least bad because it is soft and TEMPORARY, which means any bad result is only temporary.
However, please be aware that hyaluronic acid is very expensive in the quantities used to augment a penis (~$10K) and since it only lasts about 6-12 months this will be an ongoing expense.
Plastic surgeons use silicone breast implants regularly to increase the size of breasts so silicone penile implant makes sense, but like silicone breast implants, silicone penile implants have pros and cons.
The pros are that it generally stays in place, has a reasonable appearance, and does increase the girth of the penis (but generally does not change the length). The cons are that silicone feels somewhat firmer than a natural penis and silicone is a synthetic substance that the body will reject with time.
The body initially forms a scar capsule around the silicone implant in order to wall off the implant from the rest of the body. Over time, the scar capsule will try to squeeze down on the silicone implant in an attempt to reduce the size of the foreign body and make it disappear.
When this happens, the scar capsule develops capsular contracture and the implant becomes hard and misshapen. Capsular contracture, and the fact that these silicone implants have a limited lifespan and eventually break down, mean that you can expect to have a reoperation and the implant replaced in about 10-15 years.
In this surgery, the suspensory ligament of the penis is cut which releases the penis and allows for a modest increase in length (1-2cm).
Of course, the purpose of the suspensory ligament is to “suspend” the penis up during an erection, so cutting the ligament generally leads to the penis pointing downward when erect.
Additionally, the penile nerves are located near the suspensory ligament and can be damaged in this surgery which would cause loss of sensation to the penis.
For these reasons, and the fact that satisfaction with this procedure is generally pretty low, I do not recommend this procedure.
This is similar to filler injections, but instead of a manufactured substance, your own fat is injected into the penis to increase the size. This fat is retrieved through liposuction. Usually around 50% of the injected fat survives the transfer and permanently becomes a part of the penis.
Like filler injections, this procedure is generally not recommended because the fat tends not to stay in place, which leads to a lumpy and misshapen penis.
In fact, many malpractice insurance carriers specifically do not cover fat grafting to the penis because of past complaints/lawsuits, which should tell you why you should not get this procedure.
