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Although some surgeons offer cosmetic penis enlargement using various techniques, it's controversial and considered by many to be unnecessary and in some cases permanently harmful.

Most of the techniques you see advertised are ineffective, and some can damage your penis.

This can lead to penile curvature or asymmetry and an irregular looking penis.

Larger, more-rigorous research is needed to establish safety and effectiveness.

Here are some of the most widely promoted products and techniques:Vacuum pumps.

At best, surgery such as division of the suspensory ligament may add half an inch (1 centimeter) to the appearance of the flaccid penis but does not change actual length of the penis.

Surgery is typically reserved for men whose penises don't function normally because of a birth defect or injury.

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The length of a non-erect penis doesn't consistently predict length when the penis is erect.

Get in shape and lose the belly fat.

A few small studies have reported length increases of half an inch to almost 2 inches (about 1 to 3 centimeters) with these devices.

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Advertisers would have you believe that your partner cares deeply about penis size.

Exercises.

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At worst, surgery can result in complications such as infection, scarring, and loss of sensation or function.

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Ads for penis-enlargement products and procedures are everywhere.

Stretching involves attaching a stretcher or extender device — also referred to as a penile traction device — to the penis to exert gentle tension.

But cutting the suspensory ligament can cause an erect penis to be unstable.

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A penis is considered abnormally small only if it measures less than 3 inches (about 5 centimeters) when erect, a condition called micropenis.

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Most advertised penis-enlargement methods are ineffective, and some can cause permanent damage to your penis.

Because pumps draw blood into the penis, making it swell, they're sometimes used to treat erectile dysfunction.

This site complies with the HONcode standard for trustworthy health information: verify here.

But chances are your penis is within the normal size range.

Although there's no guaranteed safe and effective way to enlarge your penis, there are a few things you can do if you're concerned about your penis size.

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There aren't enough studies of penis-enlargement surgery to give an accurate picture of risks and benefits.

When this ligament is cut, the penis appears longer because more of it hangs down.

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The fear that your penis looks too small or is too small to satisfy your partner during sex is common.

Sometimes called jelqing, these exercises use a hand-over-hand motion to push blood from the base to the head of the penis.

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Check out these best-sellers and special offers on books and newsletters from Mayo Clini.

If those steps don't help, try talking with a professional counselor about your concerns.

Dietary supplements don't require approval by the Food and Drug Administration, so manufacturers don't have to prove safety or effectiveness.

None of these procedures has been proved safe or effective and can even affect potency and your ability to obtain an erection.

corg," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research.

Think twice before trying any of them.

Severing the suspensory ligament is sometimes combined with other procedures, such as removing excess fat over the pubic bone.

If you're concerned, talk to your partner.

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Similarly, studies suggest that many men have an exaggerated idea of what constitutes "normal" penis size.

If your penis is about 13 cm (5 inches) or longer when erect, it's of normal size.

Stretching.

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Keep in mind that understanding your partner's needs and desires is more likely to improve your sexual relationship than changing the size of your penis.

Another technique for increasing width is grafting tissue onto the shaft of the penis.

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The most widely used surgical procedure to lengthen the penis involves severing the suspensory ligament that attaches the penis to the pubic bone and moving skin from the abdomen to the penile shaft.

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Regular exercise can make a big difference.

Tempted by products that claim to increase penis size? Get the facts about what to expect from male-enhancement pills, pumps, exercises and surgeries.

A procedure to make the penis thicker involves taking fat from a fleshy part of the body and injecting it into the penis shaft.

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Better physical conditioning may not only make you look better, but also can improve strength and endurance during sex.

Results may be disappointing, however, because some of the injected fat may be reabsorbed by the body.

If you're overweight and have a "beer gut," your penis might appear shorter than it is.

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Many men believe that increasing the size of their penis will make them a better lover or make them more attractive.

Suspensory ligamentThe need for penis-enlargement surgery is rare.

Although this technique appears safer than other methods, there's no scientific proof it works, and it can lead to scar formation, pain and disfigurement.

A plethora of pumps, pills, weights, exercises and surgeries claim to increase the length and width of your penis.

When the suspensory ligament is cut, the penis may look longer because more of it hangs outside the body.

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But studies have shown that most men who think their penises are too small actually have normal-sized penises.

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A vacuum pump can make a penis look larger temporarily.

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But using one too often or too long can damage elastic tissue in the penis, leading to less firm erections.

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