Original Article

Aesthetic Plastic Surgery

, Volume 36, Issue 4, pp 813-818

First online:

Efficacy and Safety of Penile Girth Enhancement by Autologous Fat Injection for Patients with Thin Penises

  • Dong Hyuk KangAffiliated withDepartment of Urology, Hanyang University College of Medicine
  • , Jae Hoon ChungAffiliated withDepartment of Urology, Hanyang University College of Medicine
  • , Yong Jin KimAffiliated withGilman Urology Clinic
  • , Haeng Nam LeeAffiliated withGilman Urology Clinic
  • , Seung Hoon ChoAffiliated withGilman Urology Clinic
  • , Taek Hee ChangAffiliated withGilman Urology Clinic
  • , Seung Wook LeeAffiliated withDepartment of Urology, Hanyang University College of MedicineDepartment of Urology, Hanyang University Guri Hospital Email author 

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This study aimed to investigate the efficacy and safety of autologous fat injection (AFI) for penile girth enhancement (PGE) in patients with thin penises.


This study investigated 52 patients with a small penile circumference who underwent AFI for PGE and were followed up for more than 6 months. The patients whose proximal one third (G1) and distal one third of their penis (G2) had a mean thickness of 7.4 cm or less were selected as subjects. After fat suction using a liposuction device, fat was evenly injected into the superficial, middle, and deep layers of the Colles’ fascia. Patient age and operative time were analyzed. The G1, G2, flaccid (L1), stretched length (L2), and five-item version of the International Index of Erectile Function-5 (IIEF-5) before and 6 months after the surgery were compared. Postoperative complications were surveyed.


The patient mean age was 42.15 years (range, 22–56) years, and the operative time was 44.44 min (range, 37–49 min). The injected fat volume was 38.54 ml (range, 25–49 ml). Preoperatively, G1 was 7.01 ± 0.39 cm, and G2 was 7.06 ± 0.37 cm. Postoperatively, G1 was 9.29 ± 0.82 cm (P < 0.001), and G2 was 9.34 ± 0.86 (P < 0.001) cm 6 months after the surgery. The difference between L1 and L2 before and after the surgery was not significant. The IIEF-5 was 19.10 ± 3.22 before the surgery and 19.90 ± 3.05 after the surgery (P = 0.001). The only complication was nodular fat observed in one case (1.92 %).


The use of AFI for PGE in men with thin penises was effective and safe without major complications.

Level of Evidence III

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors at www.​springer.​com/​00266


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