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Review
. 2024 Feb 1;12(1):11.
doi: 10.21037/atm-23-351. Epub 2023 Oct 26.

Cosmetic male genital surgery: a narrative review

Michel Alain Danino  1 , Pierre Trouilloud  2 , Mehdi Benkhadra  2 , Arthur Danino  3 , Romain Laurent  1
Affiliations
Review

Cosmetic male genital surgery: a narrative review

Michel Alain Danino et al. Ann Transl Med. .

Abstract

Background and objective: Through the centuries the appearance of the male genitalia has always been an important concern for men, symbolizing virility, potency and sexual contentment. Correction of perceived deficiencies and deformities of the male genitalia can be addressed by aesthetic surgery as well as the enhancement its external aspect. If the social acceptance of cosmetic surgery, particularly of women's breasts, dates from the early 1950s, male intimate cosmetic surgery emerged from the shadows about 10 years ago with a medical community still very suspicious and reproachful. The present paper aims to describe and discuss the current state of the art regarding male intimate cosmetic surgery.

Methods: A narrative review of the literature was performed using publications from January 2000 to September 2022. The publications were retrieved from the PubMed database using Medical Subject Headings (MeSH) terms and keywords. The authors' goal is to narrate the aesthetic non-surgical and surgical enhancement procedures of the male apparatus.

Key content and findings: This narrative review examines the diverse procedures associated with male genitalia aesthetics.

Conclusions: Aesthetics of the male genitalia is now an unavoidable and important part of aesthetic surgery worldwide with an increasing demand. Nonsurgical and surgical techniques described in the literature should be reviewed.

Keywords: Male genitalia; penile aesthetics; scrotum aesthetics.

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Conflict of interest statement

Conflicts of Interest: All authors have completed the ICMJE uniform disclosure form (available at https://atm.amegroups.com/article/view/10.21037/atm-23-351/coif). The series “The Modern Plastic and Reconstructive Surgeon – Collaborator, Innovator, Leader” was commissioned by the editorial office without any funding or sponsorship. M.A.D. is the consultant for Allergan, Johnson and Johnson, and Establishment labs and participates to the safety board of Knight therapy and Activis med. The authors have no other conflicts of interest to declare.

Figures

Figure 1
Figure 1
PRISMA flowchart. PRISMA, Preferred Reporting Items for Systematic reviews and Meta-Analyses.
Figure 2
Figure 2
Injection of highly cohesive HA. (A) Preoperative photo; (B) after photo: with 6 mL in the shaft, 2 mL of HA in the glans giving an increase of 1.5 cm circumference. HA, hyaluronic acid.
Figure 3
Figure 3
Use of a thick layer of acellular dermal matrix in a patient with no fat donor site. (A) Preoperative photo; (B) preoperative photo with the measurement; (C) postoperative photo; (D) postoperative photo with the measurement: 3 cm girth augmentation.
Figure 4
Figure 4
Two lipopenosculture sessions separated by 6 months. (A) Preoperative photo; (B) postoperative photo after the first session with 60 cc injected; (C) postoperative photo after the second session with 72 cc injected, with 4.5 cm increase in girth.
Figure 5
Figure 5
Anatomical representation of the penile suspensory ligaments: from front to back: the fundiform ligament, the suspensory ligament, the vertical dense ligament (and the arcuate ligament, not visible here).
Figure 6
Figure 6
Full penoplasty with fundiform and suspensory ligaments release with liposculpture of 72 cc. (A) Preoperative photo; (B) preoperative photo with the measurement of the girth; (C) preoperative photo with the measurement of the length; (D) postoperative photo; (E) postoperative photo with the measurement of the girth; (F) postoperative photo with the measurement of the length.
Figure 7
Figure 7
Scrotal enhancement: treatment of a scrotal webbing. (A) Preoperative photo; (B) postoperative front photo; (C) postoperative side photo.
See this image and copyright information in PMC

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