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

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

Stretching.

These surgeries should be considered experimental.

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

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

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

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

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

If you're concerned, talk to your partner.

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

Marketers rely on testimonials, skewed data and questionable before-and-after photos.

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However, there's little scientific support for nonsurgical methods to enlarge the penis.

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

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

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.

And no reputable medical organization endorses penis surgery for purely cosmetic reasons.

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

Companies offer many types of nonsurgical penis-enlargement treatments, and often promote them with serious-looking advertisements that include endorsements from "scientific" researchers.

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

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.

Ads for penis-enlargement products and procedures are everywhere.

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

Exercises.

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

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

Suspensory ligamentThe need for penis-enlargement surgery is rare.

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

Look closely — you'll see that claims of safety and effectiveness haven't been proved.

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

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

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

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

A vacuum pump can make a penis look larger temporarily.

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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.

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.

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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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Many men feel better with reassurance that they are "normal" or with advice about how to better satisfy their partner without resorting to cosmetic penis enlargement.

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

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Studies of available surgical techniques to lengthen the penis have found mixed results in safety, effectiveness and patient satisfaction.

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

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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.

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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Regular exercise can make a big difference.

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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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