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

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

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

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

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

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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.

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.

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

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

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

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

The solution to your concerns about penis size may be as easy as talking with your partner or getting in shape.

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

These surgeries should be considered experimental.

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.

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.

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

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

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

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In addition, there's no proven way to make a penis larger.

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Even if your penis is smaller than average, it may not matter to your partner.

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

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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.

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

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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.

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

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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.

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

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

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Regular exercise can make a big difference.

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.

Mayo Clinic does not endorse companies or products.

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

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