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A vacuum pump can make a penis look larger temporarily.

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Ads for penis-enlargement products and procedures are everywhere.

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

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

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

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

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

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.

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

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

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

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

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

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

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

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

Think twice before trying any of them.

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

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

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

Exercises.

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

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

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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Stretching.

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

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Suspensory ligamentThe need for penis-enlargement surgery is rare.

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

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

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

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Regular exercise can make a big difference.

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

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

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.

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

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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.

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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.

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

These surgeries should be considered experimental.

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* These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.