Prof. Dr. Emel Akoğlu
UrologyVerified
- 57+years exp.
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Andrology & Men's Health
Implant penis enlargement surgery
What implant penis enlargement surgery is, how a silicone implant is placed around the shaft, how it differs from a penile prosthesis for erectile dysfunction, what the limited evidence shows, how it compares with filler, approximate costs in Turkey against the UK, US and Germany, recovery, risks and questions to ask.
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Prof. Dr. Zerrin Biçik Bahçebaşı
UrologyVerified
- 37+years exp.
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What is implant penis enlargement surgery?
Implant penis enlargement surgery is a cosmetic operation in which a soft, solid silicone sleeve or similar implant is placed under the skin of the penile shaft to increase the size of the flaccid penis, mainly its girth and, to a lesser degree, its apparent length. It is different from the penile prosthesis used to treat erectile dysfunction, which sits inside the erection chambers and makes an erection possible. A cosmetic enlargement implant lies outside the erectile tissue, between the skin and the deeper layers, and does not alter erections. It is an elective, cosmetic operation for adult men who are physically healthy, and there is no medical need for it.
This guide explains how the surgery works, what the evidence says, how it differs from other options, what it costs in Turkey compared with the UK, US and Germany, and what the risks are. Our urology treatments in Turkey hub lists related procedures.
How does the surgery work, step by step?
The operation is usually carried out under general or spinal anaesthesia and takes about one to two hours. The surgeon makes an incision, commonly at the base of the penis in the pubic area, and creates a pocket between the skin and the deeper fascia along the shaft. A custom-sized silicone implant is inserted and positioned, the incision is closed, and a dressing is applied. Implants come in several sizes, which are chosen from your measurements, and the surgeon should explain what increase is realistic for your anatomy.
Because the implant is a foreign body, it needs to be sterile, of medical grade and correctly sized. A mismatch can cause tightness or movement. Ask the clinic to name the device, show its regulatory status and explain how it is fixed in place.
Does implant penis enlargement work, and what does the evidence say?
Evidence is limited. A silicone sleeve device has been cleared in the United States for cosmetic enlargement of the flaccid penis on the basis of small studies, and published series report increases in flaccid girth and in some cases in flaccid length, with many patients saying they are satisfied. The studies are small, often come from the surgeons who developed the device, and follow patients for short periods. Professional urological bodies, such as the European Association of Urology, advise caution about surgical enlargement for men whose penile size is within the normal range, and say it is not recommended without proper evaluation. Many men who ask about enlargement have a normal size and are helped by counselling. A responsible surgeon will measure you and discuss your motivation before booking an operation.
Erect size is generally not increased by a cosmetic sleeve implant, since the erect size is set by the erectile tissue. Be sceptical of any promise on that point.
Implant penis enlargement surgery cost in Turkey compared with the UK, US and Germany
The figures below are approximate ranges per operation, not hospital quotes. Prices vary with the implant, the surgeon, the hospital and the extras. Each hospital confirms its price in a written quote.
| Country | Approximate cost range |
|---|---|
| Turkey | €3,000 – €8,000 |
| United Kingdom | €6,500 – €15,000 |
| United States | €9,000 – €22,000 |
| Germany | €6,000 – €14,000 |
What changes the price: the type and origin of the implant, whether it is a stock or a custom-made device, anaesthesia and hospital stay, whether extra procedures such as a suspensory ligament release or circumcision are added, and follow-up visits. Ask the clinic to itemise the implant, the surgeon's fee, the hospital stay, medication and aftercare, and to say whether implant removal is covered if it is needed.
Implant, filler or prosthesis: how do the options compare?
Several procedures are sold as penile enlargement, and they do different things. Our guides to penis enlargement and penis filler explain the alternatives, and the page on penile prosthesis describes the implant used for erectile dysfunction.
| Option | Suited to | Typical limits |
|---|---|---|
| Silicone sleeve implant | A permanent increase in flaccid girth and appearance | Surgery; may need removal; limited evidence; no effect on erection size |
| Filler (injection) | A smaller, less invasive increase in girth | May be absorbed or lumpy; may need repeats |
| Penile prosthesis | Erectile dysfunction that has not responded to other treatment | A medical device, not for cosmetic use; irreversible |
None of these is right for everyone. For a man whose size is within the normal range, many surgeons recommend counselling rather than surgery, and some will decline to operate.
Who is a good candidate, and who is not?
A suitable candidate is an adult man in good general health with realistic expectations and an informed understanding of the risks, who has had his size measured by a doctor and who has considered the alternatives. The decision should not be rushed. It may not be suitable if you have an active infection or a skin condition in the area, an uncontrolled medical condition, a bleeding disorder, Peyronie's disease or curvature without separate assessment, or if your concern is a perceived small size that your doctor finds to be normal. A man with body dysmorphic concerns should discuss this with a professional before considering surgery.
What does the surgery feel like, and what is the recovery?
You will not feel the operation under anaesthesia, but you will be sore and swollen for the first days. Swelling and bruising of the shaft and pubic area is expected and may take several weeks to settle. Most people wear loose underwear, take prescribed pain relief and antibiotics, and avoid heavy activity. A drain or dressing may be used for a short time. Desk work is often possible after about a week, and sexual activity is restricted for a period, commonly around four to six weeks, until the surgeon confirms healing. Follow the written instructions, and report fever, redness, pus or wound opening promptly.
Implant penis enlargement before and after: what are realistic results?
Before-and-after photographs may show a thicker flaccid shaft, but swelling hides the final result for several weeks, and it can take two to three months to settle. Results depend on the implant size, skin, scarring and how the implant sits. Photographs usually show the best cases, and they rarely show complications or cases in which an implant was removed. Ask the clinic about its removal rate and its follow-up rate, and for photographs of men with an anatomy similar to yours. Do not expect a change in erect size, sensation or function.
Your trip to Turkey and recovery step by step
Most patients stay about five to seven nights: one for consultation and tests, a night or two in hospital after surgery, and several days for a first dressing check and wound review before flying. Short flights are usually permitted when the surgeon agrees, and you should keep moving and drink water on the flight. Swelling peaks in the first week. Stitches are removed or dissolve within about ten to fourteen days. A video or phone review after you return lets the team monitor healing, and you should know which doctor at home will help if there is an infection.
Risks and complications of penile enlargement implants
The risks are significant and should be weighed carefully. Common effects include pain, swelling, bruising, numbness and temporary changes in sensation. More serious problems include infection, fluid collection (seroma), wound breakdown, implant displacement or migration, visible edges or asymmetry, scar tightening that shortens the penis, and erosion of the implant through the skin. Implants may need to be removed, sometimes urgently, and that can leave scars or a result worse than before surgery. Reduced erectile function and sexual satisfaction have been reported in some men after enlargement procedures. The NHS and the American Urological Association both advise caution about cosmetic penile surgery. Ask about the removal and revision policy in writing before you pay a deposit.
How to choose a surgeon and hospital, and red flags
Choose a urologist or plastic surgeon with specific training in genital surgery, working in a licensed hospital with an anaesthetist and the capacity to treat complications. Expect a face-to-face assessment, measurements, a discussion of alternatives, and a written plan. Red flags include a quote with no consultation, promises of a specific number of centimetres, claims that erect size will increase, unnamed or unregulated implants, pressure to book quickly, and no stated plan for removal. Read how our process works and request a plan through our free quote page.
Questions to ask the clinic:
- Which implant is used, is it approved or cleared by a recognised regulator, and who made it?
- What increase is realistic for my anatomy, and for flaccid or erect size?
- How often do implants need removal, and who pays if that happens?
- How many nights do I need to stay, and who reviews the wound after I return home?
- What are the alternatives, and would you advise surgery for me at all?
Hospitals with Urology in Turkey
Frequently asked questions
A cosmetic operation in which a silicone implant is placed under the skin of the shaft to increase flaccid girth and appearance. It differs from a penile prosthesis, which is used to treat erectile dysfunction.
Small studies report a larger flaccid girth and sometimes length, with many patients satisfied. The evidence is limited, follow-up is short, and urological bodies advise caution, especially for men with a normal size.
Approximate ranges are €3,000 to €8,000 in Turkey, against about €6,500 to €15,000 in the UK. The implant, the surgeon, the hospital stay and extras change the price, so request a written, itemised quote.
Photographs may show a thicker flaccid shaft once swelling settles, after two to three months. They rarely show complications, and results vary with the implant size, skin and scarring.
Not usually. A cosmetic sleeve implant lies outside the erectile tissue and mainly changes the flaccid appearance. Erect size is set by the erectile tissue, so be wary of promises on that point.
Swelling and bruising can last several weeks. Desk work is often possible after about a week, and sexual activity is usually restricted for around four to six weeks until the surgeon confirms healing.
You are under anaesthesia during surgery. Afterwards the area is sore, swollen and bruised for days to weeks, which is normally controlled with prescribed painkillers. Report increasing pain, fever or discharge promptly.
They include infection, fluid collection, wound breakdown, implant displacement, asymmetry, scarring and erosion through the skin. Implants sometimes need removal, and reduced sexual function has been reported in some men.
An implant is a surgical, long-term device placed under the skin. Filler is injected, is less invasive, and may be absorbed or become lumpy over time. Both are cosmetic with limited evidence.
Most patients stay about five to seven nights, including the consultation, a night or two in hospital, and a wound check before the flight. The surgeon decides when you are fit to fly.
Patient stories