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

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

A vacuum pump can make a penis look larger temporarily.

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

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

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.

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

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.

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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.

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

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

Suspensory ligamentThe need for penis-enlargement surgery is rare.

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

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

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

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

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

Regular exercise can make a big difference.

Think twice before trying any of them.

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

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

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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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A few small studies have reported length increases of half an inch to almost 2 inches (about 1 to 3 centimeters) with these devices.

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

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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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If you're concerned, talk to your partner.

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

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

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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These surgeries should be considered experimental.

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

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

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

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

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

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.

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

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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