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Suspensory ligamentThe need for penis-enlargement surgery is rare.

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

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

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

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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.

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

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.

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

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

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

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

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.

Because pumps draw blood into the penis, making it swell, they're sometimes used to treat erectile dysfunction.

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

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A vacuum pump can make a penis look larger temporarily.

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

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

Exercises.

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

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.

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

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

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Get in shape and lose the belly fat.

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

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Stretching.

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

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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 concerned, talk to your partner.

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

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

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

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

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

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

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.

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

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

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

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

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.

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

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.

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

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