Penoplasty in Puebla

What is penoplasty?

Penoplasty is the set of surgical procedures that modify the apparent length, girth (circumference) or position of the penis. It is not one single operation but several techniques with very different goals, results and limits — which is why the first task of the consultation is to define exactly what you want to correct.

Under this name sit things worth keeping separate: lengthening (which acts on the portion of the penis hidden under the pubic skin), girth enhancement (which adds volume to the shaft) and correction of a buried or trapped penis caused by excess suprapubic fat or a penoscrotal web. Each addresses a different problem.

Being honest about this is part of the procedure. Many men who consult have a penis within the normal range, and in those cases the correct medical answer may be not to operate. When there is a clear indication —true disproportion, a buried penis, an asymmetry— surgery makes sense, with a realistic plan.

Techniques used by Dr. Arístides Arellano

The technique —or the combination of techniques— is defined at the consultation, based on your anatomy and your real goal, not on a fixed package:

• Lengthening by suspensory ligament release: the ligament fixing the penis to the pubic bone is partially divided, exteriorising part of the length normally kept hidden. The gain is seen mostly in the flaccid state and is modest and variable; it does not significantly increase erect length and may alter the erection angle. This is explained plainly before deciding.
• Girth enhancement with fat grafting: the patient’s own fat is harvested by liposuction and transferred to the shaft to increase circumference. Part of the grafted fat reabsorbs unpredictably, so the result may need a touch-up and cannot be exact in advance.
• Correction of a buried (adipose) or trapped penis: when the penis looks small because excess suprapubic fat covers it, removing or reducing that pad —sometimes together with weight loss— exteriorises real, already-existing length. It is among the most satisfying and predictable interventions.
• Penoscrotal web correction (penoscrotal angle plasty): when the scrotum "rides up" onto the underside of the penis and shortens visible length, a local plasty redefines that angle and reveals functional length.
• Girth enhancement with dermal or matrix graft (selected cases): an alternative to fat grafting in specific patients, assessed individually for its recovery and result profile.

How is it performed?

Depending on the technique, penoplasty is performed under general anaesthesia or sedation with a local block, usually on an outpatient or short-stay basis, lasting about 1 to 2 hours. Incisions are planned to sit hidden in the pubic crease or at the base of the penis.

In lengthening, the incision sits at the junction of the penis and pubis to reach the suspensory ligament; after release, traction or a stretching protocol is often indicated during recovery to preserve the gain. In girth enhancement, the fat is processed and infiltrated in several planes to distribute volume as evenly as possible. In buried-penis correction, the excess suprapubic fat is removed and, if needed, the skin is anchored to keep the penis exposed.

A soft dressing is applied at the end. Most patients go home the same day, with strict instructions on rest, hygiene and sexual abstinence for the period indicated to you.

All surgery carries risk and requires a prior medical assessment. Results may vary according to each patient, their anatomy and their individual healing process.

Who is a good candidate?

A good candidate is a man with a real anatomical indication, good general health, realistic expectations and a stable motivation over time. Penoplasty is not meant to "fix" a normal-sized penis or to solve self-esteem problems that surgery does not touch. The clearest indications are:

• Buried or trapped penis from excess suprapubic fat, with real length hidden.
• A penoscrotal web or angle that shortens visible length.
• An informed wish for more girth, understanding the variability of fat grafting.
• Disproportion or asymmetry causing an objective functional or aesthetic problem.
• Realistic expectations: improvement is sought, not a guaranteed transformation.
• Absence of a disproportionate preoccupation with size (dysmorphia), which is identified at the consultation and deserves a non-surgical approach.

Recommended post-surgical treatments

To support a more comfortable recovery and reduce swelling, Dr. Arístides may indicate, case by case, anti-inflammatory measures, local wound care and —when applicable— the traction protocol to preserve the lengthening result. See the full guide: Post-surgical recovery and care.

Before and after

Most patients want to see before-and-after photographs before deciding. Out of respect for each person’s privacy, Dr. Arístides Arellano shows real cases —always with documented consent— during your in-person consultation, where you can review results from patients with a starting point similar to yours. Results may vary from patient to patient.

Approximate price

The cost of penoplasty depends on the technique or combination indicated (lengthening, girth enhancement, buried-penis correction), on the complexity of the case and on hospital and anaesthetist fees, so it is set at the consultation, with a written quote and no prices invented over the phone. Approximate price — the definitive cost is set at your private consultation with Dr. Arístides Arellano. See the price list.

About Dr. Arístides Arellano

Dr. Arístides Arellano is a plastic surgeon holding a specialty licence: he practises under a Mexican medical licence (D.G.P. 1125959) and a specialty licence in Plastic & Reconstructive Surgery (0002008), both issued by the Directorate General of Professions (DGP), which reissued his certificate of professional standing in 2025. His career began before Mexico’s present-day specialty-board system existed: he belongs to the founding generation of plastic surgery in Puebla, the second generation of a surgical tradition started in 1971 by Dr. Francisco Arellano Ocampo. Trust is verified, not promised: both licences are public and anyone can look them up in the DGP’s National Registry of Professionals.

Related patient guide

Before deciding on surgery like this, choosing who operates on you is the most important decision: How to choose a plastic surgeon in Puebla — part of the series of informative guides reviewed by Dr. Arístides Arellano.

Trust is verified, not promised. All 210 scanned documents —degree, licences, diplomas, publications and certificates, from 1977 to 2025— are open in Dr. Arístides Arellano’s credential archive, alongside an explanation of the difference between a specialty licence and a board certification.

Recovery · step by step

• Days 1–3Swelling, discreet bruising and local discomfort; relative rest and simple analgesics. Soft dressing as indicated.
• Days 4–7Initial discomfort settles. Most patients resume desk activity; sexual abstinence and wound care continue.
• Weeks 2–4The dressing is removed or reviewed. In lengthening, the traction protocol usually begins to preserve the result.
• Weeks 4–6Sexual activity is gradually authorised, according to progress and medical judgment. Exercise resumed progressively.
• Months 3–6More definitive result: in girth enhancement the surviving fat stabilises, and residual swelling finishes subsiding.

Frequently asked questions

Every figure published on this site is approximate and is not a quote. Any procedure or treatment first requires a private assessment consultation with Dr. Arístides Arellano —$800 MXN, charged separately— and it is at that consultation that the definitive cost of your case is determined.

Educational content; it does not replace a medical consultation. Results may vary from person to person.