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

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

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

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

These surgeries should be considered experimental.

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

Think twice before trying any of them.

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

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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.

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

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

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

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Suspensory ligamentThe need for penis-enlargement surgery is rare.

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

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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.

Larger, more-rigorous research is needed to establish safety and effectiveness.

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

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

If you're concerned, talk to your partner.

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

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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.

A vacuum pump can make a penis look larger temporarily.

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

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

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

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

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

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

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

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.

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

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.

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.

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

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

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

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

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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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