Procedure comparison

Himplant vs Fat Transfer

An objective educational comparison. Both options have risks and limitations. A qualified physician must evaluate candidacy.

Himplant / Penuma

  • Silicone subcutaneous implant
  • Surgical procedure
  • Device-based girth enhancement
  • Recovery required
  • May be removable or revised in selected situations

Fat Transfer (Lipofilling)

  • Uses the patient's own fat
  • Surgical harvesting and injection
  • Volume retention varies
  • Repeat treatments may be required
  • Irregularity, asymmetry, and resorption are possible

Both options have risks and limitations. A qualified physician must evaluate candidacy.

Device disclosure & risks

Himplant® — manufacturer attribution & risk disclosure

Manufacturer

Himplant® (also marketed in some markets as Penuma®) is a medical-grade silicone subcutaneous penile implant developed and distributed by International Medical Devices, Inc. (IMD) / Augmenta. Surgeons must be trained and authorized by the manufacturer to perform the procedure. Patients should confirm directly with the manufacturer or treating surgeon whether a given clinician is a trained provider.

Regulatory status

Penuma® received U.S. FDA 510(k) clearance for cosmetic correction of soft-tissue deformities of the penis. 510(k) clearance is not the same as FDA approval and does not certify clinical efficacy for cosmetic enhancement. Regulatory status of Himplant® varies by country; patients receiving care outside the United States should confirm local regulatory clearance directly with their surgeon.

Material risks patients should understand before consenting

  • Infection, including implant infection that may require removal.
  • Seroma (fluid collection) and hematoma in the first weeks post-op.
  • Implant migration, palpability, contour irregularity, or asymmetry.
  • Penile sensory changes — temporary or, less commonly, persistent.
  • Erectile or ejaculatory function changes; the implant does not treat erectile dysfunction.
  • Scar tissue (capsular contracture-type response) and skin-related complications.
  • Implant explantation, revision surgery, or reoperation.
  • Outcome variability — published satisfaction data reflect selected cohorts, not all patients.

This site does not represent the manufacturer and is not a substitute for the manufacturer's Patient Information Booklet or the informed-consent process performed by a trained surgeon. Patients should request the manufacturer's official patient information, review it with their surgeon, and verify the surgeon's authorization to perform the procedure before consenting.

Educational content only. Not medical advice. Verify all credentials, licensing, accreditation, and procedure information directly with providers.