From FDA-cleared silicone implants to non-surgical fillers — typical gains, recovery time, costs, and the risks you should discuss with a board-certified urologist.
FDA-cleared silicone subcutaneous implant placed under the penile skin to permanently increase flaccid and erect girth. Performed by board-certified urologists.
Typical gains: +1.5 to 2.5 inches girth
Recovery: 6–8 weeks to full activity
Best for: Men seeking permanent, dramatic girth enhancement
USA
$16,000 – $25,000
Abroad
$7,500 – $14,000
Risks to discuss with your urologist: seroma, infection, implant migration or extrusion, scarring, sensory change, asymmetry, dissatisfaction with size, and possible revision surgery. Outcomes vary by patient.
Custom polyurethane implant
Peniflex
European-developed custom-molded girth implant offered as an alternative to Himplant, primarily in Turkey and select EU clinics.
Typical gains: +1.5 to 2.0 inches girth
Recovery: 4–6 weeks
Best for: Patients seeking customizable sizing abroad
USA
Not widely available
Abroad
$6,500 – $11,000
Risks to discuss with your urologist: seroma, infection, implant migration or extrusion, scarring, sensory change, asymmetry, dissatisfaction with size, and possible revision surgery. Outcomes vary by patient.
Non-surgical girth injection
HA Fillers (PhalloFILL / UroFill)
Hyaluronic acid filler injected by a urologist for temporary girth increase. Reversible, no downtime, results last 12–24 months.
Typical gains: +0.5 to 1.5 inches girth
Recovery: 0–2 days
Best for: Patients wanting a non-surgical trial enhancement
USA
$3,000 – $8,000
Abroad
$1,500 – $3,500
Risks to discuss with your urologist: seroma, infection, implant migration or extrusion, scarring, sensory change, asymmetry, dissatisfaction with size, and possible revision surgery. Outcomes vary by patient.
Autologous fat girth procedure
Fat Transfer (Lipofilling)
Fat is harvested from the abdomen or flanks and injected for girth. Results vary; some volume loss over 12 months is common.
Typical gains: +0.75 to 1.5 inches girth
Recovery: 2–3 weeks
Best for: Patients wanting a natural-tissue option
USA
$8,000 – $15,000
Abroad
$3,500 – $6,500
Risks to discuss with your urologist: seroma, infection, implant migration or extrusion, scarring, sensory change, asymmetry, dissatisfaction with size, and possible revision surgery. Outcomes vary by patient.
Length-focused surgery
Suspensory Ligament Release
Release of the suspensory ligament for additional flaccid length. Typically combined with traction therapy post-op.
Typical gains: +0.5 to 1.5 inches flaccid length
Recovery: 3–4 weeks + traction protocol
Best for: Men focused on flaccid length gains
USA
$9,000 – $14,000
Abroad
$3,500 – $6,000
Risks to discuss with your urologist: seroma, infection, implant migration or extrusion, scarring, sensory change, asymmetry, dissatisfaction with size, and possible revision surgery. Outcomes vary by patient.
Length + girth bundle
Combination Procedures
Combined ligament release with implant or filler for multi-dimensional enhancement, typically as an all-inclusive package.
Typical gains: Length + girth gains combined
Recovery: 6–8 weeks
Best for: Patients seeking comprehensive results in a single trip
USA
$22,000 – $35,000+
Abroad
$11,000 – $18,000
Risks to discuss with your urologist: seroma, infection, implant migration or extrusion, scarring, sensory change, asymmetry, dissatisfaction with size, and possible revision surgery. Outcomes vary by patient.
Editor's pick · FDA-cleared
Why Choose Himplant®
The first & only FDA-cleared penile implant
Himplant® (formerly Penuma) is the only penile implant with specific FDA 510(k) clearance for cosmetic girth enhancement and correction of soft-tissue deformities — a soft, medical-grade silicone sleeve manufactured under strict U.S. quality standards.
FDA 510(k) cleared
The only penile implant with specific U.S. FDA clearance for cosmetic girth enhancement and correction of soft-tissue deformities.
Soft silicone sleeve
Medical-grade silicone placed subcutaneously for a natural look, feel, and movement — sizes L, XL, XXL.
+1–2 inches girth
Published series show ~56% midshaft circumference increase, plus added flaccid length from device weight.
Function preserved
No reported negative impact on erections, sensation, ejaculation, or urinary function in key clinical series.
70–80%+ satisfaction
Multi-year published data report 'high / very high' satisfaction in the large majority of patients.
Outpatient · removable
45–60 minute outpatient procedure. Reversible — device can be removed if desired. Limited lifetime warranty.
Important medical disclaimer: The information on this page is for educational purposes only and does not constitute medical advice, diagnosis, or treatment recommendations. Himplant® is a medical device cleared by the U.S. FDA under a 510(k) premarket notification — this is not the same as FDA "approval." FDA clearance applies to the device itself, not to individual surgical outcomes, and does not guarantee results or eliminate risks. All surgical procedures carry inherent risks including, but not limited to, infection, bleeding, seroma/hematoma, scarring, sensory changes, implant exposure, migration, contour irregularity, dissatisfaction with aesthetic results, and the possible need for revision or removal surgery. Results vary significantly based on individual anatomy, surgeon skill, patient health, and adherence to post-operative care. Long-term data beyond 5 years is limited. This website does not establish a doctor-patient relationship. Always consult a board-certified urologist or qualified surgeon to evaluate your candidacy, discuss risks in detail, and determine whether Himplant® (or any procedure) is appropriate for you. Read the full Medical Risks & Disclaimer page →
Side-by-side pricing
2026 cost comparison
Procedure
USA
Abroad (all-inclusive)
Savings
Himplant / Penuma (silicone girth)
USA$16,000 – $25,000
Abroad$7,500 – $14,000
SaveUp to 65%
Peniflex (custom girth implant)
USALimited availability
Abroad$6,500 – $11,000
Save—
HA Fillers (PhalloFILL / UroFill)
USA$3,000 – $8,000
Abroad$1,500 – $3,500
SaveUp to 60%
Fat transfer (lipofilling)
USA$8,000 – $15,000
Abroad$3,500 – $6,500
SaveUp to 60%
Ligament release
USA$9,000 – $14,000
Abroad$3,500 – $6,000
SaveUp to 65%
Combination (length + girth)
USA$22,000 – $35,000+
Abroad$11,000 – $18,000
SaveUp to 55%
Frequently asked
What patients ask most often
Is penile augmentation surgery safe?
When performed by board-certified urologists at accredited facilities, complication rates are low. Like any surgery, risks include seroma, infection, implant migration, scarring, sensory change, and possible revision. Verify your surgeon's credentials and complication rates directly.
How is Himplant / Penuma different from fillers?
Himplant is a permanent FDA-cleared silicone implant placed surgically. HA fillers are non-surgical, temporary (12–24 months), and reversible. Implants deliver larger, permanent gains; fillers are lower-risk and a good way to trial enhancement.
Why are abroad prices so much lower?
Lower facility overhead, lower malpractice insurance costs, and currency differences — not lower surgical standards. JCI-accredited facilities meet the same international standards as top US hospitals.
Will my sexual function be preserved?
When performed correctly by an experienced urologist, sexual and urinary function should be preserved. Discuss specific risks with your surgeon during your consultation.
Important disclaimer
This page is part of an independent editorial guide and does not provide medical advice. Cost ranges shown are 2026 estimates compiled from public clinic disclosures, Bookimed, and third-party sources, and may change. Surgical results vary by patient. Every procedure carries risks including but not limited to seroma, infection, implant migration, scarring, sensory change, and revision surgery. Always consult a board-certified urologist before making any decision and verify accreditations and outcomes directly with each provider.