2026 procedure guide

A clear, clinical guide to every option

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.

Editor's pick · FDA-cleared

Himplant® — the only FDA-cleared penile implant

See why we rank Himplant® above HA fillers, fat transfer, and unregulated implants.

Read the Himplant® guide

Silicone subcutaneous penile implant

Himplant / Penuma

FDA 510(k)-cleared silicone subcutaneous penile implant for cosmetic penile enhancement and correction of certain soft-tissue deformities. Performed by board-certified urologists. FDA 510(k) clearance is not the same as FDA approval and does not guarantee individual results. Not all patients are candidates.

  • Typical gains: Published and manufacturer-reported girth increases in selected patients; individual results vary
  • Recovery: 6–8 weeks to full activity
  • Best for: May be discussed for selected patients seeking longer-term implant-based 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

A penile implant with U.S. FDA 510(k) clearance for cosmetic girth enhancement and correction of soft-tissue deformities. Candidacy and suitability require physician evaluation.

Soft silicone sleeve

Medical-grade silicone placed subcutaneously — typically available in multiple sizes selected by the surgeon based on anatomy.

Published girth gains

Published clinical series report measurable midshaft circumference increases. Individual outcomes vary and are not guaranteed.

Function considerations

Published clinical series describe how erectile, sensory, and urinary function may be affected. Discuss expected effects with your surgeon.

Reported patient satisfaction

Published multi-year data report high satisfaction in many patients. Satisfaction is subjective and not guaranteed for any individual.

Outpatient · revisable

Outpatient procedure in selected cases. The device may be revised or removed in selected situations; revision involves additional risk.

How Himplant® compares to other procedures

Objective comparison with common alternatives

vs. HA Fillers (PhalloFILL / UroFill)

Permanent vs. temporary (12–24 months). Fillers require repeat sessions and higher long-term cost.

vs. Fat Transfer

More predictable, uniform girth — significantly lower risk of lumps, irregularities, or volume loss.

vs. Other Silicone Implants (e.g. Peniflex)

FDA-cleared with published clinical data and regulatory oversight vs. less-studied alternatives.

vs. Dermal Grafts (AlloDerm)

Better tissue integration and consistency for most patients; predictable, device-based result.

In a crowded market of unregulated pills, pumps, and unproven treatments, Himplant® stands out with rigorous FDA review for safety and performance.

Frequently asked questions

Himplant® — what patients ask most

Every answer below is a summary. For the complete list of complications, contraindications, FDA-clearance limits, and legal disclaimers, read the full Medical Risks & Disclaimer page →

Side-by-side comparison

Permanence, results, risk & regulatory status

OptionPermanenceTypical girthRisk profileRegulatory status
Himplant® (FDA-cleared) Top pickPermanent+1–2 inchesStandard surgical risks; published outcomes dataFDA 510(k) cleared
HA Fillers (PhalloFILL / UroFill)12–24 months+0.5–1.5 inchesLower-risk; repeat sessions required; can be unevenOff-label use of approved filler
Fat transfer (lipofilling)Partial — fat reabsorbs+0.75–1.5 inchesLumps, irregular absorption, asymmetrySurgeon-dependent; no specific device clearance
Other silicone implants (e.g., Peniflex)Permanent+1.5–2 inchesVariable; limited published peer-reviewed dataNot FDA-cleared in the US
AlloDerm / dermal graftsVariable+0.5–1 inchGraft resorption; less predictableTissue product — not a device clearance

See if you're a candidate for Himplant®

Free confidential quote. Tijuana all-inclusive packages from $8k–$15kcompared with $16k–$25k in the US.

Or try the official manufacturer simulator at himplant.com.

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 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. Long-term data beyond 5 years is limited. This website does not establish a doctor-patient relationship. Always consult a board-certified urologist. Read the full Medical Risks & Disclaimer page →

Side-by-side pricing

2026 cost comparison

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.

Sources & Medical Literature

Key claims are based on peer-reviewed studies, FDA documents, and verified third-party sources.