Micro Penis Enlargement

Micropenis, a condition resulting in a smaller than average penis, is generally defined by an erect penile length of 3.5 inches or less. If your flaccid (of soft) penile length is short, this is NOT a Micropenis. The shorter flaccid state is the result of the muscle cells located in the penile (and scrotal) tissues contracting and pulling the penile shaft inwards. Many patients ask why this happens. This flaccid muscle pull and ‘shrinkage’ is most likely protective, keeping the penile structure out of harm’s way when not in the erect use ‘mode’.

The images below, labeled 1a, 1b, and 2a demonstrate the micropenis condition. The erect state, not shown here, is less than 3.5 inches.

What are the causes of this Micropenis condition?

Micropenis can be caused by abnormal hormonal levels and fluctuations, or lack thereof, during puberty. During the developmental and growing years of puberty, from about 13 to 18 years of age, there are elevations and changes in testosterone levels. When testosterone elevates or has heightened peaks, changes occur in the developing male body. These developments include an increase in body and facial hair, a deepening voice, and enlargement of the genitalia. If testosterone elevations do not occur, the genitalia (penile shaft and glans size) will not develop and increase in size.

Can this condition be treated? Yes. If you are between the ages of 13-18, you can receive supplemental testosterone injections to help increase the penile size. However, there is only a certain window of time that the genitalia/penis will respond to treatment….and the earlier the better. For example, when you were a child, your Pediatrician should have been examining your genital development.

If, by age 15 or so, the genitalia are not growing or enlarging, then treatment would be needed to assist. Testosterone treatments, once started, will cause the genitalia and penis size to grow to the normal adult size. If this window of opportunity is missed, between the ages of 13-18, then this type of therapy will not work (in most cases).

The image below demonstrates one type of testosterone medication that is used for treatment of delayed genitalia development.

I missed the window of opportunity for testosterone treatment….is there hope?

Yes, there are some options such as careful use of stretching devices (see Erect Penile Lengthening section & Products) to help stretch the penile shaft to at least the 4.5 to 5.5 inch (erect) length. Use of the stretching devices, and the protocols involved, will take some time to see results. But it is possible to lengthen the penile shaft to a normal or closer to normal length.

Many patients will then opt for the Penile Girth Enlargement treatment to get the thickness to a normal range of 4.5 to 5 inches in circumference, or even greater if one desires to bring the penis up to the normal range.

The good news is that most patients do not need to wait to lengthen the penis and can immediately start with the Penile Girth Enlargement treatment before starting their stretching protocol. This will allow the patient to start enjoying a larger penis right away with no delay. You can start your girth filler treatments immediately, then 90 days after the girth treatment, you can start or resume your penile stretching exercises.

The images below demonstrate the micropenis condition in the flaccid (or soft) state before treatment, labeled 1a and 1b. After treatment, you can clearly see the image, titled 1c, enlargement of the flaccid state.

The images below, labeled 1a, 1b, and 2a demonstrate the micropenis condition. The erect state, not shown here, is less than 3.5 inches.


Some patients have tried to lengthen their penis using a commonly referred to method called “Ligament Cut”. This suspensory ligament cutting, a surgical procedure, may cause a small flaccid lengthening but in the majority of cases, the patient does not see any length change. In some cases, a patient may even see a shortening of the penile erect length. The physicians at Loria Medical do not recommend this surgery method.

A better solution may be the Penis Lengthening Device that Loria Medical is developing and will soon become available. This implantable sleeve device will extend the penis in length and over time, is expected to create permanent length changes to the penile shaft. This device can later be removed and replaced with a larger one to reach an even longer penile shaft goal if desired.

Many of our patients who opt to do the Permanent Dermal Filler Injection Technique first, normally see an increase not only in the penile shaft girth but the flaccid length as well. Each minimally invasive filler treatment performed by this method typically yields an increase by ½ to 1-inch of flaccid length. This increase is seen after each filler treatment. The Permanent Dermal Filler Technique may, in some cases, increase the erect length, however, these gains are patient-reported and not directly measured and confirmed by Loria Medical.

Please reach out to our offices to discuss what the best options may be for you.