Thank you for your question. Many men share similar concerns about size and sensitivity, so you are not alone in exploring possible options. Your current measurements (13 cm erect, 5 cm flaccid) are within the average range for adult men globally. Still, I understand that the goal of enhancement is often more about personal confidence than statistics. For increasing girth, non-surgical dermal filler injections (such as hyaluronic acid) can provide visible thickening of the shaft. This procedure is generally well tolerated when performed by a qualified and experienced provider, using sterile technique and appropriate aftercare. Risks include temporary swelling, bruising, irregularities, infection, and—less commonly—vascular or tissue complications. These risks are significantly reduced when the treatment is done by a practitioner with expertise in male aesthetic procedures. For increasing length, fillers will not meaningfully change the erect length, but some procedures can improve the visible length in the flaccid state. Options may include ligament release surgery or reduction of the pubic fat pad (via liposuction or surgical lift). These are more invasive and carry higher risks, including scarring, changes in erection angle, and variable results. Any surgical lengthening procedure should be carefully weighed against its potential complications. Enhancement procedures are not designed to increase sensitivity; in some cases, fillers may temporarily alter sensation due to swelling or changes in skin tension. If sensitivity changes are significant or bothersome, a thorough evaluation by a healthcare provider is recommended before pursuing any cosmetic procedure. In summary, girth enhancement with fillers can be safe in expert hands, but it will not substantially lengthen an erection or directly improve sensation. Your first step should be a consultation with a board-certified urologist or cosmetic physician who has extensive experience with male genital procedures, so you can discuss your goals, possible treatments, and realistic expectations. Disclaimer: This information is for general educational purposes only and should not be taken as personal medical advice. Every individual’s anatomy, goals, and health history are different, and only an in-person consultation with a qualified medical professional can determine the safest and most effective approach for you.