Age 42, 6'5, 225lbs, how much length does phalloplasty add & what's the downtime?

You deserve to be confident in your body and proud of what you offer your partner. If you are wondering how to enlarge your penis safely and reliably, you need a physician who specializes in male sexual health. Dr. Malik created the Prometheus Procedure as an answer to the men who want a low-risk, permanent, nonsurgical penis enlargement option.
The Prometheus Procedure by Dr. Malik is a permanent dermal filler injection technique for penis enlargement. It’s not surgery, just a few microinjections, so there are no stitches or scars. A local anesthetic is all you need. You are fully awake with the area numbed throughout the procedure. Unlike temporary dermal fillers that dissolve over time, the Prometheus Procedure is permanent and doesn’t need to be repeated once you reach your goal size.

The only way to increase the length of the penis when erected is by surgery to detach the suspensory ligaments. This is done through a small incision just above the base of the penis inside the pubic hairline so it is covered. By doing so the penis can be pulled out from the bone so that more of the shaft can be seen and "used" The amount of increase depends on how much of the penis was behind the bone to start with. On the average about 1 inch increase can be obtained, although I have seen as much as 2 1/2 inch or as little as hardly any increase. You being a tall person it is possible that there may be more penis behind the bone than the average person and therefore more can be expected to come out. However, without seeing you and examining you it is difficult to determine. You should see a qualified surgeon for consultation.

Thank you for your question. The safest and most efficient way to enlarge the size of your penis is through fat transfer. While it does not at a significant amount of length it does improve the girth. The procedure involves using your own fat. The downtime is generally a couple of weeks of swelling. The fact that you are not a non-smoker will likely translate into better fat survival and better results. It is impossible to know exactly how much girth or length you can achieve but there is transfer without seeing photos or doing an evaluation. If you are fit as the numbers suggest, it may require going to a few areas of the body to get the fat -- like waist, abdomen, inner thigh, back, etc.

Phalloplasty using dermal fillers can be done with very little downtime. We ask that patients refrain from sexual activity and strenuous activity (like the gym) for 1 week otherwise there are very few restrictions. Patients go back to work and other activities immediately. Typically you could expect do gain a half to 3/4 an inch in length and 1 inch in girth.

If you are planning a Penis Enlargement surgery, you can get information from our clinic. But you have an obesity problem (225kg). We do not recommend Penis Enlargement surgery until the obesity problem is corrected. First of all, you need to have Bariatric surgery for the obesity problem. After becoming healthy, Penis Enlargement surgery can be planned.

I recommend trying serial PRP shots in the penis along with shock wave therapy sessions and then reevaluate prior to getting any surgery done.