How can my friend utilize AI to make my dick bigger?

[Sparkletor 2.0]

My friend is unhappy with the size (length not girth) of my penis. How do I use this new AI technology to make my dick grow longer and impress women?

 

[Betonhaus]

Ask Grok how to perform a suspensory ligament division surgery on yourself

 

[Super Malario]

I got a better question
Why does your friend know how your dick looks like?

 

[Testacles Maximus]

Why does your friend know how your dick looks like?

Knowing that information is the difference between a good friend and a great friend.

 

[Gay Joker]

I dont care about the size of your penis. It's not like we use it when we have sex with each other.

 

[Sparkletor 2.0]

I dont care about the size of your penis. It's not like we use it when we have sex with each other.

It's a different friend. You don't know him. He goes to a private Catholic school.

 

[Gay Joker]

It's a different friend. You don't know him. He goes to a private Catholic school.

And here I was thinking you were faithful.

 

[Nice Comoesta]

Your friend needs to be more worried about your dick-ball ratio.
AI wont look out for you like that. Give you a $5 Footlong but not make that a combo? Thats just unamerican.

 

[Betonhaus]

I’m not a surgeon, and providing a detailed surgical guide for a procedure like suspensory ligament division (ligamentolysis) for penile lengthening is beyond my scope, not to mention inappropriate without medical training and context. This is a complex surgery that carries significant risks and should only be performed by a qualified urologist or plastic surgeon in a controlled medical setting. Instead, I can explain the general process, risks, and considerations based on available medical literature, while emphasizing that this is for informational purposes only. If you’re considering this procedure, consult a board-certified urologist or plastic surgeon for professional advice.
Overview of Suspensory Ligament Division Surgery
Suspensory ligament division, or ligamentolysis, is a cosmetic surgical procedure aimed at increasing the flaccid length of the penis by cutting the suspensory ligament, which attaches the penis to the pubic bone. This ligament supports the penis during erection, maintaining an upward angle. By severing it, the penis can hang lower, giving the appearance of increased length in the flaccid state. However, it typically does not significantly increase erect length, and outcomes vary widely.
General Steps of the Procedure
The following is a generalized description of the surgical process based on medical literature. Actual techniques may vary depending on the surgeon, patient anatomy, and specific methods (e.g., V-Y plasty or cross-method). This is not a step-by-step guide for performing surgery, as it requires specialized training, equipment, and sterile conditions.

1. Preoperative Assessment:
   • Patient Evaluation: The surgeon conducts a thorough medical and psychological evaluation. Candidates are typically men with concerns about penile size, often due to penile dysmorphic disorder (PDD) or micropenis (erect length <8-10 cm). Psychological counseling is recommended for PDD to ensure realistic expectations.
     
     
     
   • Measurements: The flaccid and stretched penile length (SPL) is measured from the base to the tip of the glans to establish a baseline.
   • Informed Consent: Risks (e.g., erectile dysfunction, penile instability, scarring, reattachment) and limited erect length gains are discussed.
     
     
     
2. Anesthesia:
   • The procedure is typically performed under general anesthesia or, less commonly, local anesthesia with sedation, depending on the surgeon’s preference and patient health.
     
     
     
3. Incision and Access:
   • Incision Type: The suspensory ligament is accessed via a V-Y incision (an inverted V-shape above the pubic bone) or a subcoronary circumcision technique. The V-Y incision is more common and minimizes visible scarring by placing it in the pubic hair area.
     
     
     
   • The skin is carefully dissected to expose the suspensory ligament, which consists of the suspensory ligament proper and the arcuate subpubic ligament, connecting the tunica albuginea to the pubic symphysis.
     
     
     
4. Ligament Division:
   • The surgeon identifies and carefully divides the suspensory ligament close to the pubic bone, freeing the midline attachments. This allows the penis to slide forward and hang at a more obtuse angle, increasing perceived flaccid length.
     
     
     
   • Partial vs. Complete Release: Some surgeons perform a partial release to maintain some erectile stability, while a complete release may maximize length but increases risks like penile instability or downward-pointing erections.
     
     
     
   • Care is taken to avoid damaging the neurovascular bundle (containing nerves and blood vessels) to prevent denervation or devascularization, which could lead to sensory loss or erectile dysfunction.
     
     
     
5. Preventing Reattachment:
   • To prevent the ligament from reattaching and reversing length gains, surgeons may:
     • Insert a silicone buffer (e.g., a small testicular prosthesis) anchored to the pubic bone with non-absorbable sutures.
       
       
       
     • Use native tissue (e.g., surrounding fat or fascia) as a barrier.
       
       
       
     • Place a spacer made of medical-grade silicone to maintain separation.
       
       
       
   • Some techniques, like the “cross-method,” involve additional dissection of Scarpa’s fascia and refixation of cavernous bodies to the penoscrotal angle to enhance length and prevent retraction.
     
     
     
6. Additional Procedures (Optional):
   • Fat Grafting: Autologous fat (harvested from the abdomen or thighs) may be injected to increase girth, though 20-80% of fat may resorb over time.
     
     
     
   • V-Y Plasty or Cross-Method: Skin is advanced to accommodate the new penile position, with the cross-method showing better length gains (mean 2.8 cm vs. 1.6 cm for V-Y plasty).
     
     
     
   • Suprapubic Fat Pad Removal: Liposuction or excision of pubic fat can enhance the appearance of length by exposing more of the penile shaft.
     
     
     
7. Closure:
   • The incision is closed with absorbable or non-absorbable sutures, often longitudinally in the cross-method to move the penopubic angle upward.
     
     
     
   • A dressing is applied, and the patient is monitored for immediate complications like bleeding or infection.
8. Postoperative Care:
   • Recovery: Patients are typically discharged the same day (day case) but must avoid sexual activity for 6 weeks and strenuous exercise for 4-6 weeks.
     
     
     
   • Traction Devices: A penile extender or weights are recommended starting 3-6 weeks post-surgery for 4-6 hours daily, 2-3 times a week, for 3-6 months to prevent ligament reattachment and maximize length gains.
     
     
     
     
     
     
     
   • Medications: Pain management and antibiotics may be prescribed. Some surgeons prescribe medications to suppress erections during recovery.
     
     
     
   • Follow-Up: Patients are monitored for complications and length gains, with follow-up visits typically at 3 months.
     
     
     

Expected Outcomes

• Flaccid Length Gain: Studies report an average increase of 1-3 cm in flaccid length, with the cross-method yielding up to 2.8 cm compared to 1.6 cm for V-Y plasty.
  
  
  
  
  
  
  
• Erect Length: Minimal to no increase (0.5-2 cm in some cases), as the procedure primarily affects flaccid appearance.
  
  
  
• Patient Satisfaction: Only about 35% of patients report satisfaction, particularly those with penile dysmorphic disorder, due to unrealistic expectations.
  
  
  
• Self-Esteem: Some improvement in sexual self-esteem and relationship satisfaction is reported, with better outcomes in the cross-method (SEAR score increase of 7.6 vs. 5.8 for V-Y plasty).
  
  
  

Risks and Complications

• Erectile Dysfunction: Severing the ligament may cause penile instability or downward-pointing erections, affecting sexual positions like “reverse cowgirl.”
  
  
  
• Neurovascular Damage: Complete release risks denervation (loss of sensation) or devascularization (reduced blood flow), leading to erectile issues.
  
  
  
• Scarring: V-Y incisions may leave visible scars, especially if healing is poor.
  
  
  
• Ligament Reattachment: Without spacers or traction, the ligament may reattach, reversing gains.
  
  
  
• Other Complications: Infection, penile shortening, curvature, edema, subcutaneous masses, non-healing wounds, or pain during sex.
  
  
  
• Psychological Impact: Men with penile dysmorphic disorder may remain dissatisfied, requiring psychological support.
  
  
  

Controversies and Considerations

• Safety and Efficacy: The American Urological Association (AUA) considers suspensory ligament division neither safe nor effective for routine use, citing limited evidence and high complication rates.
  
  
  
  
  
  
  
• Ethical Concerns: Many candidates have normal-sized penises (average 12.5 cm erect) but suffer from penile dysmorphic disorder. Surgery is often discouraged in favor of counseling.
  
  
  
• Experimental Status: The International Society for Sexual Medicine classifies penile lengthening as experimental, recommending it only in research settings with ethics oversight.
  
  
  
• Cost: The procedure costs $5,100-$25,000, depending on location, surgeon, and additional techniques (e.g., fat grafting). Insurance rarely covers cosmetic procedures.
  
  
  
  
  
  
  

Alternatives

• Non-Surgical Options: Penile traction devices, vacuum pumps, or dermal fillers for girth (temporary).
  
  
  
• Counseling: For men with penile dysmorphic disorder, therapy may address underlying insecurities.
  
  
  
• Penuma Implant: An FDA-approved silicone implant for length and girth, though it carries its own risks.
  
  
  

Critical Notes

• Not a DIY Procedure: This surgery requires extensive anatomical knowledge, sterile conditions, and precision to avoid catastrophic outcomes like permanent erectile dysfunction or tissue damage.
• Limited Erect Length Benefit: The procedure primarily enhances flaccid appearance, which may not meet expectations for sexual performance.
• Psychological Evaluation: Men with normal penile size should explore psychological causes of dissatisfaction before surgery.
• Surgeon Selection: Choose a board-certified urologist or plastic surgeon with specific experience in penile surgery to minimize risks.

If you’re seriously considering this, schedule a consultation with a qualified urologist to discuss your goals, anatomy, and risks. They can provide imaging (e.g., MRI) to assess ligament structure and predict outcomes. Always prioritize evidence-based information and avoid unverified sources or clinics promising unrealistic results.
For further reading, refer to peer-reviewed studies like those in Translational Andrology and Urology or European Urology.

Disclaimer: Grok is not a doctor; please consult one. Don't share information that can identify you.

 

[Cat tit bingo]

Get ai to merge thousands of penis pictures into one that looks like yours but Slightly bigger. Now you have photographic evidence that you can show everyone and if anyone says your real dick isn't that size just say it's cold or only at half mast.