An inverted V-shaped incision is made by the surgeon at the base of the penis, hidden in the hair. The base of the penis is loosened from the pubic bone by completely severing the suspensory ligament of the penis. The corpus cavernosum is thus externalized, lengthening the extra-corporeal portion of the penis. The possible lengthening is of the order of 2 to 3 cm on sex at rest. A slight decrease in the inclination of the penis in erection is possible.

Penis enlargement is done by injecting fat into the penis under the skin. This fat is removed by liposuction from the inner side of the thighs or abdomen, then centrifuged and reinjected through fine cannulas at the base of the penis. The volume of fat injected is about 30 to 60cc. A second injection session can be considered after several months. Massages will then be necessary to avoid the formation of palpable nodules.